• 제목/요약/키워드: Thorax mobility

검색결과 3건 처리시간 0.02초

가슴 가동성 제한을 가지고 있는 대상자에게 가슴 가동성 운동이 가슴가동성, 호흡패턴 및 호흡량에 미치는 효과: 사례 시리즈 (Effects of Thorax Mobility Exercise on the Thorax Mobility, Breathing Pattern and Respiratory Capacity in Subject With Restricted Thorax Mobility: A Case Series)

  • 하성민
    • 재활치료과학
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    • 제12권2호
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    • pp.99-107
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    • 2023
  • 목적 : 본 연구는 가슴 가동성 제한을 가지고 있는 대상자에게 가슴 가동성 운동이 가슴 가동성, 호흡 패턴 및 호흡 용량에 미치는 영향을 알아보고자 하였다. 연구방법 : 13명의 가슴 가동성 제한을 가진 남/녀 대상자를 대상으로 가슴 가동성 운동(갈비뼈 가동성 운동)을 시행하여 가슴 가동성, 호흡 패턴 및 호흡량에 어떠한 변화가 있는지를 알아보았다. 가슴 가동성 운동 전/후에 연구 참여 대상자의 가슴 가동성(들숨-날숨 간 가슴 확장 길이 측정), 호흡 패턴 형태(가슴 움직임 수직 이동거리 측정) 및 호흡량(forced vital capacity, forced expiratory volume in 1 second)을 측정하였다. 가슴 가동성, 호흡 패턴 및 호흡 용량을 비교하기 위하여 짝-검정을 사용하였다. 통계적 유의성 검정을 위한 유의수준은 .05였다. 결과 : 가슴 가동성과 호흡 패턴은 통계적으로 유의한 차이가 있지만, 호흡 용량은 유의한 차이가 없었다(p < .05). 결론 : 본 연구의 결과를 토대로 갈비뼈 가동화 기법을 이용한 가슴 가동성 운동은 가슴 가동성 개선과 가슴 올림이 유발되는 비정상적인 호흡 패턴을 정상화시킬 수 있는 방법이라고 여겨진다.

요통환자의 척주골격근 균형회복을 위한 실증적 연구 - 사지골격근의 침 자극모형을 중심으로 - (The Experimental Study for the Balanced Restoration on the part of Spinal Skeletal Muscles in Low Back Pain Patients - By Acupuncture Stimuli Model of Limb Skeletal Muscle -)

  • 문상은;이천복
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.907-915
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    • 2001
  • The purpose of this study is to effectively treat low back pain for the out patients who have been treated at the oriental hospital. Sorting the low back pain patients into four types based on scapular and ilium tilting hyper/hypo mobility characteristics, it has used several kinds of acupuncture stimuli on the 4 motor points of limb skeletal muscles, analyzing the acupuncture treatment on the 12 acupuncture points with which oriental hospitals has given to the low back pain patients and comparing with this effect. It has been analyzed how effectively the acupuncture stimuli has been contributed to the low back pain patients who suffered from skeletal muscles of spinal limb thorax abdominal and spinal skeletal system. The results are as follows. 1. There has been changes after treatment in both the control and experimental groups for low back pain patients, but the latter has been more increased in changes than the former. 2. There were much effects on the balanced restorations for spinal skeletal muscle in both the control group and experimental one, but on terms of restoration degree, the degree of the experimental group was higher than that of the control group. 3. Both the contrastive treatment and the experimental one have been contributed to the balanced restoration for all of the limb thorax abdominal muscles, but there were a few differences in terms of the way for restoration and the effects for improvement according to body types. 4. On both the control and the experimental group, spinal skeletal system has been restored with balance, but the experimental group has been higher effective on the balanced restoration than the one of the control group. Considering these results both the control and the experimental treatments have been contributed to the balanced restorations for all of low back pain patients who were suffering from skeletal muscles of spinal limb thorax abdominal and spinal skeletal system, but the contribution degree for the experimental group has been higher than that of the control group.

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1개 종합병원 환자의 낙상에 관한 조사 (A Study on Fall Accident)

  • 이현숙;김매자
    • 대한간호
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    • 제36권5호
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    • pp.45-62
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    • 1998
  • The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

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