The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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The Effects of Different Respiratory Training Methods on Pulmonary Function, Thoracic Expansion, and Balance in Patients with Chronic Stroke

만성기 뇌졸중 환자의 호흡훈련 방법에 따른 폐기능, 가슴우리 확장, 균형에 미치는 영향

  • Eun-Ja Kim (Dept. Of Physical Therapy, Kyungdong, University)
  • 김은자 (경동대학교 물리치료학과)
  • Received : 2024.08.19
  • Accepted : 2024.11.05
  • Published : 2024.11.30
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Abstract

In chronic stroke patients, respiratory muscle weakness leads to decreased pulmonary function and balance ability. Therefore, this study was conducted to investigate the effects of respiratory training using a device and training methods that apply resistance to respiratory muscles on pulmonary function, thoracic cage expansion, and balance. A total of 20 participants were included in the study, divided into two groups: Respiratory Training Group 1 (n:10) using a resistive inspiratory device and Respiratory Training Group 2 (n:10) undergoing chest expansion resistance training. Lung function, the Korean Version of the Trunk Impairment Scale (K-TIS), Chest Expansion Measurement (CEM), and the Functional Reach Test (FRT) were assessed before and after the respiratory training. The training was conducted five times a week for a total of six weeks. Both Respiratory Training Group 1 and Group 2 showed significant improvements in lung function, K-TIS, CEM, and FRT scores, with no significant differences between the groups. The results of this study showed that breathing training using a device and breathing training that applied resistance to respiratory muscles were effective for pulmonary function, thoracic cage expansion, and balance, and that breathing training that applied direct resistance to respiratory muscles had a positive effect on strengthening respiratory muscles and improving balance ability, and that it was judged important to perform it in conjunction with general rehabilitation treatment for chronic stroke patients for functional recovery.

만성기 뇌졸중 환자에서 호흡근 약화는 폐기능과 균형 능력 저하가 나타난다. 따라서 본 연구는 기구를 이용한 호흡훈련과 호흡근에 저항을 적용한 훈련 방법이 폐기능, 가슴우리 확장, 균형에 미치는 영향을 알아보고자 하였다. 본 연구의 대상자는 총 20명이었으며, 저항성 흡기 훈련기구를 이용한 호흡훈련군 1(10명)과 가슴팽창 저항 훈련의 호흡훈련군 2(10명)으로 선정하였다. 폐기능, 몸통손상척도(K-TIS), 가슴우리 확장검사(CEM), 기능적 전방 팔 뻗기검사(FRT)를 호흡훈련 전과 후에 평가 하였다. 호흡훈련은 주 5회, 총 6주간 실시하였다. 호흡훈련군 1과 호흡훈련군 2에서 폐기능, 몸통손상척도, 가슴우리 확장검사, 기능적 전방 팔 뻗기 검사에서 유의한 증가를 보였으며, 그룹간의 변화 비교에서 유의한 차이가 나타나지 않았다. 본 연구의 결과 기구를 이용한 호흡훈련과 호흡근에 저항을 이용한 호흡훈련은 폐기능, 가슴우리 확장, 균형에 효과가 있었으며, 호흡근에 직접적 저항을 적용한 호흡훈련은 호흡근 강화와 균형 능력에 향상에 긍정적 영향을 미치며, 만성기 뇌졸중 환자의 일반적 재활치료와 병행하는 것이 기능회복을 위해 중요하다고 판단된다.

Keywords

Acknowledgement

이 논문은 2023년도 경동대학교 교내연구비로 연구되었음

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