• 제목/요약/키워드: Respiratory muscles

검색결과 115건 처리시간 0.03초

경수손상환자들의 폐기능 향상을 위한 흡기 및 호기 호흡운동 방법의 효과 비교 (Comparison of the Effect of Inhalation and Exhalation Breathing Exercises on Pulmonary Function of Patients With Cervical Cord Injury)

  • 전용진;오덕원;김경모;이영정
    • 한국전문물리치료학회지
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    • 제17권1호
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    • pp.9-16
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    • 2010
  • This study aimed to compare 2 protocols recommended to patients with chronic cervical cord injury: each protocol included breathing exercises (inhalation-oriented or exhalation-oriented) and facilitation maneuver for the accessory respiratory muscles. Seventeen patients with chronic cervical cord injury volunteered to participate in this study, and we randomized these patients into 2 groups: the inhalation-oriented breathing exercise group (IOBEG) and exhalation-oriented breathing exercise group (EOBEG), consisting of 8 and 9 patients, respectively. Patients in the IOBEG performed inspiratory exercises using intermittent positive pressure breathing devices, while those in the EOBEG performed expiratory exercises using incentive spirometry. All exercises were performed by the subjects twice a day for 4 weeks, with each session lasting an average of 20 min. The outcomes were assessed on the basis of the pre- and post-treatment values of vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC. In the IOBEG, no significant differences were observed between the pre- and post-treatment values of any of the measured variables (p>.05); however, in the EOBEG, significant improvement was noted in the VC, FVC, FEV1 measured (p<.05) after the treatment. In addition, the rates of change in the values of VC, FVC, and FEV1 differed significantly between the 2 groups (p<.05). These findings suggest that the EOBEs can enhance respiratory function and are clinically feasible in patients with chronic cervical cord injury. Further studies will be undertaken to evaluate the clinical application of these findings.

Guillain-Barre Syndrome 환자의 한방 치험 1례 (A Case Report of Korean Traditional Medical Therapy about Patient with Guillain-Barre Syndrome)

  • 김종원;김민상;오병열;유병찬;조현경;김윤식;설인찬;심재철
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.418-425
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    • 2004
  • The Guillain-Barre Syndrome(GBS), also called acute inflammatory demyelinating polyneuropathy and Landry's ascending paralysis, is an inflammatory disorder of the peripheral nerves - those outside the brain and spinal cord. It is characterized by the rapid onset of weakness and, often, paralysis of the legs, arms, breathing muscles and face. Finally, it leads to respiratory embarrassment and death. There is often a history of antecedent respiratory or gastrointestinal infection. Recently one patient was admitted with GBS. This patient was a 30 year-old man with quadriparesis, both facial palsy, numbness of hands and feet, and gait disturbance. After two weeks of oriental medicine and acupuncture treatment most symptoms improved. Therefore, this application of oriental medicine is reported with a plea for further investigation.

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수면호흡장애 어린이의 근기능 장치 효과 증례 보고 (Effects of Myofunctional Appliance in Children with Sleep-Disordered Breathing: Two Case Reports)

  • 심호진;정태성;김신;김지연
    • 대한소아치과학회지
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    • 제46권1호
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    • pp.119-126
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    • 2019
  • 수면호흡장애는 구강악안면 근육 기능부전을 유발하여 안모의 형태이상 및 부정교합을 유발할 수 있다. 소아치과 영역에서 수면호흡장애의 조기 진단과 치료는 이러한 합병증을 차단하여 정상적인 안모 성장을 유지할 수 있다는 점에서 중요하다. 수면호흡장애의 치료법 중에 하나로 근기능요법이 있으며 기성 근기능 장치가 보조적으로 사용될 수 있다. 본 증례들에서는 수면호흡장애가 있는 부정교합 환자들에게 기성 근기능 장치를 사용하여 수면호흡장애를 해소하는 결과를 얻었기에 보고하는 바이다. 하지만 총생의 개선 효과는 그 정도에 따라 차이가 발생할 수 있으므로 이에 대한 한계점은 고려할 필요가 있다.

한국 재래산양의 태아 및 신생아의 폐 발달에 관하여 (Development on the lungs of fetuses and neonates in Korean native goats)

  • 서득록;이국천;이순선;김종섭
    • 한국동물위생학회지
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    • 제20권1호
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    • pp.55-67
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    • 1997
  • The morphological development of lungs in fetuses of 60, 90 and 120 days of gestation and neonates of Korean native goats was investigated by light, scanning and transmission electron mictroscope. The results were summarized as follows ; 1. Gross findings ; In the 60-days-old fetus, the lung was developed and differentiated into six lobes. 2. Light microscopic findings : The gland-like bronchioles were formed in loose mesenchyme at 60 days of gestation and the bronchial wall contained smooth muscles. The loose mesenchyme had been replaced by compact parenchymal tissue at 90 days of gestation and the cartilage plates appeared in bronchial wall which contained blood vessels, submucosal glands and smooth muscles. The lung parenchyma consisted of a fine network of alveoli at 120 days of gestation and the bronchial wall contained well-developed blood vessels, submucosal glands, cartilage plates and smooth muscles. In neonates, the lung tissue was similar to the mature lung tissue and the bronchial wall contained well developed cartilage plates. 3. Scanning electron microscopic findings : The epithelial cells lining the tubules were composed of cuboidal or columnar at 60 days of gestation and the epithelial cells lining the large airways were often ciliated : some were covered with stubby microvilli. The epithelial cells lining the canals were cuboidal at 90 days of gestation and the epithelial cells lining the bronchioles were ciliated cells or nonciliated(clara) cells, The clara cells contained row microvilli. The alvealor development of this stage was rapidly progressed ; the subdivision of canals by alveolar crests and assosiated wall attenuation resulted alveoli at 120 days of gestation and the respiratory bronchioles were lined by ciliated or nonciliated epithelial cells. In neonates, the epithelial cells lining the alveolar walls were mainly covered with pneumocyte type I ; Some were covered with pneu-mocyte type II. 4. Transmission electron microscopic findings : The epithelial cells lining the tubules were adhered with tight junction at apical borders of the adjacent cells at 60 days of gestation, which contained few organells and glycogen. The epithelial cells lining the canals were composed mostly of cuboidal cell at 90 days of gestation and the epithelial cells lining of the bronchioles were ciliated of nonciliated cell, which contained few organelles and abundant glycogen. The epithelial cells lining the alveolar walls were composed of pneumocyte type I and a few pneumocyte type II at 120 days of gestation. The epithelial cells lining of the bronchioles were ciliated or nonciliated cells. In neonates, pneumocyte type I was observed as flat and thin cytoplasmic extension in shape. Otherwise, pneumocyte type II was observed as cuboidal type with apical microvilli and contained osmiophillic lamellar inclusion bodies. Putting these various experiment results together, the lung development was slowly progressed at early stage, which was rapidly progressed in the late stage of gestation.

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Santalum album Linn wood and its oil: An aromatic Unani traditional medicine with versatile pharmacological activities

  • Sultana, Arshiya;Rahman, Khaleequr
    • 셀메드
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    • 제8권3호
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    • pp.14.1-14.6
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    • 2018
  • Santalum album Linn. [Family: Santalaceae] is commonly known as white sandalwood, sandal safaid and safed chandan. It is one of the most valuable trees and second costliest wood in the world. Sandalwood and its oil is extensively used in the Unani and other traditional systems of medicine as it has blood purifier, anti-inflammatory, analgesic, exhilarant, cardiotonic, antiseptic, nervine tonic and expectorant properties. It is used in skin, cardiac, liver, gastrointestinal, respiratory, integument and urogenital disorders. These uses are supported and proven by many in vitro or in vivo studies. The proven pharmacological activities of S. album are antimicrobial, anti-oxidant, anti-inflammatory, antimutagenic and anti-fatigue. The research has proven that sandal oil or its constituents have anti-microbial activity. Sandalwood oil showed skin cancer preventive effect in mice and its constituent alpha santalol showed the anticancer property. The methanolic extract of wood was confirmed for antioxidant, free radical scavenging, analgesic and anti-inflammatory activities. ${\alpha}$ and ${\beta}$ santalols present in sandal oil showed sedative effects. Sandalwood tea had a significant effect on heart muscles of frog and showed increased myocardial contractility. Its oil showed significant changes in hepatic xenobiotic metabolizing enzymes. Sandalwood oil and its major constituents showed less acute oral and dermal toxicity in laboratory animals. Hence, the aforementioned studies justify the uses of sandalwood and its oil mentioned in the classical Unani literature. However, further clinical trials are suggested to confirm its efficacy and safety in humans.

비소세포폐암 환자에서 발생한 지속성 딸꾹질 1예 (A Case of Persistent Hiccup in a Patient with Non-small Cell Lung Cancer)

  • 박혜성;심윤수;임소연;조정연;권성신;노선희;김유리;천은미;이진화;류연주;송동은;문진욱
    • Tuberculosis and Respiratory Diseases
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    • 제64권1호
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    • pp.39-43
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    • 2008
  • 저자 등은 종격동 림프절 비대를 동반한 비소세포폐암환자에서 발생한 지속성 딸꾹질을 경험하였기에 이에 대한 임상적 특성과 치료에 관한 문헌 고찰과 함께 보고하는 바이다.

고출력 지속이 가능한 인체 구동 방식의 자가 발전기 개발 (Human-Powered Generator designed for Sustainable Driving)

  • 임윤호;양윤석
    • 전자공학회논문지
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    • 제52권7호
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    • pp.135-142
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    • 2015
  • 인체 구동 방식의 자가 발전기는 외부 환경에 덜 의존한다는 장점 덕분에 비상용 혹은 야외 활동 중의 소규모 전력 공급원으로 주목 받고 있다. 하지만 대부분의 자가 발전기는 전자기 유도 결합의 효율이 높지 않아 출력이 미미하며, 특정 부위의 근육만을 지속적으로 사용하는 단조로운 구동 방식을 택하고 있어, 사용 중에 쉽게 지루해질 뿐만 아니라 근피로가 쉽게 누적되어 실제 원하는 출력을 얻을 만큼 충분한 시간 동안 구동하는 것이 거의 불가능하다. 이러한 낮은 효율과 사용성의 문제로 인해 인체 구동 방식의 자가발전기가 실생활에서 사용되는 빈도는 높지 않다. 본 연구에서는 전자기 유도 효율이 높은 종축 결합 방식의 발전 장치를 간단한 구조로 구현하여 출력을 높이는 동시에, 자성체의 운동 관성에 의한 가속이 가능한 인체 구동 방식의 발전기를 설계 제작하였다. 개발된 발전기와 기존 상용 자가 발전기와의 비교 실험을 통해 높은 출력 뿐 아니라 장시간 구동이 가능함을 검증하였다. 아울러 인체 구동 발전기에서 실질적으로 중요한 요소임에도 불구하고 기존 연구에서 제시된 바 없는 인체의 투입 에너지를 실증적으로 파악하기 위해 호흡 가스 기반의 실제 운동 대사량 측정법에 근거한 실험을 시행하여 자가 발전기의 운동 부하를 추정하였다. 향후 성능 개선과 휴대성 증진을 통해 모바일 기기의 전력 지속 문제를 해결하는 데 기여할 수 있을 것으로 기대한다.

Endobronchial Metastasis of Epithelioid Sarcoma

  • Kim, Seo-Yun;Lee, Ji-Yeon;Lee, Yeon-Joo;Park, Sung-Soo;Koo, Hyeon-Kyoung;Lee, Sang-Min;Yim, Jae-Joon;Yang, Seok-Chul;Yoo, Chul-Gyu;Han, Sung-Koo;Shim, Young-Soo;Kim, Young-Whan
    • Tuberculosis and Respiratory Diseases
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    • 제70권5호
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    • pp.423-427
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    • 2011
  • Epithelioid sarcomas are rare soft tissue sarcomas with a high tumor grade and high local recurrence and metastasis rates. Although the lung is the most common site of metastasis, endobronchial metastasis hasn't been reported yet. We now report a case of epithelioid sarcoma with endobronchial metastasis. A 28-year-old man had recurrent pneumothorax and underwent wedge resection. He presented at our hospital with hemoptysis, dyspnea, and chest pain. Chest computed tomography revealed left pneumothorax, multiple lung nodules and endobronchial lesions at the right lower basal lobe. Bronchoscopy showed a hemorrhagic mass obstructing the bronchus of the right lower basal lobe. Magnetic resonance imaging revealed multiple nodular lesions in the left thigh muscles. The bronchoscopic biopsy of the endobronchial lesion and the muscle biopsy of the thigh showed the same feature epithelioid sarcoma. This is the first case report of an epithelioid sarcoma with endobronchial metastasis that was diagnosed by bronchoscopic biopsy.

호흡운동을 병행한 몸통 근력운동과 심부 안정화 운동이 배근육 두께와 호흡에 미치는 영향 (Effect of Trunk Strength Exercise and Deep Stabilization Exercise Combined with Breathing Exercise on Abdominal Muscle Thickness and Respiration)

  • 김현수;이건철;추연기
    • 대한통합의학회지
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    • 제8권3호
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    • pp.181-188
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    • 2020
  • Purpose : The purpose of this study is to compare the effects on abdominal muscle thickness and breathing by applying trunk strength exercise and deep stabilization exercise along with breathing exercise, which is the main respiratory muscle during breathing, to present an efficient exercise method with diaphragm breathing. Methods : This study was performed on normal 6 females and 14 males subjects. They were divided into 2 groups which trunk strength exercise and deep stabilization exercise group. The trunk strength exercise group (TSE) attended prone press-up, crunch and pelvic tiling. The deep stabilization exercise group (DSE) attended abdominal drawing, horizontal side-support and bridging exercise. Breathing exercise was performed for each set break time for 1 minute. Results : First, in the comparison of the change in the thickness of the abdominal muscle between the trunk strength training group and the deep stabilization group before and after exercise, there was a statistically significant difference in the comparison of transverse abdominis (TrA), rectus femoris (RF), external oblique (EO), internal oblique (IO) (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Second, in the comparison of changes in respiratory function between the trunk strength exercise group and the deep stabilization exercise group before and after exercise, there were statistically significant differences in the exerted forced vital capacity (FVC), forced expiratory volume at one second (FEV1), peak expiratory flow (PEF) in the comparison before and after the experiment (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Conclusion : As a result of this study, it can be said that both trunk strength exercises and deep stabilization exercises along with diaphragm breathing are exercises that strengthen deep and superficial muscles, and have a positive effect on breathing function as well as muscle strength. However, it is not known which exercise was more effective, and because it was combined with breathing exercise, the interference effect appeared.