• Title/Summary/Keyword: 호흡재활

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The Effects of Balloon Blow-ups and Upper Abdominal Exercise on Respiratory Rehabilitation (풍선불기와 상복부운동이 호흡재활에 미치는 영향)

  • Lee, Sam-Cheol;Sin, Seung-Ho;Jung, Jae-Youn;Oh, Sang-Boo;Kim, Sang-Ho;Kim, Bong-Hwan;Son, Kyung-Hyun
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.17-24
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    • 2011
  • Background : Pulmonary rehabilitation, called pulmonary rehab or PR, is a broad program that helps improve the well-being of people who have chronic (ongoing) breathing problems. Purpose : The purpose of this study was to demonstrate the effects of the upper abdominal exercise and balloon blow-up on the abdominal muscle strength and Respiratory ability for 20's adults. Method : Recruited Subjects were healthy students attending H university. Twenty-one subjects who agreed to participate in this study were randomly assigned to 3 groups; I group applied upper abdominal exercise, IIgroup applied balloon blow-up, III group applied both upper abdominal exercises and balloon blow-ups. Upper abdominal muscle exercises was applied supine position and $30^{\circ}{\sim}40^{\circ}$ in the upper body lift braced for about 3 seconds, and balloon blow-ups was performed 10 times a day. The exercise programs were performed three times a week for 5 weeks. Results: After 5 weeks of exercises, all three groups were comparable with abdominal muscle strength and respiratory ability. Subjects in upper abdominal exercise group, balloon blow-ups group, and upper abdominal exercises and balloon blow-ups group had significantly increased the average of abdominal muscle strength(p<.05) The statistical comparison among the groups indicated that there was a signigicant increase in respiratory ability. In comparison of abdominal muscle strength and respiratory ability, there were no significant differences among 3 groups. Conclusions: These findings suggest that upper abdominal exercises and balloon blow-ups may have a significant impact in abdominal muscle strength and respiratory ability.

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Implementation of Physical Activity Energy Expenditure Prediction Algorithm using Accelerometer at Waist and Wrist (허리와 손목의 가속도 센서를 이용한 신체활동 에너지 소비량 예측 알고리즘 구현)

  • Kim, D.Y.;Jung, Y.S.;Jeon, S.H.;Kang, SY.;Bae, Y.H.;Kim, N.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.1
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    • pp.1-8
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    • 2012
  • Estimating algorithm of physical activity energy expenditure was implemented by using a tri-axial accelerometer motion detector of the SVM(Signal Vector Magnitude) of 3-axis(x, y, z). A total of 33 participants(15 males and 18 females) that performed walking and running on treadmill at 2 ~ 11 km/h speeds(each stage increase 1km/h). Algorithm for energy expenditure of physical activities were implemented with $VO_2$ consumption and SVM correlation between the data. Algorithm consists of three kinds and hip, wrist, waist and hip can be used to apply.

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Design and Implementation Endoscope System for Endotracheal Intubation (기관 내 삽관을 위한 내시경 시스템 설계 및 구현)

  • Kim, H.S.;Kang, S.K.;Kim, G.Y.;Han, Y.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.153-160
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    • 2015
  • With the development of recent IT fusion technology, IT fusion technology of medical equipment has been dramatically development. The need to most basic preferential implementation of emergency is the respiration of the patient, it is necessary to first aid is maintained in emergency patients airway simultaneously. However, to the endotracheal intubation is a procedure to secure the airway, it requires experience and first aid, Inc. good career, very that may lead to sequelae in patients who otherwise have failed to procedures It is a sensitive and important procedure. For these reasons, the success rate of current endotracheal intubation technique is not at a high level and about 50 percent. In an attempt to complement these problems, in this paper, in the process of endotracheal intubation, intubated by inserting an endoscopic camera to Into Activation tube, the streaming is a real-time monitoring and wireless video transmission method using, there is a purpose of enabling the monitoring in smart devices increase the success rate of endotracheal intubation of first aid purchases.

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A Study of Occurrence of Secondary Complications and Chronic Diseases due to Aging of Spinal Cord Injury (척수손상환자의 고령화에 따른 2차합병증 발생과 만성질환발병에 관한 연구)

  • Min, Yeo Jin;Kim, Jong Bae
    • 재활복지
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    • v.22 no.4
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    • pp.83-102
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    • 2018
  • The purpose of this study is to provide basic data for effective management and prevention of chronic diseases and secondary complications as elderly spinal cord injuries(SCI). The subjects were 200 spinal cord injuries admitted to S hospital from April, 2013 to April, 2018. We investigated the occurrence of chronic diseases and secondary complication through medical records. The results showed that SCI were affected chronic diseases and secondary complications over 50years. The prevalence of chronic diseases and secondary complications over 50 years of age had the odds ratio 11.8 times higher in hypertension and 6.7 times diabetes mellitus. Secondary complications had the odds ratio Osteoporosis 7.5 times, Pneumonia 5.2 times, and central pain 0.4 times. We suggest that continuous management and service of chronic diseases and secondary complications of elderly SCI are necessary. It will be necessary to expand the target population and to study various characteristics including.

Effects of Respiratory Muscle Strengthening Training on the Pulmonary Function in Chronic Stroke Patients on an Unstable Support Surface (불안정한 지지면에서의 호흡근 강화훈련이 만성 뇌졸중 환자의 폐기능에 미치는 영향)

  • Lee, Myoung-Ho;Kim, Myoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.75-82
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    • 2022
  • PURPOSE: This study examined the correlation between the pulmonary function and respiratory muscle strengthening training on an unstable support surface and a stable support surface in stroke patients. METHODS: The study subjects were 22 stroke patients undergoing central nervous system developmental rehabilitation treatment. After excluding six dropouts, eight people in the experimental group and eight people in the control groups were classified by random sampling. Both groups performed central nervous system developmental rehabilitation therapy and were provided a 10-minute break. The experimental group was provided with an unstable support surface using Togu, and the control group was trained to strengthen the respiratory muscle in a stable support surface. Respiratory muscle strengthening training was conducted three times per week for 20 minutes. Before and after each group of experiments, a nonparametric test Wilcoxon signed rank test, and a Mann Whitney U-test analysis were used to analyze the variations between the two groups. All statistical significance levels (α) were set at 0.05. RESULTS: Both groups showed increases in the pulmonary function but showed significant differences only in the experimental group. There was a significant difference in the peak expiratory flow between the two groups. CONCLUSION: Central nervous system development rehabilitation treatment for patients with an impaired nervous system and respiratory muscle strengthening training on unstable support surfaces are effective in improving the pulmonary function of stroke patients. Therefore, they are expected to be applied to physical therapy programs to help various functional activities.

Effects of Manual Therapy on Obstructive Sleep Apnea: Study Protocol for a Systematic Review (폐쇄성 수면무호흡증에 대한 수기요법의 효과: 체계적 문헌고찰을 위한 프로토콜)

  • Jiwon Park;Kwan-Il Kim
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.3
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    • pp.65-74
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    • 2024
  • Objectives This study aims to establish a protocol for a systematic review to evaluate the effectiveness and safety of manual therapy (MT) for obstructive sleep apnea (OSA). Methods We will conduct a search for relevant randomized controlled trials using seven databases, including MEDLINE/PubMed, Embase, and the Cochrane Central Register of Controlled Trials. The study includes patients with OSA treated with MT. Comparators include all other treatments excluding MT. The primary outcome is the apnea-hypopnea index; secondary outcomes include mean peripheral oxygen saturation, snoring index, quality of sleep, quality of life, peak nasal inspiratory flow, and adverse events. Results Two independent researchers will select studies based on inclusion criteria and extract necessary data. Risk of bias (RoB) will be assessed using the Cochrane RoB 2.0 tool. Meta-analysis will be conducted if there are two or more studies with the same outcome measure; otherwise, a qualitative analysis will be performed. Subgroup analysis will be conducted based on the type of MT, and evidence certainty will be evaluated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Conclusions This study will evaluate the effect of MT on OSA. By systematically reviewing various MTs, it aims to refine application methods in clinical practice and provide a foundation for future research.

Analyses of Studies on Swallowing Rehabilitation Program for Stroke patients in Korea (뇌졸중 환자 대상의 연하재활프로그램에 대한 국내 연구 논문 분석)

  • Kwak, Hye-Weon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7394-7402
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    • 2015
  • The purpose of this study was to investigate the status of studies on swallowing rehabilitation interventions for stroke patients that had been conducted in the past 5 years (2010-2014) in Korea and to examine their findings. A literature search was conducted through RISS, National Assembly Library, and KISS, and 12 papers were analyzed. Four articles were from nursing science, and 8 from other disciplines. Qualitative evaluation of the articles was conducted by using an evaluation framework that was designed by the researcher, which took into account the checklist presented by the Scottish Intercollegiate Guideline Network (2013). In the results of the qualitative evaluation on the papers, 4 studies scored 7 out of 10 points, 6 studies scored between 5 and 6 points, and 2 studies scored 4 points. Intervention sessions were conducted for 25 minutes, on average, each at a frequency of 4.1 sessions per week, for a total of 33.7 sessions. This study found that direct swallowing training and comprehensive intervention of respiratory and oral, including pharyngeal were effective in relieving difficulties in swallowing. In the future, such findings are expected to be used in nursing interventions for establishment of the basis for evidence-based nursing practice.

Therapeutic Singing on Speech Production Parameters in Head and Neck Cancer Patients: Case Studies (치료적 노래부르기를 통한 두경부암 환자의 말산출 기능 향상 사례)

  • Kim, Ju Hee;Kim, Soo Ji
    • 재활복지
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    • v.22 no.3
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    • pp.189-208
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    • 2018
  • This case study investigated the changes in speech intelligibility of patients with head and neck cancers who participated in a therapeutic singing-based intervention. Three patients received a total of twelve 30-minute individual sessions. The intervention consisted of three steps: movements for relaxing breathing muscles, vocalization for increasing the range of articulatory movements, and therapeutic singing. In order to examine the changes in speech intelligibility, the voice quality parameters, diadochokinesis (DDK) and the quadrangle vowel space area (VSA) were measured at pre- and posttest. The recording of what each patient read a written paragraph, which were transcribed by blinded assessors, were also analyzed. The results demonstrated that all of the patients showed positive changes in the voice quality, the rate of repetitive syllable production measured by DDK, and the articulatory working space measured by VSA. Along with these measured changes, increases in positive mood and rehabilitation motivation reported by the patients support that the therapeutic singing-based intervention could induce meaningful changes in terms of speech intelligibility from patients with head and neck cancers. Given that this study was conducted with a small sample size, suggestions for further investigation on the effects of the intervention were also presented.

A Study of the Role and Treatment of Scalene Muscle in Breathing Pattern Disorder (호흡 양상 장애에 대한 사각근의 역할과 치료법에 대한 소고)

  • Byun, Dong-Wook;You, Hong-Chang;Ha, Won-Bae;Lee, Jung-Han
    • Journal of TMJ Balancing Medicine
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    • v.10 no.1
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    • pp.1-11
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    • 2020
  • There are studies on breathing pattern disorder (BPD), but the causes of BPD are still complex, and various studies are ongoing. This study reviewed several studies to investigate the possibility that pathological changes in the scalene muscles may be one of the causes of dyspnea, and that treatment of them may improve respiratory disorders. Anatomically, the scalene muscles are located between the cervical vertebrae and the transverse process of the ribs and act as a respiratory muscle. If there is a problem or excessive in its role, it can cause chest breathing or oral breathing. These problems may further affect respiratory diseases such as hyperventilation syndrome, obstructive disease, restrictive disease, and respiratory disorders. According to the results of previous studies, it seems that manual therapy or exercise therapy for the scalene muscles can contribute to the treatment of BPD.

The Correlation between Abdominal Muscle Strength and Respiratory Function in Stroke Patients (뇌졸중 환자의 배근력과 호흡기능의 상관관계)

  • Kang, Tae-Wook;Lee, Jae-Seok;Han, Dong-Wook
    • PNF and Movement
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    • v.17 no.2
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    • pp.303-310
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    • 2019
  • Purpose: This study aimed to investigate the correlation between abdominal muscle strength and measures of respiratory function in stroke patients. Methods: The study participants comprised 17 (male: 12, female: 5) stroke patients hospitalized at W rehabilitation hospital in Busan, South Korea. Abdominal muscle strength was assessed using a digital manual dynamometer for 5 seconds contacting the sternal notch of the participants to bend the trunk. Respiratory function (forced vital capacity, forced expiratory volume in one second, forced expiratory volume in one second/forced vital capacity, and peak expiratory flow) was assessed using a spirometer. The collected data were analyzed using Pearson's correlation analysis, and the significance level was set 0.05. Results: A statistically significant correlation was found between abdominal muscle strength and forced vital capacity, forced expiratory volume in one second, and peak expiratory flow. However, abdominal muscle strength and forced expiratory volume in one second/forced vital capacity were not significantly correlated. Conclusion: This study demonstrated that there is a relationship between abdominal muscle strength and respiratory function. Exercise programs to strengthen the abdominal muscles are therefore necessary to improve respiratory function in stroke patients.