• 한국음향학회지
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• 제35권4호
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• pp.319-329
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• 2016

본 논문에서는 브로카 실어증 환자에 대한 멜로디 억양 치료(Melodic Intonation Therapy, MIT)에서 호흡훈련이 조음 명료도를 개선하는지를 평가했다. 실험군은 MIT에 선행하는 2단계 호흡 훈련을 받도록 했다. 중재 효과를 평가하기 위해, 피실험자의 폐쇄음의 폐쇄 길이(VOT), 단어 전체의 발화 길이(TD), 음성 강도 및 호기량을 중재 전과 후에 측정하여 비교 했다. 실험 결과 폐쇄음의 폐쇄 길이 및 단어 전체의 발화 길이는 양순음/p/, 치조음/t/, 연구개음/k/에서 증가했으나(p < 0.05) 파찰음/c/와 마찰음/s/은 변화가 없는 것으로 나타났다(p > 0.05). 반면 대조군에서는 폐쇄음의 폐쇄 길이 및 단어 전체의 발화 길이가 증가하지 않는 것으로 나타났다(p > 0.05). 조음 명료도에 영향을 주는 호기량과 음성 강도는 실험군에서 증가했으나(p < 0.01) 대조군에서는 유의한 변화가 없었다. 결론적으로, 브로카 실어증 환자의 MIT에서 호흡 훈련은 환자의 조음 명료도를 개선하고 있음을 확인할 수 있었다.

• 한국자연치유학회지
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• 제9권2호
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• pp.37-45
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• 2020

목적 : 특발성파킨슨병(PD)은 운동증상(떨림, 운동 완서, 경직)과 비운동증상(통찰력과 인지 장애, 기분의 불편함, 우울증, 불안증, 후각 기능장애)이 있다. 이 연구는 호흡, 명상 및 기공 치유로 PD 비운동증상의 개선 효과를 탐색하는 것이 목적이다. 방법 : PD가 있는 대상자(11명)에게 An's-4444힐링호흡, An's관정힐링명상, An's힐링기공치유의 3단계를 1회에 80분 동안 12회 수행하고 치유 전후, 1개월 경과 후 3회 측정하여 측정치를 비교 평가하였다. 결과 : 12회 치유 후 통찰력과 인지장애에 대한 통합 파킨슨병 등급척도(UPDRSI) 수치는 69%, 우울증척도(HAMD)는 61%, 불안증(HAMA)은 64%, 후각 기능장애 냄새식별 테스트(TSI)는 82%로 각각 개선되었다. 치유 1개월 경과 후의 수치는 4개 척도 모두 차이가 없었다. 이는 치유 후 1개월 경과 후까지 효과가 유지됨을 의미한다. 결론 : An's 호흡, 명상 및 기공요법으로 PD비운동증상이 유의성 있게 개선되었다. 특히 후각기능장애 개선으로, 향기를 맡게 되어 삶의 만족도가 향상되었다. 결과는 호흡, 명상 및 기공요법이 PD의 비운동성 증상을 개선 및 치유하는 자연요법으로 가치가 있다고 판단하며, 의생명과학적 추가 연구가 필요하다.

• 대한통합의학회지
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• 제12권2호
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• pp.133-140
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• 2024

Purpose : People who have suffered from COVID-19 suffer from decreased pulmonary function and various side effects. This study aims to present three respiratory exercise intervention methods to improve pulmonary function in COVID-19 survivors. Therefore, the purpose of this study will investigate the effects of breathing exercise interventions (aerobic exercise, diaphragm breathe exercise, and inspiratory muscle training on resistance) on pulmonary function in COVID-19 survivors. Methods : The subjects who participated in this study were 35 male and female college students confirmed with COVID-19. All subjects were randomly assigned to A, D, and I groups according to breathing exercise intervention method. Groups A, D, and I each performed aerobic exercise, diaphragm breathing exercise, and inspiratory muscle training on resistance, 3 times a week for 6 weeks. Pulmonary function was measured using a spirometer, and FVC (forced vital capacity), FEV₁ (forced expiratory volume in one second), FEV₁/FVC % (forced expiratory volume in one second / forced vital capacity ratio), and PEF (peak expiratory flow) were measured at 0, 3, and 6 weeks. Data analysis was compared by repeated measures analysis of variance, and post hoc tests for time were compared and analyzed using paired t-tests. Results : In the results of this study, FVC values showed statistically significant improvement in all groups. FEV₁ values also showed statistically significant improvement in all groups. And the FEV₁/FVC % value also showed statistically significant improvement in all groups. And the PEF values also showed statistically significant improvement in all groups. Conclusion : The results of this study reported that aerobic exercise, diaphragm breathing exercise, and resistance inspiratory muscle training were all effective in improving pulmonary function in COVID-19 survivors. Therefore, application of the three breathing exercise intervention methods presented in this study will help improve pulmonary function in COVID-19 survivors.

• 대한물리치료과학회지
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• 제8권1호
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• pp.885-892
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• 2001

The purpose at this study was comparied at effect the pulmonary function to breathing exercise(BE) in water with on land. The result was as follow: FVC(Forced Vital Capacity) was decreased 1.5% in control group, increased 1.5% in BE on land group and increased 6.5% in water group after BE, but no significant difference in water group. FEV1(forced expiratory volume at one second) was increased 0.2% in the control group, decreased 0.7% in BE on land group and increased 5.7% in BE in water group after BE, but no significant difference in water group. MVV(maximal voluntary ventilation) was significant difference in BE in water group who was increased 12.2% after BE. It was decreased 1.0% in the control group and increased 0.2% in BE on land group. VC(vital capacity) was decreased 1.5% in the control group, increased 6.2% in BE on land group and increased in BE in water group after BE, but no significant difference in water group. IC(Inspiratory Capacity) was decreased 0.5% in the control group, increased 7.5% in BE on land group and decreased 2.0% in BE in water group after BE, but no significant difference on land group. ERV(Expiratory Reserve Volume) was decreased 0.5% in the control group, increased 3.0% in BE on land group and increased 8.5% in BE in water group after BE, but no significant difference in water group.

• The Journal of Korean Physical Therapy
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• 제23권5호
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• pp.15-21
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• 2011

Purpose: The purpose of this study was to describe the influence of respiration on the segmental motion of the lumbar spine in the lying position. Methods: Twelve healthy females without a history of low back pain participated. Lumbosacral lordosis, intervertebral body angles, intervertebral body displacements, and anterior heights of the intervertebral disc of the lumbar spine were measured at inspiration, expiration and forced expiration in the supine and prone positions via fluoroscopy. Results: The results of lumbar kinematic analysis in the supine position according to respiration pattern were as follows. The L4/5 intervertebral body angle was significantly higher at forced expiration than at expiration (p<0.05). The L3/4 anterior height of the intervertebral disc was significantly higher at expiration than at forced inspiration and the L5/S1 anterior height of the intervertebral disc was significantly higher at inspiration than at forced expiration (p<0.05). There were no significant differences in the intervertebral body displacements and lumbosacral lordosis in the supine position (p>0.05). The results of lumbar kinematic analysis in the prone position according to respiration pattern were as follows. The L5/S1 anterior height of the intervertebral disc was significantly higher at inspiration than at forced expiration (p<0.05). However, there was no significant difference in the intervertebral body angle, the intervertebral body displacements, and the lumbosacral lordosis (p>0.05). Conclusion: These findings suggested that respiration can affect the intervertebral body angle and anterior height of the intervertebral disc in some segments. The results from this study serve as a step in the development of guidelines for lumbar kinematic analysis for lumbar breathing training.

• 대한방사선치료학회지
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• 제13권1호
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• pp.14-22
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• 2001

Purpose: The aim of this study is to investigate geometrical and volumetrical changes of liver due to breathing and its impact to NTCP. In order to attain better treatment results it should be considered deliberately during planning session. Mehtods and Materials : Seven patients were examined in this study who have done TACE for accurate tumor margin drawing. After contrast media injection, C-T scan data were obtained in supine position during breathing free, inhalation and exhalation, respectively. For all patients C-T scan were done with same scanning parameters- 5 mm index, 5 mm thickness and pitch 1. Based on C-T data we have measured differences of each variables between breathing status such as changes of total and remained liver volumes, GTV, beam path length and superior to inferior shift. NTCP were calculated using Lyman's effective volume DVH reduction scheme and for this NTCP calculation, the V50 was computed from DVH and each m, n value were referred from Burmans data. Results : The measured total tilter volume and the remained liver volume changed between inspiration and expiration about $1.2-7.7\%(mean+2.7\%)$ and $2.5-13.23\%(mean=5.8\%)$ respectively, and these results were statistically significant(p>0.1). The GTV difference in each patient varied widely from $1.17\%\;to\;30.69\%$, but this result was not statistically significant. Depending on the breathing status, the beam path length was changed from 0.5 cm to 1.1 cm with the average of 0.7 cm, and it was statistically significant(p=0.006). The measured superior to inferior shifts were ranged from 0.5 cm to 3.74 cm. The NTCPs were changed relatively small in each patient, but the variation was large between the patients. The mean NTCP difference was $10.5\%$, with the variation ranged from $7\%\;to\;23.5\%$. Conclusion : Variations of liver volume and of beam path length were changed significantly depending on the breathing statues and the range of variation itself was very different between the patients. Since this variance could seriously affect the clinical outcomes of radiation treatments, the breathing of patients need to be accounted when a final treatment planning is derided.

• 수면정신생리
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• 제4권2호
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• pp.129-139
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• 1997

수면 무호흡을 포함한 다양한 원인의 수면과 관련된 호흡장애를 동반한 환자들에서는 여러가지 심혈관계 기능부전이 초래되어 이들 환자의 임상경과에 중대한 영향을 미친다. 수면 무호흡증후군, 특히 폐쇄성 수면 무호흡증후군은 수면장애의 여러 가지 원인 중 임상영역에서 가장 흔히 볼수 있는 질환으로 전신성 고혈압, 심부정맥, 폐동맥 고혈압 및 우심실 부전, 협심증 및 심근경색증, 뇌졸증등의 발병률이 정상인에 비하여 현저히 높은 것으로 알려져 있다. 폐쇄성 수면 무호흡과 달리 중추성 수면 무호흡은 수면중에 호흡중추를 불안정하게 하는 다양한 원인에 의해 발생하며 역시 심혈관계의 기능에 영향을 미칠 수 있다. 수면중에 환기장애가 더욱 악화될 수 있는 호흡기계 질환이 있는 환자들은 수면 무호흡증후군과 달리 만성적인 저산소증과 고탄산증이 동반되며 이로 인해 심부정맥, 폐동맥 고혈압, 우심실 부전(폐성심) 등의 심혈관계 이상이 초래될 수 있다. 따라서 수면 무호흡을 포함한 수면과 관련된 호홉 장애의 진단과 치료에 있어서는 호흡기계 질환에 대한 정확한 평가와 더불어 동반될 수 있는 심혈관계의 기능부전에 대한 정밀한 분석이 반드시 필요하며, 이들 자료를 바탕으로 기관절개술, 기계적 호흡, 지속적 양압공급치료, 적절한 산소요법 등의 적극적이고도 효과적인 치료법을 적용함으로서 심혈관계 합병증의 발생과 이로 인한 사망률을 감소시킬 수 있을 것으로 생각된다.

• Korean Journal of Acupuncture
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• 제30권2호
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• pp.104-113
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• 2013

Objectives : The purpose of this study is to analyze an effect of medical Qigong therapy using Dong Chu Chim (DCC) which was invented by "Dongchu Han Medicine Institute", by measuring HRV. We compared effects of DCC with non-treatment, filiform acupuncture and filiform acupuncture with natural abdominal breathing. Methods : 1. The authors stimulated Nogung (PC8) of 26 normal adults by using DCC or filiform acupuncture in turn. 2. The natural abdominal breathing has been carried comfortably with consciousness in the lower abdomen. 3. HRV was measured for 5 minutes, three times (pre-treatment, during-treatment and post-treatment). Results and Conclusions : From this study, it seems that the stimulus of DCC, filiform acupuncture, filiform acupuncture with natural abdominal breathing can all affect the autonomic nervous system and control the balance of that. But there were not significant differences between these stimulus groups and the non-treatment group. Therefore, we suggest additional studies about the effect of DCC in the future.

• 대한통합의학회지
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• 제7권2호
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• pp.133-139
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• 2019

Purpose : This study aims to investigate the rating of perceived exertion (RPE) and muscle activity of the inspiratory primary and accessory muscle during breathing exercise with different air hole diameters of the inspiratory muscle trainer (IMT). Methods : The Borg's scale and surface electromyography (EMG) was used to collect data of the RPE and muscle activity of the inspiratory primary the external intercostal (EI) and diaphragm (DIA) and accessory muscles anterior scalene (AS), sternocleidomastoid (SCM), pectoralis major (PM), and upper trapezius (UT) muscles during breathing exercise with different air hole diameters (6 mm, 4 mm, and 2 mm) of the IMT in healthy young male subjects. Results : The RPE and muscle activities of the AS, SCM, and UT are increased significantly in accordance to the decreasing diameter of air hole of air tip in IMT. However, there are no differences in the muscle activities of the PM, EI, and DIA based on differences of diameters of air hole of air tip in IMT. Conclusion : The smaller the diametr of IMT air-hole, RPE and muscle activities of AS, SCM and UT were increased. Therefore, further study would be necessary to investigate the proper intensity and relaxation posture for the exercise protocol to strengthen the inspiratory primary muscles.

• 대한방사선치료학회지
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• 제27권1호
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• pp.23-30
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• 2015

목 적 : 외부표지자 호흡움직임 측정 장치(RPM; Real-time Position Management, Varian Medical System, USA)를 이용한 간암 호흡동조 방사선치료 시 호흡신호와 방사선 조사 시간 및 실제 조사된 호흡위상을 분석하여 호흡움직임 측정 장치를 이용한 호흡동조 방사선 치료의 정확도를 평가하였다. 대상 및 방법 : 2014년 5월부터 9월까지 Novalis Tx.(Varian Medical System, USA)와 RPM을 이용하여 간암 호흡동조 방사선치료(Duty Cycle 20%, Gating window 40% ~ 60%)를 시행한 환자 총 16명의 치료 시 기록된 호흡움직임을 분석하였다. RPM에 기록된 외부표지자의 호흡움직임을 후행적 분석을 통해 호흡위상으로 재구성하였으며, 재구성된 호흡위상을 이용하여 기록된 Beam-on Time과 Duty Cycle에 대해 RPM을 사용한 호흡동조 방사선치료의 예측 정확도를 분석하고, 호흡움직임의 재현성에 따른 Duty Cycle과 예측 정확도의 상관관계를 분석하였다. 결 과 : 대상 환자 16명의 치료계획 시와 실제 치료 시 호흡주기 차이는 평균 -0.03초(범위 -0.50초 ~ 0.09초)로 분석되었으며 두 호흡간의 통계적 차이는 확인할 수 없었다(p=0.472). 치료 시 평균 호흡주기는 4.02 sec (${\pm}0.71sec$), 치료 중 호흡주기 표준편차의 평균값은 7.43%(범위 2.57% ~ 19.20%)로 분석되었다. 실제 Duty Cycle은 평균 16.05%(범위 13.78% ~ 17.41%)로 나타났고 이 중 후행적 분석을 통해 평균 56.05%(범위 39.23% ~ 75.10%)가 계획된 호흡위상(40% ~ 60%)에서 조사되었음을 확인하였다. 호흡주기의 표준편차와 Duty Cycle과 계획된 호흡위상에서 조사된 비율의 상관관계는 각각 -0.156 (p=0.282)와 -0.385 (p=0.070)으로 분석되었다. 결 론 : 본 연구는 실제 치료 중 기록된 외부표지자의 호흡움직임을 후행적으로 분석하여 치료 중 호흡움직임의 재현성 및 Duty Cycle, 계획된 호흡동조창에서의 실제 치료 비율 등을 확인하였다. 4DCT를 이용한 치료계획과의 오차를 최소화하고 효율적인 치료를 위해 호흡훈련 및 호흡신호 모니터링의 강화가 필요 할 것으로 판단된다.