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The Effect of back muscle strengthening on the quality of chest compressions during cardiopulmonary resuscitation

  • Yun, Seong-Woo (Dept. of Emergency Medical Service, Namseoul University)
  • Received : 2019.01.10
  • Accepted : 2019.01.28
  • Published : 2019.02.28

Abstract

In this paper, the researcher investigated whether strengthening the back muscles affects the quality of chest compressions during cardiopulmonary resuscitation by university students. A total of 50 students majoring in healthcare were included from September 2018 to November. The participants performed chest compressions during cardiopulmonary resuscitation (CPR) for 2 min after back muscle strength was measured. Then, after adequate rest, the participants repeated the back muscle strength measurements and chest compressions after taping the erector spinae muscle. The paired t-test was performed to analyze changes in chest compression quality after taping. As results, taping enhanced back muscle strength and positively affected the depth of chest compressions and the compression to recoil ratio. Taping also increased confidence and lowered fatigability during chest compressions, so the participants preferred being taped while performing chest compressions. Based on these results, taping could help emergency room medical personnel specialized in CPR to enhance the quality of CPR and relieve back pain and fatigability by strengthening the back muscles.

Keywords

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Fig. 1. Taping used(Kinesio)

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Fig. 2. Taping method

Table 3. Effect of taping on compression quality

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Table 1. General characteristics of the subjects

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Table 2. Effect of taping on back muscle strength

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Table 4. Effect of taping on confidence, easiness and fatigability from chest compressions

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Table 5. Taping perference

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References

  1. BS. Abella, N. Sandbo, P. Vassilatos, JP. Alvarado, N. O'Heam, HN. Wigder, "Chest compression rates during cardiopulmonary resuscitation are suboptime: aprospective study during in-hospital cardiac arrest," Circulation, Vol. 293, No. 3, pp. 428-434, November 2005.
  2. YD. Lim, and CCW. Choi, "Grip, back strength and relevance of CPR chest compression," J of the Korea Entertainment Industry Association, Vol. 8, pp. 109-114, Aug 2014.
  3. K. Bohm, M. Rosenqvist, J. Herlitz, J. Hollenberg, L. Svensson, “Survival is similar after standard treatment and chest compression only in out-of-hospital bystander cardiopulmonary resuscitation,” Circulation, Vol. 116, No. 25, pp. 2908-2912, Dec 2007. https://doi.org/10.1161/CIRCULATIONAHA.107.710194
  4. M. K. Min, J. H. Ryu, "Comparison of chest compression quality between compression-only CPR and 30:2 conventional CPR," Korean J Emerg Med Ser, Vol. 19, pp. 139-148, Aug 2015. https://doi.org/10.14408/KJEMS.2015.19.3.139
  5. S. K. Yoou, H. K. Choi, "Changes in quality of cardiopulmonary resuscitation over time on CPR and related rescuer," Korean J Emerg Med Ser, Vol. 16, pp. 103-115, Dec 2012.
  6. S. S. Choi, M. I. Han, S. W. Youn, S. Y. Ryu, “Back strength and relevance of CPR chest compression,” Korean J Emerg Med Ser., Vol. 17, No. 2, pp. 57-64, Aug 2013. https://doi.org/10.14408/KJEMS.2013.17.2.057
  7. H. J. Kim, J. Y. Choung, C. H. Lee, H. S. Doh, S. B. Lee, B. S. Do, "Comparison of the quality of two-rescuer CPR vs three-rescuer CPR., J Korean Soc Emerg Med., Vol. 8, No. 2, pp.17-23, May 1997.
  8. American Heart Association(AHA), "Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular care," American Heart Association, Vol. 102, No. 8, pp. 136-139, August 2000.
  9. K. M. Cho, S. C. Han, S. H. Lee, “The effect of aquatic exercise in accordance with the different water-depth on body composition, flexibility, back strength and pain scale in women low back pain,” Korean Journal of Sports Science, Vol. 21, No. 4, pp. 775-787, June 2012.
  10. J. G. Ji, Y. S. Kwak, Y. H. Baek, “Effects of sports massage and taping application on muscle strength and electromyography of the foream and lumbar,” Teacher Education Research, Vol. 50, No. 5, pp. 64-74, Dec 2011. https://doi.org/10.15812/ter.50.3.201112.64
  11. J. H. Jang, H. J. Kim, D. H. Kim, Y. J. Park, C. G. Kang, B. J. Koo, S. H. Jung, K. H. Seong, D. S. Lee, "Variation in the basal physical fitness after participating in physical activity promotion program for women university students," The Korean Journal of Sport, Vol. 1, No. 1, pp. 103-112, Mar 2003
  12. K. J Song, J. B. Kim, J. H. Kim, C. W. Kim, S. Y. Park, C. H. Lee, Y. S. Jang, G. C. Cho, Y. S. Cho, "Part 2. Adult basic life support:2015 Korean guidelines for cardiopulmonary resuscitation., Clin Exp Emerg Med., Vol. 3, No. 1, pp. 10-16, Mar 2016. https://doi.org/10.15441/ceem.16.129
  13. S. W. Yun, “The effect of using a assistant pad when doing chest compression during cardiopulmonary resuscitation,” The Korea Society of Computer an Information, Vol. 22, No. 2, pp. 105-110, Feb 2017.