• 한국치위생학회지
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• 제24권4호
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• pp.291-300
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• 2024

연구목적 : 본 연구는 노인의 구강건강증진 프로그램 개발 및 적용에 따른 구강건강상태 개선효과를 확인하고, 노인의 구강건강증진 프로그램에 대한 기초자료를 제공하고자 하였다. 연구방법: 부산광역시 부산진구 D노인복지시설 이용 노인과 부산, 울산지역을 포함한 경남지역의 노인복지시설 이용 노인 29명을 대상으로 하였으며, 실험군은 8주동안 매주 1회 시설을 방문하여 전문가 구강관리(스펀지 브러쉬, 변형바스법, 와타나베법, 치간칫솔, 잇몸마사지)를 제공하였고, 매일 구강기능향상운동(코끼리 피리 불기와 껌 저작)을 시행하도록 하였다. 연구결과: 구취는시행 전 2.47점에서 시행 후 0.53점으로 감소하였고, 타액분비량은 시행 전 6.33점에서 시행 후 7.27점으로 증가하였으며, 타액완충능은 시행전 5.13점에서 시행 후 8.07점으로 증가하였다. 구륜근력은 시행 전 0.64점에서 시행 후 1.57점으로 구륜근력이 증가하였으며, 치은출혈지수는시행 전 18.11점에서 시행 후 9.94점, 치면세균막지수는 시행 전 27.69점에서 시행 후 12.63점으로 감소하여 노인을 대상으로 실시한 전문가구강관리와 구강기능향상 운동 프로그램이 노인의 구강건강증진과 향상에 효과가 있는 것으로 확인되었다. 결론: 고령화시대 건강한 노인의 구강건강 뿐만 아니라 삶의 질 향상을 위해 노인의 건강증진 방안의 일환으로 전문가 구강관리와 구강기능향상 운동 프로그램을 적극 활용할 수 있는 방안이 모색되어져야 할 것이다.

• 대한물리의학회지
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• 제11권4호
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• pp.55-64
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• 2016

PURPOSE: The aim of this study was to examine the effect of air stacking exercise on lung capacity, activities of daily living, and walking ability in elderly adults. METHODS: A total of 27 subjects were randomly assigned to an experimental group (EG=13) or a control group (CG=14). Subjects in the experimental group participated in an active pulmonary rehabilitation program. 5 days a week for 4 weeks. The active pulmonary rehabilitation program was composed of an air stacking exercise with an oral nasal mask and manually assisted coughing. Conventional pulmonary rehabilitation exercises, such as, cough exercise, deep breathing, and abdominal muscle strengthening exercises were performed by both groups. Pulmonary function parameters, peak cough flow (PCF), and oxygen saturation were measured and the 6-minute walk test and Korean version of the modified Barthel index (K-MBI) scores were applied. RESULTS: Significant intergroup differences were observed for forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) results after intervention (p<.05), and for 6 minute walk test and PCF results after intervention and at 2-week follow-up visits (p<.05). Post hoc test results showed significant differences in K-MBI, 6-minute walk test, and FEV1 in the experimental group after intervention (p<.05). FVC values were significantly higher after intervention and at 2-week follow-up visits versus pre-intervention (p<.05). PCF values were also significantly higher after intervention and remained significantly higher at 2-week follow-up visits (p<.05). CONCLUSION: Air stacking exercise in elderly adults improves lung capacity and exercise tolerance.

• Physical Therapy Rehabilitation Science
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• 제7권4호
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• pp.147-153
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• 2018

Objective: This study investigated the effects of air stacking training (AST) on pulmonary function, respiratory strength, and peak cough flow (PCF) in persons with cervical spinal cord injury (CSCI). Design: Randomized controlled trial. Methods: A total of 24 persons with CSCI were randomly allocated to the AST group (n=12) or the incentive spirometry training (IST) group (n=12). Patients with CSCI received AST or IST for 15 minutes, with 3 sessions per week for 4 weeks, and all groups performed basic exercises for 15 minutes. In the AST group, after the subject inhaled the maximal amount of air as best as possible, the therapist insufflated additional air into the patient's lung using an oral nasal mask about 2-3 times. In the IST group, patients were allowed to hold for three seconds at the maximum inspiration and then to breathe. The pre and post-tests measured forced vital capacity (FVC), forced expiratory volume one at second (FEV1), maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP) and PCF. Results: Both groups showed significant improvements in FVC, FEV1, MEP, MIP and PCF values after training (p<0.05). The FVC in the post-test and the mean change of FVC, FEV1, MIP were significantly higher in the AST group than the IST group (p<0.05). Conclusions: The findings of this study suggested that AST significantly improved pulmonary function, respiratory strength, and PCF in persons with CSCI. Therefore, AST should be included in respiratory rehabilitation programs to improve coughing ability, pulmonary function and respiratory muscle strength.