대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제17권1호
  • /
  • Pages.117-125
  • /
  • 2022
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

호흡을 이용한 복부 드로우-인 기법이 뇌졸중 환자들의 몸통 조절과 악력에 미치는 영향

The Effect of the Abdominal Draw-In Maneuver Using Breathing on Trunk Control and Hand Grip in Stroke Patients

  • 투고 : 2021.11.12
  • 심사 : 2021.11.24
  • 발행 : 2022.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study was carried out to examine the changes in the trunk control ability and hand grip when the abdominal draw-in maneuver using breathing was applied to stroke patients, and provide basic data regarding the trunk stabilization exercise. METHOD: After randomly placing patients in group I-applying the existing abdominal draw-in exercise and group II -applying the abdominal draw-in exercise using breathing, the intervention program was performed ten times per set (five sets per session), once a day, four times a week, for a total of four weeks. For the pre-tests before the intervention, trunk damage and hand grip were measured. After the four weeks of intervention, post-tests were conducted in the same way as the pre-tests for analyzing the study results. RESULTS: Both groups had significant differences in trunk control ability and hand grip (p < .05). The comparison between the two groups showed, significant differences only in the trunk control a ability(p < .05). CONCLUSION: The abdominal draw-in exercise using breathing led to the efficient contraction of abdominal muscles, which implies this is a more effective intervention to improve the trunk control ability.

키워드

과제정보

본 논문은 2021년 세한대학교의 학술연구비에 의하여 지원되었다.

참고문헌

  1. Rand D. Proprioception deficits in chronic stroke-Upper extremity function and daily living. PLoS One. 2018; 13(3):e0195043. https://doi.org/10.1371/journal.pone.0195043
  2. Silva SM, Correa FI, de Morais Faria CDC, et al. Evaluation of post-stroke functionality based on the International Classification of Functioning, Disability, and Health: a proposal for use of assessment tools. J Phys Ther Sci. 2015;27(6), 1665-1670. https://doi.org/10.1589/jpts.27.1665
  3. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77(2):132-42. https://doi.org/10.1093/ptj/77.2.132
  4. Askim T, Indredavik B, Vangberg T, et al. Motor network changes associated with successful motor skill relearning after acute ischemic stroke: a longitudinal functional magnetic resonance imaging study. Neurorehabil Neural Repair. 2009;23(3):295-304. https://doi.org/10.1177/1545968308322840
  5. Enright PL, Kronmal RA, Manolio TA, et al. Respiratory muscle strength in the elderly. Correlates and reference values. Cardiovascular health study research group. Am J Respir Crit Care Med. 1994;149(2):430-8. https://doi.org/10.1164/ajrccm.149.2.8306041
  6. Bahat G, Tufan A, Ozkaya H, et al. Relation between hand grip strength, respiratory muscle strength and spirometric measures in male nursing home residents. Aging Male. 2014;17(3):136-40. https://doi.org/10.3109/13685538.2014.936001
  7. Enright PL, Kronmal RA, Manolio TA, et al. Respiratory muscle strength in the elderly. Correlates and reference values. Cardiovascular health study research group. Am J Respir Crit Care Med. 1994;149(2):430-8. https://doi.org/10.1164/ajrccm.149.2.8306041
  8. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. J Physiol. 2000;522(1):165-75. https://doi.org/10.1111/j.1469-7793.2000.t01-1-00165.xm
  9. Souza DCB, de Sales Santos M, da Silva Ribeiro NM, et al. Inpatient trunk exercises after recent stroke: An update meta-analysis of randomized controlled trials. NeuroRehabilitation, 2019;44(3), 369-377. https://doi.org/10.3233/nre-182585
  10. Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients: a randomized controlled trial. Neurorehabil Neural Repair. 2017;31(3):240-9. https://doi.org/10.1177/1545968316675431
  11. Rasheed H, Ahmad I, Javed MA, et al. Effects of Diaphragmatic Breathing Maneuver and Abdominal Drawing-in Maneuver on trunk stability in stroke patients. POTG. 2021;39(1), 1-10
  12. McGill S, Norman R. (1987). Reassessment of the role of intra-abdominal pressure in spinal compression. Ergonomics. 1987;30(11):1565-688. https://doi.org/10.1080/00140138708966048
  13. Markov G, Spengler CM, KnoEpfli-Lenzin C, et al. Respiratory muscle training increases cycling endurance without affecting cardiovascular responses to exercise. Eur J Appl Physiol. 2001;85(3):233-9. https://doi.org/10.1007/s004210100450
  14. Yun JH, Kim TS, Lee BK. The effects of combined complex exercise with abdominal drawing-in maneuver on expiratory abdominal muscles activation and forced pulmonary function for post stroke patients. J Korean Med Sci. 2013;8(4):513-23.
  15. Klein CS, Brooks D, Richardson D, et al. Voluntary activation failure contributes more to plantar flexor weakness than antagonist coactivation and muscle atrophy in chronic stroke survivors. J Appl Physiol. 2010;109(5): 1337-1346. https://doi.org/10.1152/japplphysiol.00804.2009
  16. Kim HW. Effects of the Abdominal Draw-in Maneuver in Combination with Ankle Dorsiflexion in Transverse Abdominis and Balance in Patients with Chronic Stroke. Master' Degree. Daegu University. 2014.
  17. Kang JI, Moon YJ, Jeong DK. The Effect of Abdominal Draw-in Maneuver with Leg Movements on Transversus Abdominis Thickness and Trunk Control in Stroke Patients. JKEIA. 2020;14(8):287-94. https://doi.org/10.21184/jkeia.2020.12.14.8.287
  18. Verheyden G, Nieuwboer A, Mertin J. The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clinical rehabilitation. 2004; 18(3):326-334. https://doi.org/10.1191/0269215504cr733oa
  19. Teyhen DS, Rieger JL, Westrick RB, et al. Changes in deep abdominal muscle thickness during common trunk-strengthening exercises using ultrasound imaging. J Orthop Sports Phys Ther. 2008;38(10):596-605. https://doi.org/10.2519/jospt.2008.2897
  20. 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
  21. Hunnicutt JL, Gregory CM. Skeletal muscle changes following stroke: a systematic review and comparison to healthy individuals. Top Stroke Rehabil. 2017;24(6): 463-71 https://doi.org/10.1080/10749357.2017.1292720
  22. Jimenez Cividanes A. Registro ecografico de respuesta del transverso abdominal con tecnicas de facilitacion neuromuscular propioceptiva. 2021.
  23. Lee JS. Effects of Selective Exercise for Abdominal Deep Muscle and Lumbar Stabilization Exercise on Trunk Muscle Activation and Thickness of Transverse Abdominis. Master' Degree. Daegu University. 2014.
  24. Kim HW. Abdominal Draw-in Maneuver in Combination with Ankle Dorsiflexion in Transverse Abdominis and Balance in Patients with Chronic Stroke. Master' Degree. Daegu University. 2014.
  25. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85:86-92. https://doi.org/10.1053/j.apmr.2003.12.005
  26. Marshall P, Murphy B. The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol. 2003;13(5):477-89. https://doi.org/10.1016/S1050-6411(03)00027-0
  27. Kobesova A, Dzvonik J, Kolar P, et al. Effects of shoulder girdle dynamic stabilization exercise on hand muscle strength. Isokinet Exerc Sci. 2015;23(1):21-32. https://doi.org/10.3233/ies-140560
  28. Lee SW, Qiu D, Fischer HC, et al. Modulation of finger muscle activation patterns across postures is coordinated across all muscle groups. J Neurophysiol. 2020;124(2): 330-341. https://doi.org/10.1152/jn.00088.2020
  29. Thigpen CA, Shaffer MA, Gaunt BW, et al. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2016;25(4):521-535. https://doi.org/10.1016/j.jse.2015.12.018
  30. Buchtelova E, Tichy M, Vanikova K. Influence of muscular imbalances on pelvic position and lumbar lordosis: a theoretical basis. J Nurs Soc Stud Public Health Rehabil. 2013;1(2):25-36.
  31. Jeon CK. Effects of Respiratory Stabilization Exercise on Transverse Abdominis Thickness and Balance in Stroke Patients. Master' Degree. Daegu University. 2018.
  32. Barbosa AWC, Martins FLM, de Melo Vitorino DF, et al. Immediate electromyographic changes of the biceps brachii and upper rectus abdominis muscles due to the Pilates centring technique. J Bodyw Mov Ther. 2013; 17(3):385-90. https://doi.org/10.1016/j.jbmt.2013.01.003
  33. Kim TW. Complex breath exercise for trunk muscles activation, trunk control and balance in persons with chronic stroke. Master' Degree. Yongin University. 2016.
  34. Park DY. Effects of intra-abdominal pressure control training through abdominal bracing exercise on lung function and grip strength of adult men and women. Master' Degree. Korea University. 2021.
  35. Michaelsen SM, Luta A, Roby-Brami A, et al. Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients. Stroke. 2001;32(8):1875-1883. https://doi.org/10.1161/01.STR.32.8.1875