Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of Depending on the Location of Applying Chest Expansion Resistance Exercise on Respiratory Muscles Strength in Stroke Patients

뇌졸중 환자에게 가슴우리 확장 저항 운동의 적용 위치가 호흡근력에 미치는 영향

  • Lee, Ji-Won (Kyungpook national university chilgok hospital) ;
  • Cho, Yong-Ho (Department of Physical Therapy, Daegu Haany University)
  • 이지원 (칠곡경북대학교병원) ;
  • 조용호 (대구한의대학교 물리치료학과)
  • Received : 2022.04.18
  • Accepted : 2022.05.26
  • Published : 2022.05.31
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Abstract

PURPOSE: The purpose of this study was to compare the effect of depending on the location of applying chest expansion resistance exercise on the respiratory muscle strength stroke patients, and to suggest more effective interventions to improve respiratory function in stroke patients in clinical practice. METHODS: A total of 30 subjects were selected and divided into two groups, and chest cage extension resistance exercise was applied to the sternum and rib cage, respectively, and performed for 4 weeks, 3 times a week, for 20 minutes. In order to compare the general characteristics of the study subjects and the homogeneity of the group, the pre-experimental values were analyzed using the independent sample t-test. Paired-sample t-test was used for pre-post value comparison of maximum inspiratory pressure and maximum expiratory pressure in each group. Statistical significance was set to .05. RESULTS: Both the sternum application group and the rib cage application group showed a significant difference in the maximum inspiratory pressure according to the intervention. Also, there was a statistically significant difference in the maximum expiratory pressure in the sternum application group. CONCLUSION: As breathing exercise is important for stroke patients, based on the results of this study, if therapists perform sternal extension resistance exercise or rib extension resistance exercise according to the patient's condition and environment, it can help the breathing function of stroke patients.

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References

  1. Kolb B, Gibb R. Brain plasticity and recovery from early cortical injury. Develo Psycho. 49(2), 107-18. https://doi.org/10.1002/dev.20199
  2. Menezes KK, Nascimento LR, Ada L, et al. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review. J Physiother. 2016;62(3):138-144. https://doi.org/10.1016/j.jphys.2016.05.014
  3. Cameron MH, Monroe L. Physical Rehabilitation-E-Book: Evidence-based examination, evaluation, and intervention. Elsevier Health Sciences. 2007.
  4. Jandt SR, da Sil Caballero RM, Junior LAF, et al. Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: an observational study. Physiother Res Int. 2011;16(4):218-24.. https://doi.org/10.1002/pri.495
  5. Frownfelter D, Dean E, Stout M, et al. Cardiovascular and Pulmonary Physical Therapy E-Book: Evidence to Practice. Elsevier health sciences. 2022.
  6. Cahalin LP, Chase P, Arena R, et al. A meta-analysis of the prognostic significance of cardiopulmonary exercise testing in patients with heart failure. Heart Fail Rev. 2013;18(1):79-94. https://doi.org/10.1007/s10741-012-9332-0
  7. Khedr EM, El Shinawy O, Khedr T, et al. Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients. Eur J Neurol. 2000;7(3):323-30. https://doi.org/10.1046/j.1468-1331.2000.00078.x
  8. Van der Palen J, Rea TD, Manolio TA, et al. Respiratory muscle strength and the risk of incident cardiovascular events. Thorax. 2004;59(12):1063-7. https://doi.org/10.1136/thx.2004.021915
  9. Dimitriadis Z, Kapreli E, Konstantinidou I, et al. Test/retest reliability of maximum mouth pressure measurements with the MicroRPM in healthy volunteers. Respir Care. 2011;56(6):776-82. https://doi.org/10.4187/respcare.00783
  10. Dimitriadis Z, Kapreli E, Strimpakos N, et al. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013;18(3):248-53. https://doi.org/10.1016/j.math.2012.10.014
  11. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. Springer Science & Business Media. 2007.
  12. Taussig LM, Landau LI. Pediatric Respiratory Medicine E-Book. Elsevier Health Sciences. 2008.
  13. Cerniauskaite M, Quintas R, Koutsogeorgou E. Quality-of-life and disability in patients with stroke. Am J Phys Med Rehabil. 2012;91(13):S39-S47.
  14. Kim HB. Vision of the cardiorespiratory physical therapy. Korean Academy of Cardiorespiraotry physical therapy. 2014;2(1):41-5.
  15. Choi HS, Kwon OY, Yi CH, et al. The comparison of trunk muscle activities during sling and mat exercise. JKPT. 2005;12(1):1-10.
  16. Nemeth E, Steinhausz V. PNF induced irradiation on the contralateral lower extremity with emg measuring. In Proceedings of 3rd Hungarian Conference, Budapest. 2008.
  17. Watkins IV R, Watkins III R, Williams L, et al. Stability provided by the sternum and rib cage in the thoracic spine. Spine. 2005;30(11):1283-6. https://doi.org/10.1097/01.brs.0000164257.69354.bb
  18. Cho, YH, Cho, KH. The effect of the resistance respiratory muscle exercise with transcutaneous electrical nerve Stimulation on respiratory muscle tone and pulmonary function of chronic stroke patients. J Korean Soc Phys Med. 2002;17(1):75-83. https://doi.org/10.13066/kspm.2022.17.1.75