• 제목/요약/키워드: Forced vital capacity test

검색결과 134건 처리시간 0.027초

배근 강화운동이 뇌졸중 환자의 배근력 및 호흡기능에 미치는 영향 (The Effects of Abdominal Muscle Strengthening Exercise on Abdominal Muscle Strength and Respiratory Function in Stroke Patients)

  • 강태욱;정주현
    • 대한통합의학회지
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    • 제7권4호
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    • pp.13-21
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    • 2019
  • Purpose : The purpose of this study was to investigate the effect of abdominal muscle strengthening exercise on abdominal muscle strength and respiratory function in stroke patients. Methods : The subjects were 14 stroke patients (10 males, 4 females) hospitalized at W rehabilitation hospital in Busan City and randomly assigned to 7 exercise groups and 7 control groups. Exercise was performed in combination with an upper and lower extremity pattern of proprioceptive neuromuscular facilitation. Measurements of abdominal muscle strength and respiratory function were made before intervention and 4 weeks after intervention. Abdominal muscle strength was assessed using a digital manual dynamometer, and respiratory function was assessed by spirometry. The collected data were analyzed with a paired t-test and independent t-test and the significance level was set as α =.05. Results : The results showed that applying abdominal muscle strengthening exercise to stroke patients showed a significant increase in abdominal muscle strength and a significant difference between groups (p<.05). Maximal-effort expiratory spirogram (MES) readings were significantly increased in forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), in the exercise group, and there were a significant differences between the groups in terms of FEV1 (p<.05). Slow vital capacity (SVC) was significantly increased in vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), and expiratory capacity (EC), and there were significant differences between the groups in VC, TV, expiratory reserve volume (ERV), EC, and inspiratory capacity (IC) (p<.05). Conclusion : Abdominal muscle strengthening exercise was effective in the abdominal muscle strength of stroke patients, and it was confirmed to have a positive effect on the enhancement of respiratory function. Therefore, it seems that exercise programs for stroke patients with respiratory weakness should include abdominal muscle strengthening exercises.

Pulmonary Function Index Comparisons Depending on Various Postures of Stroke Patients

  • Lee, Kyung-Soo;Lee, Myung-Mo
    • 대한물리의학회지
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    • 제14권1호
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    • pp.43-51
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    • 2019
  • PURPOSE: To prevent secondary complications from decreased pulmonary functions and promote neurological recovery, identification of respiratory capacity change patterns depending on different postures of stroke patients and investigation of their properties are needed for active rehabilitation. Therefore, this study was conducted to investigate the changes in vital capacity in response to different positions and to implement the results as clinical data. METHODS: A respiratory function test was administered to 52 patients with stroke in the sitting, supine, paretic side lying, and non-paretic side lying positions. Pulmonary function indexes used for comparison were forced vital capacity (FVC), forced expiratory volume at 1 second (FEV1), forced expiratory flow 25-75% (FEF 25-75%), and maximum voluntary ventilation (MVV). One-way repeated ANOVA was used for analysis, and post hoc analysis was conducted using least significant difference (LSD). RESULTS: All pulmonary function indexes were measured in the order of sitting, paretic side lying, supine, and non-paretic side lying positions. Excluding the FEF25-75% and MVV of the supine compared with the paretic side lying position, all other pulmonary function indexes differed significantly (p<.05). CONCLUSION: There are differences in pulmonary function indexes depending on different postures of stroke patients, and the study showed that the non-paretic side lying position yielded the greatest effect on lung ventilation mechanisms. Based on these results, appropriate postures need to be considered during physical therapy interventions for stroke patients.

뇌졸중 환자의 보행능력에 따른 횡격막 두께와 폐기능 분석 (The Analysis on Diaphragm Thickness and Lung Function of Stroke Patients by Walking Ability)

  • 정주현;김난수
    • 대한물리의학회지
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    • 제6권4호
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    • pp.437-445
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    • 2011
  • Purpose : The purpose of this study was to analysis on diaphragm thickness and lung function of stroke patients by walking ability. Methods : We recruited thirty-five adults after stroke(20 male, 15 female) for our study. The subjects were divided into two groups; independent walking group(11 male, 9 female) and non-independent walking group(9 male, 6 female). Assessment of diaphragm thickness was performed using ultrasound in B-mode with a 7.5 MHz linea probe. During the experiment, the subject was seated in the chair. All subjects performed maximal expiratory flow maneuvers using a spirometer in order to determine the forced expiratory volume in 1 second ($FEV_1$), forced vital capacity(FVC), peak expiratory flow(PEF) and $FEV_1$/FVC. Chest expansion was measured with a tape-measure placed circumferentially around the chest wall at the xiphoid process. The collected data analyzed by independent t-test. Results : The diaphragm thickness were significant differences between the independent walking and nonindependent walking group. Values of forced vital capacity, forced expiratory volume at one second, peak expiratory flow in pulmonary function tests were significant differences between the independent walking and non-independent walking group. However, chest expansion were not significant differences in both of the group. Conclusion : This study showed that walking ability of stroke patients have influenced on diaphragm thickness and pulmonary function.

The Effect of Dynamic Neuromuscular Stabilization (DNS) on the Respiratory Function of Subjects with Forward Head Posture (FHP)

  • Bae, Won-Sik
    • 대한물리의학회지
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    • 제16권3호
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    • pp.55-64
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    • 2021
  • PURPOSE: The purpose of this study was to apply dynamic neuromuscular stabilization (DNS) to subjects with forward head posture (FHP) and to compare its effects on respiratory function as against the conventional neck stabilization exercise and neck stretching and extensor strengthening exercises. METHODS: The whole-body posture measurement system was used to measure the degree of FHP, and a spirometer and a respiratory gas analyzer were used to measure the respiratory function. After the intervention was completed, the changes over time were analyzed in the DNS group, the neck stabilization exercise group, and the neck stretching and extensor strengthening exercise group. The inter-group difference in the changes was also analyzed. A repeated ANOVA was performed to compare the respiratory function according to the period between the three groups, and the least significant difference (LSD) method was used for the post hoc test. RESULTS: After the 6-week exercise period, respiratory functions, such as forced vital capacity (FVC), forced expiratory volume for 1 second (FEV1), forced expiratory volume for 1 sec/forced vital capacity (FEV1/FVC), maximum oxygen intake (VO2max), and the volume of expired gas (VE), significantly improved according to the period (p < .05), but no inter-group differences were found. CONCLUSION: DNS is an effective training method, and can be applied along with neck stabilization exercise and neck stretching and extensor strengthening exercises, which are widely used in clinical practice, to people with FHP who cannot directly perform neck exercises to improve their respiratory function.

The Effect of Treadmill Training with Elastic Bands on the Chest Expansion and Pulmonary Functions of Young Adults

  • Lim, Sang-Wan;Seo, Kyo-Chul
    • 국제물리치료학회지
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    • 제2권2호
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    • pp.301-307
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    • 2011
  • The purpose of this study was an determine whether elastic band on treadmill training might effect the chest expansion and pulmonary function of the 20's men. 40 subjects with experimental group(male: 20) and control group(male: 20) was participated in experiment. During four weeks, each group participated thirty minutes for three times per week. Subjects were assessed using pre-value and post-value measurement chest length(chest length for resting, chest expansion) and pulmonary function(forced vital capacity, forced expiratory volume at one second, FEV1/FVC, peak expiratory flow, vital capacity, tidal volume, expiratory reserve volume, inspiratory reserve volume) by the CardioTouch 3000S(BIONET, USA). These findings suggest that experimental group can be used to improve chest expansion, pulmonary function than control group. In comparison of both groups, post-test was more improved in experimental group. In conclusion, experimental group helped improving function of pulmonary volume and respiratory muscle, and thus it indicates that the functions will be more improved through the continued respiratory exercise program.

간헐적 양압호흡기를 이용한 호흡운동치료 후 근 이영양증 환자의 폐기능 변화 (Changes in Pulmonary Functioning After Respiratory Excercise Treatment in Patients With Progressive Muscular Dystrophy)

  • 김기송;이규완;오덕원
    • 한국전문물리치료학회지
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    • 제6권3호
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    • pp.72-81
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    • 1999
  • The purpose of this study was to identify the differences in pulmonary functioning after respiratory exercise with IPPB (Intermittent Positive Pressure Breather) in patients with progressive muscular dystrophy (PMD). The subjects were 46 patients with PMD who were admitted to the Rehabilitation Medicine Department of Youngdong Severance Hospital. The subjects were assigned into one of 2 groups. The control group received comprehensive treatments such as ROM exercise, deep breathing exercise, moist hot packs, and ultrasound twice a day while admitted at the Rehabilitation Medicine Department. Unlike the control group, the subjects at the experimental group received respiratory exercise treatment with IPPB. The subjects were admitted for 10~19 days, and the average length of hospital stay was 12.2 days. Pulmonary functioning was evaluated at admission and discharge by SENSOR MEDICS. The data were analyzed by a paired t-test and a independent t-test. The results were as follows: 1) The change of each parameter of pulmonary function tests were significantly improved in all groups after respiratory exercise treatment during admission (p<0.05). 2) By comparing the change of each parameter of pulmonary function tests between the experimental group and control group, the parameters of vital capacity (VC), forced vital capacity, forced vital capacity predicted (FVCP) and forced expiratory volume in 1 second (FEV1) were significantly improved in the experimental group which had received the pulmonary exercise treatment with IPPB (p<0.05). In conclusion, this study suggests that the pulmonary exercise treatments with IPPB facilitated improvement in the pulmonary functioning for the PMD patients during their hospital stay.

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뇌졸중 노인에게 PNF의 안정적 반전과 율동적 안정화 기법을 이용한 몸통 안정화 훈련이 몸통 근력과 호흡기능에 미치는 영향 (The Effects of Trunk Stability Exercise Using Stabilizing Reversal and Rhythmic Stabilization Techniques of PNF on Trunk Strength and Respiratory Ability in the Elderly after Stroke)

  • 이영훈;조용호
    • PNF and Movement
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    • 제19권1호
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    • pp.105-113
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    • 2021
  • Purpose: The purpose of this study was to investigate the effect of trunk-stabilization training using stabilizing reversal and rhythmic stabilization techniques of PNF on trunk muscle strength and respiratory function in elderly stroke patients. Methods: There were 26 stroke patients included in the study. Patients were divided into two groups, and all patients performed exercise 30 min five times per week for six weeks. The experimental group performed trunk stability exercise using stabilizing reversal and rhythmic stabilization techniques of PNF, and the control group performed flexibility and strength training. Trunk muscle strength, forced vital capacity, maximum inspiratory pressure, and maximum expiration pressure were measured to determine the changes after the intervention. For statistical processing, a paired t-test was performed within the group, and the value after intervention was performed as an independent t-test to find out the difference between the two groups. Results: In the experimental group, all of the trunk muscle strength, forced vital capacity, maximum inspiratory pressure, and maximum expiration pressure showed significant differences according to the intervention. In the control group, there were statistically significant differences in trunk muscle strength and forced vital capacity, but the maximum inspiratory pressure and the maximum expiration pressure did not show any statistical change. Conclusion: From these results, it can be seen that the trunk stability exercises that use the proprioceptive neuromuscular promotion method of stable reversal and rhythm stabilization can be a good intervention for the respiratory function of stroke patients.

폐기능검사의 보험의학적 이해 (Review of pulmonary function test in terms of insurance medicine)

  • 이신형
    • 보험의학회지
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    • 제33권2호
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    • pp.8-11
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    • 2014
  • Pulmonary function test is a group of tests which are composed of measurement for lung function. Thy are spirometry, blood-gas analysis, lung volumes, exercise test, diffusion capacity, and bronchial challenge test. In this article, I will review the pulmonary function test and it's application in terms of clinical aspect and insurance medicine. The standard spirometric indicies are forced vital capacity(FVC), forced expiratory volume at 1 second(FEV1), and the ratio of FEV1 over FVC(FEV1/FVC). If the value of FEV1/FVC less than 70%, the examinee has obstructive ventilatory dysfunction.

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Comparison of the Impact of Breathing Strengthening Exercises and Balloon Blowing Training on the Pulmonary Function of Elderly Smokers

  • Jun, Hyun ju;Lim, Sang Wan;Kim, Ki Jong
    • 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.

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

  • 서연순;송인영;윤종혁
    • 디지털융복합연구
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    • 제20권1호
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    • pp.191-202
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    • 2022
  • 본 연구의 목적은 고등학교 남자 축구선수 24명을 대상으로 10주간 신체안정화운동 프로그램 중재 후 기술체력에 미치는 영향을 규명하는 것이다. 블레이즈포드로 시각반응속도 검사를 시행한 결과 위팔, 왼발, 오른발의 15초간 반응횟수와 반응시간(p<0.001)은 유의하게 증가하였다. 기능적 움직임 평가하기 위해 7가지 동작의 향상 여부 평가결과 허들건너기(p<0.001), 능동적폄다리올리기(p=0.022) 동작이 유의하게 향상되었다. 균형능력을 평가하기 위해 와이발런스 평가결과 양쪽 복합점수(p<0.001)가 유의하게 향상하였다. 기동력과 근지구력을 평가하기 위해 폐활량 측정결과 노력성폐활량(p<0.001)과 1초간 강제날숨량(p=0.003)이 유의하게 향상되었다. 10주간 신체안정화운동 중재 후, 경기에 필요한 기술 체력인 순발력, 민첩성, 다리 근력, 다리의 안정성, 기동력, 근지구력을 효과적으로 향상할 수 있다는 결론을 얻었고, 이러한 기술체력의 향상은 축구선수들의 부상을 방지할 수 있으며, 경기력을 향상할 수 있을 것이다.