• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.146-151
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• 2020

Purpose: To identify the effect of breathing training on the physical function and psychological problems in patients with chronic stroke. Methods: In total, 26 patients with chronic stroke were randomly assigned to one of two groups: the experimental group, who underwent breathing training and neurodevelopmental treatment, and the control group, who underwent neurodevelopmental treatment (13 patients per group). Physical function was evaluated using the balance and Activities of Daily Living (ADL). Psychological problems were assessed using the Depression. Balance was measured using the Berg Balance Scale (BBS). ADLs were measured using the Modified Barthel Index (MBI). Depression was measured using the Beck Depression Inventory (BDI). The BBS, MBI, and BDI were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for BBS, MBI and BDI after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in BBS, MBI and BDI than the control group (p<0.05). Conclusion: This study showed that breathing training was effective improvement physical function, and psychological problems in patients with chronic stroke.

• 턱관절균형의학회지
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• 제10권1호
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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.

• 대한물리치료과학회지
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• 제30권4호
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• pp.54-62
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• 2023

Background: The purpose of this study was to investigate the effects of breathing training on the balance ability, lung capacity, and shooting score of shooting athletes. Design: Randomized controlled trial. Methods: Twenty shooters were randomly assigned to the experimental group and the control group. Both the experimental group and the control group performed trunk stabilization exercise, and the experimental group received breathing training during exercise. Balance ability, lung capacity, and shooting score were measured before and after the intervention. Results: There was a significant difference in the forced expiratory volume at one second(FEV1), forced vital capacity(FVC) before and after intervention in the experimental group. In the comparison between the two groups, there was a significant difference in FVC between the control group and the control experimental group. Conclusion: The application of breathing training was effective in improving the lung capacity of shooters.

• 국제물리치료학회지
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• 제6권2호
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• pp.878-883
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• 2015

The purpose of this study compared the ability of feedback breathing training (FBT) and balloon blowing training to enhance the breathing of elderly people. The subjects were randomly and evenly divided into a feedback breathing training group (FBTG) and a balloon blowing training group (BBTG). Each group trained 3 times a week for 4 weeks, with the training suspended during the last 2 weeks. Pulmonary function measurements were obtained before the test and 2, 4 and 6 weeks after the test: forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC, peak expiratory flow (PEF) and vital capacity (VC). A repeated-measures ANOVA was conducted for the significance test. The FBT resulted in a significant increase in the FVC, FEV1/FVC, PEF, and VC of the elderly smokers after 4 weeks and a significant decrease in the FVC, FEV1/FVC, and PEF after 6 weeks. The BBT resulted in a significant increase in the FVC, FEV1, FEV1/FVC, PEF, and VC of the elderly smokers after 4 weeks and a significant decrease in the FVC, FEV1/FVC, and PEF after 6 weeks. In conclusion, An at home breathing rehabilitation program, in addition to balloon blowing, could increase the breathing performance of elderly people.

• The Journal of Korean Physical Therapy
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• 제31권4호
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• pp.193-198
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• 2019

Purpose: This study examined the effects of plank exercise combined with breathing and arm exercises on the external oblique, internal oblique, and transverse abdominal muscle thickness. Methods: Thirty healthy adults consisting of 12 males and 18 females from K area were divided into a plank exercise combined with breathing and arm exercises group (n = 15) and a plank exercise only group (n=15). The changes in muscle thickness before the exercise and four and eight weeks after the exercise were analyzed using a two-way repeated analysis of variance (ANOVA). The significance level was set to ${\alpha}=0.05$. Post-hoc t-tests were conducted to detect the interactions between the time and groups, and the significance level was set to ${\alpha}=0.01$. Results: According to the experimental results, the external oblique abdominal muscle showed significant differences over time (p<0.05). The internal oblique abdominal muscle also showed significant differences over time and in the interactions between the time and groups (p<0.05). The transverse abdominal muscle showed significant differences over time, in the interactions between time and groups, and in the changes between the groups (p<0.05). Conclusion: The results indicated that plank exercise combined with breathing and arm movement exercises led to increases in the abdominal muscle thickness. These types of exercises may be useful in lumbar stabilization rehabilitation treatment.

• 대한감각통합치료학회지
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• 제11권1호
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• pp.1-9
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• 2013

목적 : 본 연구는 구강활동을 병행한 감각통합치료가 발달장애 아동의 호흡과 구강협응능력에 미치는 효과를 알아보고자 하였다. 연구 방법 : 연구대상은 G시에 거주하는 만 6세 7개월의 남아로, 발달장애 진단을 받았다. 연구는 2012년 11월부터 2013년 2월까지 실시하였다. 실험은 개별실험연구 중 AB디자인을 사용하였다. 실험과정은 기초선(A) 3회기, 중재(B) 16회기이었다. 기초선 기간 동안에는 감각통합치료를 실시하였고, 중재기간동안에는 감각통합치료에 구강활동을 병행하여 실시하였다. 호흡기능은 폐활량 측정계로 측정하였으며, 구강협응능력은 "파타카(pataka)"를 10회 반복할 때 소요된 시간을 초단위로 측정하였다. 결과 : 아동의 호흡과 구강협응능력은 기초선과 비교하여 중재기간 동안 유의하게 증가하였다. 결론 : 구강활동을 병행한 감각통합치료가 아동의 호흡과 구강협응능력 향상에 긍정적이었다.

• 대한치료과학회지
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• 제10권2호
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• pp.31-37
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• 2018

Objective: The purpose of this study was to evaluate the effects of closed chain lower limb exercise with abdominal breathing exercise on stroke patients and their effects on trunk control ability and balance. Method: The subjects were 40 stroke patients, 19 patients in the experimental group and 18 patients in the control group. The period was 5 weeks, 5 times a week, 30 minutes per session. The experimental group was subjected to a closed chain lower limb exercise with abdominal breathing exercise and the control group was subjected to a closed chain lower limb exercise. The posture assessment scale for stroke(PASS), trunk impairment scale(TIS) were used for trunk adjustment ability, and the balance ability was measured as center of pressure(COP) and limit of stability(LOS). Results: Results of this study showed that the PASS and TIS test significantly increased the experimental group compared to the control group. As a result of comparing the changes of pre and post intervention intervals between the two groups, the TIS test was significantly lower in the experimental group than in the control group, but the LOS test was not significantly increased in the experimental group. Conclusion: Closed chain lower limb exercise with abdominal breathing exercise showed a significant improvement in the trunk control and balance ability of the stroke patients compared to the closed chain lower limb exercise without the abdominal breathing exercise.

• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.287-291
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• 2015

Purpose: This study was conducted to determine the influence of inspiratory muscle exercise using visual biofeedback and inspiratory muscle exercise with diaphragm breathing retraining in stroke patients in regard to inspiratory muscle activity and respiratory function and to provide fundamental information on intervention for improvement of pulmonary function in stroke patients. Methods: The current study measured and analyzed inspiratory muscle activity and pulmonary function of 15 randomly selected subjects in a Biofeedback inspiratory muscle exercise (BIE) group that uses visual feedback and 15 subjects in the Diaphragm breathing exercise (DBE) group that uses breathing retraining before and after intervention. Intervention was performed for 30 minutes, 5 times a week, for 8 weeks. Subjects were measured for muscle activity of upper trapezius muscle and lattisimus dorsi muscle using a surface electromyography system and maximum inspiratory pressure was measured using a respiratory measurement device. For homogeneity test of subjects, independent t-test was performed and ANCOVA was performed for comparison of inspiratory muscle activity and pulmonary function between groups. Results: In the study results, the BIE group showed more significant muscle activity than the DBE group in upper trapezius muscle and lattisimus dorsi muscle (p<0.001). In addition, the BIE group showed more pressure than the DBE group in maximum inspiratory pressure (p<0.001). Conclusion: Based on the current study, performing biofeedback respiration exercise simultaneously with breathing retraining in stroke patients can provide more efficient respiratory physical therapy. In addition, it is considered that consistent study on the effectiveness is necessary to further improve clinical availability.

• Radiation Oncology Journal
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• 제26권3호
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• pp.181-188
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• 2008

목 적: 호흡을 고려한 사차원방사선치료의 효용성 증대를 위하여, 규칙적이고 안정된 호흡주기 및 호흡량을 갖도록 환자를 교육하고 호흡을 연습시키는 호흡연습장치 및 프로그램을 자체 제작하여 유용성을 평가하였다. 대상 및 방법: 호흡연습장치를 사용시 및 사용후의 호흡의 규칙도의 변화를 측정하기 위해 11명(자원자 9명, 환자 2명)을 대상으로 실험을 실시하였다. 자유롭게 호흡하는 '자유호흡(free-breathing)'법, 자유호흡 시 시뮬레이션 된 표준 호흡주기를 따라함으로써 일정한 호흡주기를 만드는 '신호모니터-호흡(guided-breathing)'법 및 호흡연습 후 시뮬레이션 신호 없이 호흡하는 '연습 후 호흡(postguided-breathing)'법 등 3가지 방법으로 호흡주기를 기록하여 호흡주기(PTP (Peak To Peak))와 호흡크기(Amplitude) 및 호흡패턴(Area, RMS (Root Mean Square))의 변화를 정량적으로 분석하였다. 결 과: 호흡주기를 보여주는 PTP 값은 '신호모니터-호흡'에서 표준편차 값(standard deviation)이 의미 있게 감소하여 호흡주기가 더 규칙적이었고(자유호흡 0.568 vs 신호모니터-호흡 0.344, p=0.0013), '연습 후 호흡'법에서는 '자유호흡' 시보다 표준변동치가 낮아 호흡주기가 보다 안정적이었으나 통계적으로 유의한 차이는 없었다(자유호흡 0.568 vs 연습 후 호흡 0.512, p=ns). 호흡량 측정 결과는 '자유호흡'보다 '신호모니터-호흡'의 경우 호흡량의 표준편차 값이 낮아 호흡량이 보다 일정하게 유지되었으나 통계적으로 유의한 차이는 없었다(자유호흡 1.317 vs 신호모니터-호흡 1.068, p=0.187). 호흡 패턴은 '자유호흡'과 '모니터 호흡' 사이에는 큰 차이가 발생하지 않았지만, '연습 후 호흡'에서는 호흡주기 내 호흡함수의 평균 면적이 7% 감소하였고 RMS 값은 5.9% 감소를 보였다. 결 론: '신호모니터-호흡'에서 호흡주기 및 호흡량이 가장 일정하게 유지되었다. 호흡연습의 효과는 시뮬레이션 신호 없이 호흡하는 '연습 후 호흡'의 경우 시간 경과에 따라 감소할 것으로 판단되었다. 본 연구에서 제작한 호흡연습장치 및 프로그램은 호흡의 주기의 규칙성과 호흡량을 일정하게 유지시키는데 효과적으로 평가되었다.

• 대한정형도수물리치료학회지
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• 제21권1호
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• pp.13-20
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• 2015

Background: To evaluate the effect of thoracic mobility exercise and deep breathing exercise applied to stroke patients on pulmonary function. Methods: The subjects were divided into two group. Twenty-five patients with stroke were randomly assigned to DB (deep breathing exercise) group (n=13) and TM (combination of deep breathing exercise and thoracic mobility exercise) group (n=12). During four weeks, DB group were carried out deep breathing exercises for 5~10 minutes twice a day and TM Group were carried out deep breathing exercises for 5~10 minutes and thoracic mobility exercise for 20~30 minutes twice a day. All tests were completed before and after experiment. The pulmonary functions were measured by PowerBreathe K5 (Hab International Ltd, England) and tape measure respectively. For each case, the experimental data were obtained in 4 items; average of inspiratory load, inspiratory flow speed, inspiratory flow volume and chest expansion. Results: The results of this study were as follows: 1. In DB group, the statistically significants were shown on average of inspiratory flow speed, inspiratory flow volume and chest expansion (p<.05). 2. In TM group, the statistically significants were shown on all items (p<.05). 3. There was a statistically significant difference on all items between DB group and TM group (p<.05). Conclusions: The above results revealed that DB and TM group can be used to improve pulmonary function in stroke patients. In comparison of DB and TM group, TM group was more improved. In conclude, thoracic mobility exercise helped improving function of vital capacity and chest expansion in stroke patients.