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http://dx.doi.org/10.15268/ksim.2022.10.1.149

Effect of Mask Filter on Respiratory Function in Chronic Stroke Patients  

Lee, Yun-Hee (Dept. of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
Kum, Dong-Min (Dept. of Physical Therapy, Graduate School of Daejeon University)
Shin, Won-Seob (Dept. of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.10, no.1, 2022 , pp. 149-155 More about this Journal
Abstract
Purpose : This study investigated the effects of wearing a mask and different mask filters on the respiratory function of stroke patients. Methods : A total of 15 stroke patients were selected according to the inclusion and exclusion criteria. The respiratory functions were compared between participants with and without masks and among respiratory functions with three different mask filters. The order of using masks was non-wearing masks, Dental masks, KF80 masks, and KF94 masks; the difference in respiratory volumes among these conditions were measured. For accuracy of the measurement, sufficient education on the respiratory measurement method was provided to the researcher, and the heart rate of the participants was estimated to confirm their stability before the measurements. To ensure accuracy, the subjects were educated on the researchers' respiratory measurement methods. Each measurement was followed by 10 min breathing stability before replacing the next mask. Results : The results of this study showed that the difference in respiratory functions, including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and maximal voluntary ventilation (MVV), in stroke patients was statistically significant among different masks (p<.05). Afterwards, the values of FVC, FEV1, and MVV in stroke patients wearing masks were significantly lower than those of the non-masked control group (p<.05). The difference in respiratory functions with different mask filters showed no statistical significance (p<.05). Conclusion : This study showed that participants wearing any of the masks presented a lower respiratory function than that of those without using masks; additionally, no difference in respiratory functions was observed with differences in mask filters. Therefore, wearing a mask for a prolonged period is confirmed to affect breathing in stroke patients with weak respiratory function.
Keywords
mask filter; respiration; stroke;
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Times Cited By KSCI : 13  (Citation Analysis)
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1 Lanini B, Gigliotti F, Coli C, et al(2002). Dissociation between respiratory effort and dyspnoea in a subset of patients with stroke. Clin Sci, 103(5), 467-473. https://doi.org/10.1042/cs1030467.   DOI
2 Centers for Disease Control and Prevention. Considerations for wearing masks, 2020. Retrieved December, 28, 2020. Available at http://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.html.
3 Pang MY, Eng JJ, Dawson AS(2005). Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke. Chest, 127(2), 495-501. https://doi.org/10.1378/chest.127.2.495.   DOI
4 Roberge RJ, Roberge MR(2020). Cloth face coverings for use as facemasks during the coronavirus (SARS-Cov-2) pandemic: what science and experience have taught us. Disaster Med Public Health Prep, First View, 2020, Printed Online. https://doi.org/10.1017/dmp.2020.354.   DOI
5 Scheid JL, Lupien SP, Ford GS, et al(2020). Commentary: physiological and psychological impact of face mask usage during the COVID-19 pandemic. Int J Environ Res Public Health, 17(18), Printed Online. https://doi.org/10.3390/ijerph17186655.   DOI
6 Park EC(2020). Post coronavirus disease 2019. Health Policy and Management, 30(2), 139-141. https://doi.org/10.4332/KJHPA.2020.30.2.139.   DOI
7 Haischer MH, Beilfuss R, Hart MR, et al(2020). Who is wearing a mask? gender-, age-, and location-related differences during the COVID-19 pandemic. Plos One, 15(10), Printed Online. https://doi.org/10.1371/journal.pone.0240785.   DOI
8 Park SH, Cha YJ, Choi YH(2016). Effects of treadmill walking training with randomized walking speed on pulmonary function in persons with chronic stroke. J Korean Soc Phys Med, 11(4) 71-78. https://doi.org/10.13066/kspm.2016.11.4.71.   DOI
9 Estenne M, Gevenois PA, Kinnear W, et al(1993). Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis. Thorax, 48(7), 698-701. https://doi.org/10.1136/thx.48.7.698.   DOI
10 Cheyne WS, Harper MI, Gelinas JC, et al(2020). Mechanical cardiopulmonary interactions during exercise in health and disease. J Appl Physiol, 128(5), 1271-1279. https://doi.org/10.1152/japplphysiol.00339.2019.   DOI
11 Choi HS, Shim YJ, Shin WS(2016). Comparison on postural control between abdominal draw-in maneuver abdominal expansion maneuver in persons with stroke. Phys Ther Rehabil Sci, 5, 113-119. https://doi.org/10.14474/ptrs.2016.5.3.113.   DOI
12 Kolb B, Gibb R(2007). Brain plasticity and recovery from early cortical injury. Dev Med Child Neurol, 49(2), 107-118. https://doi.org/10.1002/dev.20199.   DOI
13 Kang KY, Kim TY(2016). Effects of a combined functional electrical stimulation with action observation training for balance and gait performance in stroke patients. J Korean Soc Phys Med, 11(2), 93-102. https://doi.org/10.13066/kspm.2016.11.2.93.   DOI
14 Kelley R, Borazanci A(2009). Stroke rehabilitation. Neurol Res, 31(8), 832-840. https://doi.org/10.1179/016164109X12445505689689.   DOI
15 An SK, Shin WS(2018). Effect of air stacking training on pulmonary function, respiratory strength and peak cough flow in persons with cervical spinal cord injury, Phys Ther Rehabil Sci, 7, 147-153. https://doi.org/10.14474/ptrs.2018.7.4.147.   DOI
16 Han JT, Go MJ, Kim YJ(2015). Comparison of forced vital capacity and maximal voluntary ventilation between normal and forward head posture. J Korean Soc Phys Med, 10(1), 83-89. https://doi.org/10.13066/kspm.2015.10.1.83.   DOI
17 Hur SH, Kim KS, Han SW, et al(1997). Diastolic dysfunction of left ventricle during transient myocardial ischemia: usefulness of color M-mode doppler echocardiography. Korean Circ J, 27(11), 1096-1109. https://doi.org/10.4070/kcj.1997.27.11.1096.   DOI
18 Jo MR, Kim NS, Jung JH(2014). The effects of respiratory muscle training on respiratory function, respiratory muscle strength, and cough capacity in stroke patients. J Korean Soc Phys Med, 9(4), 399-406. https://doi.org/10.13066/kspm.2014.9.4.399.   DOI
19 Kang JI, Jeong DK, Park SK, et al(2011). Effects of chest resistance exercise on forced expiratory volume in one second and fatigue in patients with COPD. J Korean Phys Ther, 23(2), 37-43.
20 Kelly JO, Kilbreath SL, Davis GM, et al(2003). Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil, 84(12), 1780-1785. https://doi.org/10.1016/S0003-9993(03)00376-9.   DOI
21 Roth EJ(1994). Heart disease in patients with stroke. Part II: Impact and implications for rehabilitation. Arch Phys Med Rehabil, 75(1), 94-101. https://doi.org/10.1016/0003-9993(94)90344-1.   DOI
22 Chandrasekaran B, Fernandes S(2020). Exercise with facemask; Are we handling a devil's sword?-A physiological hypothesis. Med Hypotheses, 144, Printed Online. https://doi.org/10.1016/j.mehy.2020.110002.   DOI
23 Kum DM, Shin WS(2021). How does the filter on the mask affect your breathing?. Phys Ther Rehabil Sci, 10(4), 438-443. https://doi.org/10.14474/ptrs.2021.10.4.438.   DOI
24 Park JW(2009). Longitudinal motor function recovery in stroke patients with focal pons infarction: report of 4 cases. J Korean Phys Ther, 21(4), 111-115.
25 Ryu JS, Kim JG(2021) Effects of wearing face masks on cardiopulmonary exercise performance. Korean J Phys Edu, 60(2), 355-365.   DOI
26 Hsia J, Larson JC, Ockene JK, et al(2009). Resting heart rate as a low tech predictor of coronary events in women: prospective cohort study. BMJ, 338, Printed Online. https://doi.org/10.1136.bmj.b219.
27 Jung JY, Kang C, Seong Y, et al(2020). Effects of wearing COVID-19 protective face masks on respiratory, cardiovascular responses and wear comfort during rest and exercise. Fashion Textile Res J, 22(6), 862-872. https://doi.org/10.5805/SFTI.2020.22.6.862.   DOI
28 Kim BS, Park SH, Park HJ, et al(2019). The effects of whole body vibration stimulation training combined with respiratory resistance on respiratory and balance function in stroke patients. Journal of Convergence for Information Technology, 9(10), 234-243. https://doi.org/10.22156/CS4SMB.2019.9.10.234.   DOI
29 Li Q, Guan X, Wu P, et al(2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Eng J Med, 382, 1199-1207. https://doi.org/10.1056/NEJMoa2001316.   DOI