• Title/Summary/Keyword: 폐활량

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Effects of Inspiratory Muscle Training on Diaphragm Thickness, Pulmonary Function, and Chest Expansion in Chronic Stroke Patients (흡기근 저항훈련이 만성 뇌졸중 환자의 횡격막 두께와 폐기능에 미치는 효과)

  • Jung, Ju-Hyeon;Kim, Nan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.59-69
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    • 2013
  • 연구목적: 본 연구는 만성 뇌졸중 환자를 대상으로 흡기근 저항훈련이 횡격막 두께와 폐기능 및 흉곽 확장에 미치는 효과를 알아보고자 수행하였다. 연구방법: 연구 대상자는 총 29명(남자 17명, 여자 12명)으로 흡기근 저항훈련군(15명)과 대조군(14명)으로 분류하였다. 모든 대상자는 6개월 이상된 만성 뇌졸중 환자로 일반적인 신경발달치료를 받고 있으며, 같은 기간 동안 흡기근 저항훈련군에 역치부하 흡기근육 단련기(threshold IMT device)를 제공하고 주 3회${\times}$1회 20분씩 6주간 시행하였다. 마비측과 비마비측 횡격막 두께측정을 위해 초음파의 7.5MHz linear probe를 사용하여 최대 흡기시(Tdi.con)와 휴식시(Tdi.rel)의 두께를 측정하고 수축률(TR)을 계산하였다. 또한 폐 활량계를 사용하여 노력성 폐활량을 측정하였으며, 줄자를 사용하여 흉곽 확장을 측정하였다. 연구결과: 6주간 중재 후 흡기근 저항훈련군에서 최대흡기시 횡격막 두께(Tdi.con)와 수축률(TR)은 유의한 증가를 보였다(p<.05). 1초간 노력성 호기량 ($FEV_1$)과 최대 호기 속도(PEF)도 유의한 증가를 보였으나(p<.05), 노력성 폐활량(FVC)과 1초간 노력성 호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC), 흉곽 확장은 유의한 증가는 보이지 않았다(p>.05). 결론: 본 연구는 만성뇌졸중 환자를 대상으로 흡기근 저항훈련의 적용이 횡격막의 수축력과 폐기능 및 흉곽 확장력을 향상시켜 호흡근의 협응력을 증가시키고, 비활동성으로 인해 감소된 운동내성을 증가하게 함으로써 향후 재활에서 만성 뇌졸중 환자에게 2차적인 기능향상에 도움을 줄수 있을 것으로 보여진다.

Difference in Lung Functions according to Genetic Polymorphism of Tobacco Substance Metabolizing Enzymes of Korean Smokers (한국인 흡연자들의 담배 물질 대사 효소의 유전자 다형성에 따른 폐기능 차이)

  • Kang, Yun-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.134-142
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    • 2020
  • This study aimed to determine whether there was a difference in lung functions of smokers according to the presence of carcinogenic genetic-metabolizing enzymes by comparing the results of lung functions and the presence of genetic metabolizing enzymes that metabolize tobacco substances. To achieve this, 31 smokers without no illness and no psychiatric history were selected (28 males and 3 females); they were aged 20 to 27 years and were physically and mentally healthy students attending K University. Their lung functions were measured, and gene polymorphisms of cytochrome P-450 1A1 (CYP1A1) related to metabolic activation of tobacco components and gene polymorphism of tumor protein 53 (TP53) related to lung cancer were analyzed. As a result, the mean values of lung function of TT and Arg / Arg without genetic mutations were the highest, and ANOVA analysis of CYP1A1 and lung functions showed that the P-value of FVC was 0.049, which was different between groups. In other words, there is no high mutation in Cytochrome P-450 1A1 (CYP1A1) gene, which is associated with the metabolic activation of tobacco components. In other words, In the absence of the mutant Cytochrome P-450 1A1 (CYP1A1) gene, which is associated with the metabolic activation of tobacco components, the value of FVC was high.

The Effects of Whole Body Vibration Stimulation Training Combined with Respiratory resistance on Respiratory and Balance Function in Stroke Patients (호흡저항이 병행된 전신진동자극 훈련이 뇌졸중환자의 호흡기능 및 균형능력에 미치는 영향)

  • Kim, Byeong-Soo;Park, Sam-Ho;Park, Hyo-Jung;Lee, Myung-Mo
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.234-243
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    • 2019
  • This study was conducted to investigate the effects of whole body vibration stimulation training combined with respiratory resistance on respiratory and balance function in stroke patients. 17 patients with chronic stroke were randomly assigned to the experimental group (n = 8) and the general vibration exercise program (n = 9). The intervention was conducted three times a week for 30 minutes once a week for 4 weeks. The respiratory function and balance ability were evaluated before and after the intervention to evaluate the degree of functional improvement. As a result, there was a significant difference (p<.05) between the respiratory function and the balance ability in the experimental group, and a significant difference(p<.05) in the respiratory function between the experimental group and the control group. The balance ability was not significantly different among the experimental groups. Through the results of this study, whole body vibration stimulation training combined with respiratory resistance may be useful as a program for improving respiratory function and balance ability of stroke patients.

The Effect of Speed-Change Gait Training on Cardiopulmonary Function of Stroke Patients (속도변화 보행 훈련이 만성 뇌졸중 환자의 심폐기능에 미치는 영향)

  • Seo, Dong-Yel;Yang, Yong-Pil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.303-309
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    • 2021
  • This study examined the changes in the cardiopulmonary functions of stroke patients by adjusting the s heart rate during walking training. This study was conducted on 20 chronic stroke patients. The experimental group conducted walking training by varying the walking speed according to the change in heart rate on the treadmill. In contrast, the control group conducted walking training by the subjective speed of the subject. The walking training was conducted for 32 minutes, three times a week, for a total of six weeks. The changes after the intervention of the subjects were determined by measuring the VC, ERV, IRV, FVC, FEV1, and PEF. The study revealed interactions between the groups and timing in the VC, ERV, and IRV(p<.05). There were no interactions between the groups and timing in FEV1, FVC, and PEF. The main effects showed no significant differences between the groups (p>.05) but showed significant differences between periods (p<.05). These results suggest that the cardiopulmonary function was improved significantly when the training was conducted by changing the pace of the heart rate in the walking process, leading to significant changes in the cardiopulmonary function.

Changes in Visual Response Speed, Functional Movement, Body Balance, and Lung Capacity after a 10-Week Body Stability Exercise Program for High School Male Handball Players (10주간의 고교 남자 핸드볼 선수 신체 안정화 프로그램 후 시각 반응 속도, 기능적 움직임, 신체 균형, 폐활량 변화)

  • Kang, Yang-Hoon;Kim, Chul-Seung
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.637-649
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    • 2021
  • This study aims to see, a 10-weeks program of Body Stability Exercise(BSE) was conducted on 21 male handball players at Muan Y High School and then, the results of changes in Visual Response Speed Test, Functional Movement Screen, Y-Balance Test, and Vital Capacity were observed, compared and analyzed to provide follow-up management and training data that can be used to reduce injuries and improve performance. After training, strength and quickness were increased significantly and reaction time was significantly shortened (p<0.001). The total score of Functional Movement Screen was increased from 10.43±1.16, before training to 12.05±1.07 after training, which was statistically significant(p<0.001). Y-Balance Test was significantly increased from 89.18±6.99 before training to 91.39±7.33 after training(p<0.001). The Vital Capacity increase was also shown to be more than statistically significant(p<0.001). The 10-week BSE program improved speed, agility, Functional Movement Screen, Y-Balance Test, and Vital Capacity. In conclusion, it's can prevent or reduce injuries and performance could be improved while playing handball.

Effect of convergence body stabilization exercise on the visual response speed and functional movement, balance, and vital capacity of High School Football Players. (융복합적 신체안정화운동이 고등학교 축구선수의 시각반응속도와 기능적 움직임, 균형 및 폐활량에 미치는 영향)

  • Seo, Yeon-Soon;Song, In-Young;Yoon, Jong-Hyuk
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.191-202
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    • 2022
  • The purpose of this study is to examine the effect of a 10-week body stability exercise program, which was conducted on 24 male football players. The result of the Visual Response Speed Test using BlazePod, showed a significant increase of the upper arms, left foot and right foot for 15 second in number of reactions and reaction time (p<0.001). As a result of evaluating whether or not 7 functional movements were improved in order to evaluate the functional movement screen, Hurdle Step (p=0.001) and Active Straight Leg Rise (p=0.022) movements were significantly improved. significantly improved. As a result of measuring the y-balance Test in order to evaluate the balance ability, composite score(p<0.001) of both sides was significantly improved. The result of evaluating vital capacity, which was conducted to evaluate mobility and muscle endurance, showed a significant improvement in Forced vital capacity(p<0.001) and Forced expiratory volume in 1.0(p=0.003). In conclusion, a 10-week BSE program intervention in high school period, which can most improve the technical fitness necessary for the game in power, agility, leg strength, leg stability, mobility, and muscle endurance, will improve overall technical fitness, prevent football players from being injured and enhance their performance.

The Single Lung Transplantation for End-Stage Emphysema by Functional Criteria (말기 폐기종 환자에서 기능적 기준에 의한 일측 폐이식술)

  • 조현민;백효채;김도형;강두영;이두연
    • Journal of Chest Surgery
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    • v.36 no.2
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    • pp.101-104
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    • 2003
  • Although lung transplantation has been accepted as the most effective treatment for end-stage pulmonary emphysema, it is not only very hard to find a donor but also to obtain a relatively healthy lung. Furthermore, it is more difficult to match the size of the allograft, considering the height, the weight, and the size of the thoracic cage. The single lung transplatations for the end-stage emphysema have been more commonly performed than bilateral lung transplantation due to the shortage of the donors and the long-term survival rate of the single lung transplantations has shown no reasonable difference compared with that of the bilateral lung transplantationh. Recently, the functional criteria based on a comparison of predicted TLCs(Total Lung Capacities) of the donor and recipient according to height, sex and age, have been accepted at a more suitable.

The Effect of Body Mass Index, Fat Percentage, and Fat-free Mass Index on Pulmonary Function Test -With Particular Reference to Parameters Derived from Forced Expiratory Volume Curve- (신체질량지수 및 체지방률, 그리고 제지방지수가 폐기능 검사에 미치는 영향 -노력성 호기곡선을 중심으로-)

  • Park, Ji Young;Pack, Jong Hae;Park, Hye Jung;Bae, Seong Wook;Shin, Kyeong Cheol;Chung, Jin Hong;Lee, Kwan Ho
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.2
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    • pp.210-218
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    • 2003
  • Background : Sex specific cross sectional reference values for the lung function indices usually employ a linear model with a term for age and height. The purpose of this study was to determine the effects of the body mass index (BMI), the fat percentage of the body mass and the fat-free mass index (FFMI) on the forced expiratory volume curve. Methods : Between January 2000 and December 2001, a total of 300 subjects, 150 men and 150 women (mean age : $45{\pm}13$ years), with a normal lung function were enrolled in the study sample. This study measured the $FEV_1$, FVC and $FEF_{25-75%}$ from the forced expiratory volume curve by a spirometer and the body composition by a bioelectrical impedance method in all subjects. Multiple regression analysis was used in order to examine the effects of the body composition on the parameters derived from the forced expiratory volume curve. Results : After adjusting for age, the BMI and Fat percentage improved the descriptions of the FVC (p<0.05, $r^2=0.491$) and $FEV_1$ (p<0.05, $r^2=0.654$) in women. In contrast, the FFMI contributed significantly to the FVC (p<0.05, $r^2=0.432$) and $FEV_1$ (p<0.05, $r^2=0.567$) in men. The $FEF_{25-75%}$ correlated with the fat percentage in women (p<0.05, $r^2=0.337$). Conclusion : These results suggest that the BMI, the fat percentage and the FFMI are significant determinants of the forced expiratory volume curve. The plmonary function test, when considering the BMI, the fat percentage and the FFMI, might be useful in clinical applications.