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건강한 성인에게 가슴가동운동과 스트레칭운동이 최대들숨압 및 최대날숨압에 미치는 효과

The Effects of Thoracic Mobilizing and Stretching Exercise on Maximal Inspiratory Pressure and Maximal Expiratory Pressure in Healthy Adults

  • 김세연 ;
  • 황영인 (호서대학교 생명보건대학 물리치료학과) ;
  • 김기송 (호서대학교 생명보건대학 물리치료학과)
  • Kim, Se-Yeon (Department of Physical Therapy, Graduate School, Hoseo University) ;
  • Hwang, Young-In (Department of Physical Therapy, College of Life and Health Science, Hoseo University) ;
  • Kim, Ki-Song (Department of Physical Therapy, College of Life and Health Science, Hoseo University)
  • 투고 : 2021.11.29
  • 심사 : 2022.01.26
  • 발행 : 2022.04.30

초록

Purpose: The purpose of this study was to investigate the effect of chest mobilization and stretching exercises on maximal inspiratory pressure and maximal expiratory pressure in healthy adults who use computers for extended periods of time each day due to coronavirus disease 2019. Methods: Twenty-five healthy adults in their 20s and without respiratory disease (15 female, 10 male) took part in this study. Two types of thoracic mobilizing exercises using a Theraband and three types of stretching exercises using a foam roller were performed. Maximum inspiratory pressure and maximum expiratory pressure were measured three times each before and after the interventions. In terms of statistical methods, the maximum inspiratory pressure due to chest mobility and stretching was compared with the maximum expiratory pressure using parametric paired t-test and non-parametric Wilcoxon signed-rank test. Results: Maximum inspiratory pressure (p = .012) and maximum expiratory pressure (p = .006) showed significant differences before and after chest mobilization exercise and stretching among the participants. Conclusion: The results of this study suggest that chest mobilization and stretching exercises are effective exercise methods for improving maximal inspiratory and expiratory pressure. They suggest that these exercises can prevent respiratory muscle weakness and improve aerobic fitness in healthy people as well as those in need of cardiorespiratory physiotherapy.

키워드

과제정보

이 논문은 2021년도 2학기 호서대학교 연구년 결과물로 제출되었습니다.

참고문헌

  1. Alfred PF. Pulmonary diseases and disorder. 2nd ed. New York. McGraw-Hill. 1992.
  2. Antonio MM, Joao B, Carlos C, et al. Abdominal muscle activity during breathing with and without inspiratory and expiratory loads in healthy subjects. Journal of Electromyography and Kinesiology. 2016;30(1):143-150. https://doi.org/10.1016/j.jelekin.2016.07.002
  3. Burianova K, Varekova R, Vareka, I. The effect of 8 week pulmonary rehabilitation programme on chest mobility and maximal inspiratory and expiratory mouth pressure in patients with bronchial asthma. Acta University. Dissertation of doctorate degree. 2008.
  4. Byun SH, Han DW. The effects of passive stretching exercise of the scalene muscles on forced vital capacity. Journal of the Korean Society of Physical Medicine. 2016;11(1):35-43. https://doi.org/10.13066/kspm.2016.11.1.35
  5. Cameron MH, Linda M. Physical rehabilitation: evidence-based examination, evaluation, and intervention. Philadelphia. W.B. Saunders company. 2007.
  6. Cha EJ, Lee IK, Jang JC, et al. Respiratory air flow transducer calibration technique for forced vital capacity test. Journal of the Korea Academia-Industrial Cooperation Society. 2009;10(5):1082-1090. https://doi.org/10.5762/KAIS.2009.10.5.1082
  7. Enright SJ, Unnithan VB, Heward C, et al. Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Physical Therapy. 2006;86(3):345-354. https://doi.org/10.1093/ptj/86.3.345
  8. Ferreira PH, Ferreira ML, Maher CG, et al. Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. British Journal of Sports Medicine. 2010;44(16):1166-1172. https://doi.org/10.1136/bjsm.2009.061515
  9. Goo BO, Kim KH. A comparison of lateral abdominal muscle activation during maximum expiration in chronic low back pain patients and healthy asymptomatic subjects. PNF and Movement. 2014;12(1):39-43. https://doi.org/10.21598/JKPNFA.2014.12.1.39
  10. Han JT, Go MJ, Kim YJ. Comparison of forced vital capacity and maximal voluntary ventilation between normal and forward head posture. Journal of the Korean Society of Physical Medicine. 2015;10(1):83-89. https://doi.org/10.13066/kspm.2015.10.1.83
  11. Ishida H, Hirose R, Watanabe S. Comparison of changes in the contraction of the lateral abdominal muscles between the abdominal drawing-in maneuver and breathe held at the maximum expiratory level. Manual Therapy. 2012;17(5):427-431. https://doi.org/10.1016/j.math.2012.04.006
  12. Jang MS, Choung SD, Shim JH, et al. Effect of virtual reality inspiratory muscle training on diaphragm movement and respiratory function in female patients with thoracic restriction. Journal of the Korean Society of Physical Medicine. 2019;14(1):101-110. https://doi.org/10.13066/kspm.2019.14.1.101
  13. Jeong DK. The effects of breathing exercise on respiratory synergist muscle activity and SpO2 in patients with chronic obstructive pulmonary disease. The Journal of Korean Physical Therapy. 2015;27(4);234-239. https://doi.org/10.18857/jkpt.2015.27.4.234
  14. Kang KW, Jung SI, Lee DY, et al. Effect of sitting posture on respiratory function while using a smartphone. Journal of physical therapy science. 2016;28(5):1496-1498. https://doi.org/10.1589/jpts.28.1496
  15. Kang MS, Shim JH, Kang SY. Comparisons of diaphragm movement, pulmonary function, and pulmonary strength among exercise methods in children with cerebral palsy. Journal of the Korean Society of Physical Medicine. 2018;13(1):121-128. https://doi.org/10.13066/kspm.2018.13.1.121
  16. Kim HG, Nam HK. The effect of Thera Band exercise on muscle flexibility, balance ability, muscle strength in elderly women. Journal of Korean Academy of Community Health Nursing. 2011;22(4):451-457. https://doi.org/10.12799/jkachn.2011.22.4.451
  17. Kim KS, Kwon OY, Yi CH. Effect of abdominal drawing-in maneuver on peak expiratory flow, forced expiratory volume in 1 second and pain during forced expiratory pulmonary function test in patients with chronic low back pain. Physical Therapy Korea. 2009;16(1):10-17.
  18. Lee JH, Kwon YJ, Kim K. The effect of chest expansion and pulmonary function of stroke patients after breathing exercise. The Journal of Korean Physical Therapy. 2009;21(3):25-32.
  19. Minoguchi H, Shibuya M, Miyagawa T, et al. Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training. Internal Medicine. 2002;41(10):805-812. https://doi.org/10.2169/internalmedicine.41.805
  20. Minoru I, Fujiyasu K, Yutaka T, et al. Immediate effect of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern. Internal Medicine. 1999;38(2):126-132. https://doi.org/10.2169/internalmedicine.38.126
  21. Nam DH, Choi SH, Choi JN, et al. The aerodynamic & respiratory muscle pressure aspects of patients with adductor spasmodic dysphonia. Speech Sciences. 2005;12(4):203-213.
  22. Neder JA, Andreoni S, Lerario MC, et al. Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Brazilian journal of medical and biological research. 1999;32(6):719-727. https://doi.org/10.1590/s0100-879x1999000600007
  23. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. Maryland Heights. Mosby. 2016.
  24. Obayashi H, Urabe Y, Yamanaka Y, et al. Effects of respiratorymuscle exercise on spinal curvature. Journal of Sport Rehabilitation. 2012;21(1):63-68. https://doi.org/10.1123/jsr.21.1.63
  25. Park J, Han D. Effects of high intensity aerobic exercise on treadmill on maximum-expiratory lung capacity of elderly women. Journal of Physical Therapy Science. 2017;29(8):1454-1457. https://doi.org/10.1589/jpts.29.1454
  26. Park S, Kim Y, Han J. The effect of the core stabilization exercise and thoracic manipulation on the respiratory function of chronic low back pain patients. Journal of the Korean Society of Integrative Medicine. 2020;8(3):43-52. https://doi.org/10.15268/KSIM.2020.8.3.043
  27. Shim JH, Oh DW, Lee GW. The effects of thoracic flexibility exercise on vital capacity and chest expansion in patients with idiopathic scoliosis. Physical Therapy Korea. 2002;9(2):145-156.
  28. Singla D, Veqar Z. Association between forward head, rounded shoulders, and increased thoracic kyphosis: a review of the literature. Journal of Chiropractic Medicine. 2017;16(3):220-229. https://doi.org/10.1016/j.jcm.2017.03.004
  29. Sriboonreung T, Leelarungrayub J, Yankai A, et al. Correlation and predicted equations of MIP/MEP from the pulmonary function, demographics and anthropometrics in healthy Thai participants aged 19 to 50 years. Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine. 2021;15(1):1-9.
  30. Suk SI, Lee CS, Yoon GS. Changes of pulmonary function after surgical correction in scoliosis. Journal of the Korean Orthopaedic Association. 1984;19(6):1067-1072. https://doi.org/10.4055/jkoa.1984.19.6.1067
  31. Syabbalo N. Assessment of respiratory muscle function and strength. Postgraduate Medical Journal. 1998;74 (870):208-215. https://doi.org/10.1136/pgmj.74.870.208
  32. Watchie J. Cardiovascular and pulmonary physical therapy: a clinical manual. Amsterdam. Elsevier. 2009.