DOI QR코드

DOI QR Code

The Effects of the Thoracic Mobilization Exercise Using Kaltenborn on the Convergence Pulmonary Function of 20's Normals

칼텐본을 접목한 흉추가동운동이 20대 대학생의 복합적 폐활량에 미치는 영향

  • Seo, Kyo-Chul (Department of Physical Therapy, Korea Nazarene University) ;
  • Jang, Young-Chang (Cumm College, Korea Nazarene University) ;
  • Kim, Dae-Rong (Department of Rehabilitation Independence, Korea Nazarene University) ;
  • Park, Seung-Hwan (Department of Biomedical Engineering, Eulji University)
  • 서교철 (나사렛대학교 물리치료학과) ;
  • 장영창 (나사렛대학교 쿰칼리지) ;
  • 김대룡 (나사렛대학교 재활자립학과) ;
  • 박승환 (을지대학교 의료공학과)
  • Received : 2020.07.15
  • Accepted : 2020.09.20
  • Published : 2020.09.28

Abstract

The purpose of this study was to examine the effects of a thoracic mobilization exercise using the Kaltenborn on the convergence lung function. The study was conducted on 20 university students in their 20s over a four-week period. The 20 subjects were randomly selective assigned to a Kaltenborn thoracic mobilization exercise group and diaphragm exercise control group. The experimental group performed a Kaltenborn thoracic mobilization exercise for 30 minutes. The control group performed a diaphragmatic breathing exercise for 30 minutes. Each exercise program was performed three times a week for four weeks. When comparing the breathing capacity of the experimental and controls before and after the experiment, the experimental group showed significant changes in TV, IRV. In testing the differences between the experimental and controls in their changes after the experiment, TV, IRV showed a significant change. Based on the results of this study, a thoracic mobilization exercise using the Kaltenborn thoracic mobilization exercise may have positively affected the extrementals lung function. Therefore, if a thoracic mobilization exercise using the Kaltenborn is combined with a respiratory exercise program in the future, it will likely become a more effective treatment technique.

본 연구는 칼텐본을 접목한 흉추가동운동이 폐기능에 미치는 영향을 알아보기 위하여 20대 대학생 20명을 대상으로 4주간 실시하였다. 실험대상자 20명을 대상으로 실험군, 대조군으로 무작위 동공선택방식으로 그룹 배정을 하였다. 실험군은 횡격막 호흡운동 15분과 칼텐본을 적용한 흉추가동운동 15분으로 구성되고, 대조군은 횡격막 호흡운동으로 30분간 훈련하였으며, 두 군의 운동프로그램은 주 3회 4주간 실시하였다. 측정은 폐기능을 측정하여 자료를 분석하였다. 실험 전·후 폐기능을 분석해 보면, 실험군은 TV, IRV에서 유의하게 증가하였으며, 실험후에 두 집단간의 변화검증에서도 TV와 IRV에서 유의한 차이가 나타났다. 본 연구를 통해 칼텐본을 이용한 흉추가동운동이 폐 기능에 더 긍정적인 효과를 주는 것을 알 수 있었다. 앞으로 임상에서 호흡훈련 시 일반적인 호흡훈련에 흉추가동운동을 함께 접목하는 치료방법이 적극적으로 중재되기를 기대하며 다양한 추가운동프로그램의 개발이 필요할 것으로 사료된다.

Keywords

References

  1. K. Kim. (2009). Physical Science : Effects of Endurance Exercise on Cardiopulmonary Function according to the Exercise Intensity. Journal of Korea Sports Research, 17(6), 433-440.
  2. Y. H. Yoo, J. H. Lee, S. H. Park & D. O. Lim. (2019). The Structural Analysis of Influences of Mortality Change on the Life Expectancy at Birth n Korea : 1985-2015. Korean Public Health Research, 45(1), 71-81. https://doi.org/10.22900/KPHR.2019.45.1.007
  3. Buchner, D. M., Larson, E. B., Wagner, E. H., Koepsell, T. D. & De Lateur. B. J. (1996). Evidence for a non-linar realationship between leg strength and gait speed. Age and Ageing, 25(5), 386-391. https://doi.org/10.1093/ageing/25.5.386
  4. M. R. Yu, H. S. Choi, S. J. Back, J. M. Nam & Y. R. Choi. (2010). Characteristics of Respiration and Phonation in Normal Health Elderly. Phonetics and speech sciences, 2(4), 245-252.
  5. Sutbeyaz. S. T., Koseoglu. F. & Inan. L. (2010). Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke : A randomized controlled trail. Clin Rehabil, 24(3), 240-250. DOI: 10.1177/0269215509358932
  6. Carr, M. & Jones, J. (2003). Physiological Effects of Exercise on Stroke Survivors. Topics in Stroke Rehabilitation, 9(4), 57-64. DOI: 10.1310/0J2K-MDNX-1Q0L-8LX6
  7. Markov, G., Spengler, C. M., Knopfli-Lenzin, C., Stuessi, C. & Boutellier, U.(2001). Respiratory muscle training increases cycling endurance without affecting cardiovascular responses to exercise. European Journal of Applied Physiology, 85(4), 233-239. DOI: 10.1007/s004210100450
  8. J. H. Sim, D. W. Oh & G. W. Lee. (2009). The Effects of Thoracic Flexibility Exercise on Vital Capacity and Chest Expansion in Patients With Idiopathic Scoliosis. KAUTPT, 9(2), 145-156.
  9. McIlwaine, P. M., Wong, L. T., Peacock, D. & Davidson, A. G. (2001). Long-term comparative trial of positive expiratory pressure versus oscillating positive expiratory pressure(flutter) physiotherapy in the treatment of cystic fibrosis. The Journal of Pediatrics, 138(6), 845-850. DOI: 10.1067/mpd.2001.114017
  10. McConnell, A. K. & Romer, L. M.(2004). Respiratory muscle training in healthy humans: resolving the controversy. International Journal of Sports Medicine, 25(4), 284-293. DOI: 10.1055/s-2004-815827
  11. K. C. Seo & M. S. Cho. (2014). The Effect on the Pulmonary Function of Normal Adults Proprioceptive Neuromuscular Facilitation Respiration Pattern Exercise. Journal of Physical Therapy Science, 26(10), 1579-1582. DOI: 10.1589/jpts.26.1579
  12. S. H. Park, O. K. Kim & K. C. Seo. (2019). Analysis of the Convergence Pulmonary Function in the 20s Men of Mild Intellectual Disabilities with Obesity According to Position Changes. Journal of the Korea Convergence Society, 10(10), 67-74. DOI : 10.15207/JKSC.2019.10,10.067
  13. Y. W. Jun, H. J. So, Y. D. Jung & S. H. Um. (2015). The effects of Upper Thoracic Joint Mobilization Technique using Kaltenborn-Evjenth concept on Cervicothoracic ROM and Pain in patients with Chronic Neck Pain. Journal of the Korean Society of Radiology, 9(7), 479-486. DOI: 10.7742/jksr.2015.9.7.479
  14. S. J. Park, K. H. Cho & S. H. Kim. (2018). The Effects of Kaltenborn Orthopedic Manual Therapy with Evjenth-hamberg Stretching on Range of Motion of Ankle Joint and Balance Ability in Patients with Chronic Stroke. Journal of Korean Society of Physical Medicine, 13(2), 43-51. DOI: 10.13066/kspm.2018.13.2.43
  15. D. H. Park, E. H. Lee & K. S. Lee. (2019). Effects of Thoracic Flexibility Exercise Program on Pain, Heart Rate Variability, and Depression in Patients with Chronic Low Back Pain. Journal of the Korean Society of Integrative Medicine, 7(4), 161-170. https://doi.org/10.15268/ksim.2019.7.4.161
  16. Krauss. J., Evjenth, O. & Creighton, D. (2006). Translatoric spinal Manipulation for Physical Therapists. Minneaplis, MN: Lakeview Media.
  17. K. U. Min. (2005). Kinesiology of Muscloskeletomy and Respiratory, Hanledrak.
  18. Y. C. Han. (1996). Clinical Respiratory. Iljogak.
  19. J. N. Choi, H. H. Kim, C. M. Nam & H. S. Choi. (2007). Characteristics of Clottal Area Waveform and Phonation in Patients with Unilateral Vocal Fold Palsy or Sulcus Vocalis. The Korean Academy of Speech-Language Pathology and Audiology, 12(3), 487-507.
  20. T. British. (2001). Pulmonary Rehabilitation. Thorax, 56(0), 827-834. https://doi.org/10.1136/thorax.56.11.827
  21. Enright. S. J., Unnithan. V. B., Heward. C. Withnall, L. & David. H. D. (2006). Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther, 86(3), 345-354. DOI: 10.1093/ptj/86.3.345
  22. Jones, A. Y., Dean, E. & Chow, C. C. (2003). Comparison of the oxygen cost of breathing exercise and apontaneous breathing in patients with stable COPD. Physical therapy, 83(5), 424-431. DOI: 10.1093/ptj/83.5.424
  23. M. O. Jo, S. W. Park, G. S. Kim, S. O. Kim, I. J. Kim, S. J. Park, J. W. Park & K. H. Yu. (2003). The Effects of Respiratory Rehabilitation Training on Respiratory Functions of Cervical Spinal Cord Injury Patients. The Korean journal of rehabilitation nursing, 10(2), 108-115.
  24. Liaw. M. Y, Lin. M. C, Cheng. P. T, May-Kuen. A. W. & Fuk-Tan. T. (2000). Resistive inspiratory muscle training : its effectiveness in patients with acute complete cervical cord injury. Arch Phys Med Rehabil, 81(6), 752-756. DOI: 10.1016/S0003-9993(00)90106-0
  25. Van Houtte, S., Vanlandewijck, Y. & Gosselink, R.(2006). Respiratory muscle training in persons with spinal cord injury: a systematic review. Respir Med, 100(11), 1886-1895. DOI: 10.1016/j.rmed.2006.02.029
  26. Bianchi, R., Gigliotti, F., Romagnoli, I., Lanini, B., Castellani, C., Grazzini, M. & Scano, G. (2004). Chest wall kinematics and breathlessness during pursed-lip breathing in patients with COPD. Chest, 125(2), 459-65. DOI: 10.1378/chest.125.2.459
  27. Ito, M., Kakizaki, F., Tsuzura, Y. & Yamada, M. (1999). Immediate effect of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern. Respiratory Muscle Conditioning Group. Internal Medicine, 38(2), 126-132. DOI: 10.2169/internalmedicine.38.126
  28. J. H. Lee, Y. J. Kwon & K. Kim. (2009). The Effect of Chest Expansion and Pulmonary Function of Stroke Patients after Breathing Exercise. The Journal of Korean Society of Physical Therapy, 21(3), 25-32.