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http://dx.doi.org/10.13066/kspm.2021.16.4.77

Effects of Exercise using PNF Chopping and Lifting Pattern on the Respiratory Function of Chronic Stroke Patients  

Kwon, Gyo-Im (Department of Physical Therapy, Kabulgumi Hospital)
Cho, Yong-Ho (Department of Physical Therapy, Daegu Haany University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.16, no.4, 2021 , pp. 77-83 More about this Journal
Abstract
PURPOSE: This study examined the changes in the respiratory function when PNF chopping and lifting patterns were used in chronic stroke patients METHOD: The subjects were 30 patients diagnosed with chronic stroke. The respiratory function (FVC, FEV1, and FEV1/FVC) were measured by spirometry. Thirty subjects were divided randomly into an experimental group to which 15 PNF chopping and lifting were applied and a control group to which chest breathing exercise was performed. The intervention was conducted three times a week for six 6 weeks. To examine the effects of intervention, the pre- and post-intervention values for each group were compared using a paired t-test. An independent t-test was used to compare the differences in the values of changes pre- and post-intervention in the two groups. Statistical significance was set to .05. RESULTS: Satistically significant differences in FVC and FEV1 were observed in both the experimental group and control group according to the intervention (p < .05). A statistically significant difference was found in FVC and FEV1 compared to values of changes pre- and post-intervnetion between the experimental and control groups. There was no difference in FEV1/FVC. CONCLUSION: The results suggest that PNF chopping and lifting can be applied as an excellent respiratory intervention program compared to general chest breathing exercises to improve respiratory function in stroke patients.
Keywords
Chopping; Lifting; PNF; Respiratory function; Stroke;
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1 Jeon YS, Lee SH, Goo BO. The effect of a balance on deep abdominal muscles in an acute hemiplegic patient through stabilizing reversal, chopping and lifting.PNF and Movement. 2009;7(4):37-43.
2 Kang TW, Kim BR. Effect of Proprioceptive Neuromuscular Facilitation Chopping Pattern on Neglect, Balance, and Activity of Daily Living of Stroke Patients with Hemi-Spatial Neglect: A randomized clinical trial. J Korean Soc Phys Med. 2019;14(2):107-15.   DOI
3 Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. Springer Science & Business Media. 2007.
4 Forster A, Szabo K, Hennerici MG. Mechanisms of Disease: pathophysiological concepts of stroke in hemodynamic risk zonesdo hypoperfusion and embolism interact?.Nat Clin Pract Neurol. 2008;4(4):216-25.   DOI
5 Kim JH. A Study on the Correlation between Static, Dynamic Standing Balance Symmetry and Walking Function in Stroke.J Korean Soc Phys Ther. 2012;24(2):73-81.
6 Cho SH, Kim TG. Effect of Respiration Rehabilitation Program on Pulmonary Function in the Chronic Stroke Patients: Meta-Analysis. J of RESKO. 2018;12(4):300-13.   DOI
7 Kim CB, Choi JD. Comparison of Pulmonary and Gait Function in Subacute or Chronic Stroke Patients and Healthy Subjects. J Korean Soc Phys Ther. 2011;23(5):23-8.
8 Cho YH. Effects of Crocodile Breathing Exercise on Pain, Muscle Tone, and Muscle Stiffness in Patients with Non-specific Low Back Pain. J Korean Soc Phys Med. 2019;14(2):117-24.
9 de Cordoba Lanza F, de Camargo AA, Archija LRF, et al. Chest wall mobility is related to respiratory muscle strength and lung volumes in healthy subjects.Respir Care. 2013;58(12):2107-12.   DOI
10 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.   DOI
11 Kim YH. The Effect of Pulmonary Function with Thoracic Mobility Exercise and Deep Breathing Exercise in Stroke Patients.Kor Acad Orthop Man Phys Ther. 2015;21(1):13-20.
12 Kilding AE, Brown S, McConnell AK. Inspiratory muscle training improves 100 and 200 m swimming performance. Eur J Appl Physiol. 2010;108(3):505-11.   DOI
13 De Menezes KKP, Nascimento LR, Polese JC, et al. Effect of high-intensity home-based respiratory muscle training on strength of respiratory muscles following a stroke: a protocol for a randomized controlled trial.Braz J Phys Ther. 2017;21(5):372-7.   DOI
14 Lee BK. Resistive breathing exercise using transverse abdominis strengthening and P.N.F affects pulmonary functions and static sitting posture of adult stroke patient: a case report.PNF and Mov. 2010;8(3):49-54.
15 Elshinnawy AM, Khalil NH. Trunk control in relation to ventilatory function in chronic hemorrhagic stroke patients.Int J Ther Rehabil Res. 2016;5(3):6-10.
16 Park SJ. The effects of rib cage joint mobilization and threshold inspiratory muscle training applying respiratory function and respiratory activation of stroke patients. Master's Degree. Yong-in University Graduate School of Rehabilization and Welfare. 2016.
17 Ramirez-Sarmiento A, Orozco-Levi M, Gu?ell R, et al. Inspiratory muscle training in patients with chronic obstructive pulmonary disease: structural adaptation and physiologic outcomes.Am J Respir Crit Care Med. 2002;166(11):1491-7.   DOI
18 McConnell A. Respiratory Muscle Training E-Book: Theory and Practice. Elsevier Health Sciences. 2013.
19 Lee K, Park D, Lee G. Progressive respiratory muscle training for improving trunk stability in chronic stroke survivors: a pilot randomized controlled trial.J Stroke Cerebrovasc Dis. 2019;28(5):1200-11.   DOI
20 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.   DOI
21 Ha MS. The effect of PNF chopping pattern training during Sit to Stand in hemiplegic patients. Master's Degree. Silla University Graduate School. 2015.
22 Jeon HJ, Lee MH. The Effects of PNF Technique Versus Trunk Exercise Program on the Pain, Disability, and Balance in Chronic LBP Patients.Jour. Of KoCon.a. 2009;9(12):665-73.
23 Klusiewicz A, Borkowski L, Zdanowicz R, et al. The inspiratory muscle training in elite rowers.J Sports Med Phys Fitness. 2008;48(3):279-84.