대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제27권3호
  • /
  • Pages.1-11
  • /
  • 2020
  • /
  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
권호 표지
DOI QR코드

DOI QR Code

저항성 들숨근 훈련이 뇌졸중 환자의 호흡기능에 미치는 영향

The effect of resistance inspiratory muscle training on respiratory function in stroke

  • 투고 : 2020.10.02
  • 심사 : 2020.11.09
  • 발행 : 2020.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study was to investigated the effects of threshold resistance inspiratory muscle training on respiratory function in chronic stroke patients. Design: Randomized Controlled Trial Methods: Eighteen patient with stroke were randomly assigned to the experimental group (n=9) and control group (n=9) all testing and training. The experimental group underwent threshold resistance inspiratory muscle training with resistance adjusted of maximal inspiratory pressure, 60 breathing a day and general physical therapy 30 minutes a day, 5 times a week for 4 weeks. The control group was taken general respiratory muscle training and general physical therapy for 4 weeks in the same way. Respiratory function, walking ability were evaluated before and after the intervention. Statistical significance of the results were evaluated by ANCOVA between control group and experimental group after intervention. Results: There was a significant increase in FVC and FEV1 in the experimental group in pulmonary function tests (p<0.05). There was a significant difference with the maximum inspiratory pressure and the maximum inspiratory flow rate between experimental and control group (p<0.05). There was no significant difference with the maximum inspiratory capacity between experimental and control group (p>0.05) but the maximum inspiratory capacity of experimental group some increased than that of control group. Conclusion: These finding gave some indications that the threshold resistance inspiratory training may benefit on pulmonary function in people with stroke, and it is feasible to be included in rehabilitation interventions with this population.

키워드

참고문헌

  1. 김경. 심장호흡물리치료. 서울: 정담미디어; 2013.
  2. 김재현. 호흡기계 물리치료가 뇌졸중환자의 폐기능 증진에 미치는 영향[석사학위논문]. 대구대학교 재활과학대학원; 2000.
  3. 김현승, 이동우, 조성현. 압력 생체되먹임 장치를 이용한 호흡재교육 운동이 뇌졸중 환자의 들숨기능에 미치는 영향. 재활복지공학회논문지 2019;13(3):219-29.
  4. 박진영, 김예슬, 박현주, 등. 진동 자극 유무에 따른 호흡 저항 훈련 시 폐 기능과 호흡근의 즉각적인 차이가 있을까?. 대한물리치료과학회지 2018;25(3):17-24. https://doi.org/10.26862/jkpts.2018.12.25.3.17
  5. 박창식, 송병호. 뇌졸중 환자의 낮병원 프로그램이 도구적 일상생활활동 수행 능력과 삶의 만족도에 미치는 영향. 한국콘텐츠학회논문지 2012;12(11):267-77. https://doi.org/10.5392/JKCA.2012.12.11.267
  6. 서교철, 김현애, 임상완. 흉곽확장운동이 뇌졸중 환자의 폐기능에 미치는 효과 대한물리의학회지 2012:7(2):157-64. https://doi.org/10.13066/kspm.2012.7.2.157
  7. 이전형, 권유정, 김경. 호흡운동이 뇌졸중 환자의 흉곽 확장과 폐기능에 미치는 영향. 대한물리치료학회지 2009;21(3):25-32.
  8. 정영종. 근위축성 측색 경화증 환자에서 호흡운동 치료가 폐기능에 미치는 효과. 한국전문물리치료학회지 2001;8(4):71-80.
  9. 조남옥, 박수원, 김금순, 등. 호흡재활훈련이 경수손상 환자의 호흡기능에 미치는 효과. 재활간호학회지 2007;10(2):108-15.
  10. Adler SS, Beckers D, Buck M. PNF in practice: An illustrated guide. 4th ed. Springer; 2014. p.288-91.
  11. Annoni JM, Ackermann D, Kesselring J. Respiratory function in chronic hemiplegia. Int Disabil Stud 1990;12:70-80. https://doi.org/10.3109/03790799009166254
  12. Beaumont M, Mialon P, Le Ber-Moy C, et al. Inspiratory muscle training during pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomized trial. Chron Respir Dis 2015;12(4):305-12. https://doi.org/10.1177/1479972315594625
  13. Beckerman M, Magadle R, Weiner M, et al. The effects of 1 year of speci c inspiratory muscle training in patients fi with COPD. Chest 2005;128(5):3177-82. https://doi.org/10.1378/chest.128.5.3177
  14. Britto RR, Rezende NR, Marinho KC, et al. Inspiratory muscular training in chronic stroke survivors: a randomized controlled trial. Arch Phys Med Rehabil 2011;92(2):184-90. https://doi.org/10.1016/j.apmr.2010.09.029
  15. Duncan PW, Horner RD, Reker DM, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke 2002;33(1):167-77. https://doi.org/10.1161/hs0102.101014
  16. Dall'Ago P, Chiappa GR, Guths H, et al. Inspiratory Muscle Training in Patients With Heart Failure and Inspiratory Muscle Weakness. J Am Coll Cardiol 2006;47(4):757-63. https://doi.org/10.1016/j.jacc.2005.09.052
  17. Enright SJ, Unnithan VB. Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial. Phys Ther 2011;91(6):894-905. https://doi.org/10.2522/ptj.20090413
  18. Frownfelter D, Dean E. Cardiovascular and pulmonary Physical Therapy - Evidence and Practice. 5th ed. Philadelpia: Mosby; 2012.
  19. Griffiths LA, McConnell AK. The influence of inspiratory and expiratory muscle training upon rowing performance. Eur J Appl Physiol 2007;99(5):457-66. https://doi.org/10.1007/s00421-006-0367-6
  20. Gosselink R, De Vos J, van den Heuvel SP, et al. Impact of inspiratory muscle training in patients with COPD: what is the evidence. Eur Resir J 2011;37(2):416-25. https://doi.org/10.1183/09031936.00031810
  21. Harraf F, Ward K, Man W, et al. Transcranial magnetic stimulation study of expiratory muscle weakness in acute ischemic stroke. Neurology 2008;71:2000-7. https://doi.org/10.1212/01.wnl.0000336927.30977.56
  22. Jones AY, Dean E, Chow CC. Comparison of the oxygen cost of breathing exercise and apontaneous breathing in patients with stabel COPD. Phys Ther 2003;83(5):424-31. https://doi.org/10.1093/ptj/83.5.424
  23. Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil 2003;84(12):1780-5. https://doi.org/10.1016/S0003-9993(03)00376-9
  24. Kisner C, Colby LA. Management of Pulmonary Conditions. Therapeutic Exercise: Foundations and Techniques. 5th ed. Philadelphia: F. A. Davis Co; 2007. pp.851-82.
  25. Kisner C, Colby LA. Therapeutic Exercise : Foundations and Techniques. 6th ed. Philadelphia: F. A. Davis; 2013.
  26. Klusiewicz A, Borkowski L, Zdanowicz R, et al. The inspiratory muscle training in elite rowers. J Sports Med Phys Fitness 2008;48(3):279-84.
  27. Lanini B, Bianchi R, Romagnoli I, et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med 2003;168(1):109-13. https://doi.org/10.1164/rccm.200207-745OC
  28. Larson JL, Kim MJ, Sharp JT, et al. Inspiratory muscle training with a pressure threshold breathing device in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1988;138:689-96. https://doi.org/10.1164/ajrccm/138.3.689
  29. Mercier L, Audet T, Hebert R, et al. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. Stroke 2001;32(11):2602-8. https://doi.org/10.1161/hs1101.098154
  30. Mador MJ, Deniz O, Aggarwal A. Effect of respiratory muscle endurance training in patients with COPD undergoing pulmonary rehabilitation. Chest 2005;128(3):1216-24. https://doi.org/10.1378/chest.128.3.1216
  31. Moodie L, Reeve J, Elkins M. Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review. J Physiother 2011;57(4):213-21. https://doi.org/10.1016/S1836-9553(11)70051-0
  32. Pollock RD, Rafferty GF, Moxham J, et al. Respiratory muscle strength and training in stroke and neurology: a systematic review. Int J Stroke 2013;8(2):124-30. https://doi.org/10.1111/j.1747-4949.2012.00811.x
  33. Roth EJ, Stenson KW, Powley S, et al. Expiratory muscle training in spinal cord injury: A randomized controlled trial. Arch Phys Med Rehabil 2010;91(6):857-61. https://doi.org/10.1016/j.apmr.2010.02.012
  34. Romer LM, McConnell AK, Jones DA. Effects of inspiratory muscle training on tim-trial performance in trained cyclists. J Sports Sci 2002;20(7):547-62. https://doi.org/10.1080/026404102760000053
  35. Skinner JS. Exercise testing & exercise prescription for special cases: t heoretical basis & clinical application. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2005.
  36. Sutbeyaz ST, Koseoglu F, Inan L, et al. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clini Rehabil 2010;24(3):240-50. https://doi.org/10.1177/0269215509358932
  37. Weiner P, Magadle R, Beckerman M, et al. Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD. Chest 2003;124(4):1357-64. https://doi.org/10.1378/chest.124.4.1357
  38. Xiao Y, Luo M, Wang J, et al. Inspiratory muscle training for the recovery of function after stroke. Cochrane Database Syst Rev 2012(5):CD009360.

피인용 문헌

  1. 호흡 기능 향상을 위한 들숨근 강화 훈련 방법 : 위팔운동을 동반한 가로막 호흡과 파워브리드 호흡의 효과 비교 vol.9, pp.3, 2020, https://doi.org/10.15268/ksim.2021.9.3.203