• 한국한의학연구원논문집
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• 제14권1호
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• pp.73-83
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• 2008

Background : Kigong(氣功) is to develope a nature-therapy by controling and recovering Jinki(眞氣) and it has common features in Yangsaengbeob(養生法), Doinbeob(導引法) and Jeongkisin(精氣神), but it is rarely researched and applied in clinic examine. Objectives : it is compared and contrasted among Kukseondo(國仙道) Yeonjeongwon(硏精院), Seokmunhoheub(石門呼吸). Result : Kukseondo, Yeonjeongwon, Seokmunhoheub have the same point that beginners breath slowly, deeply and naturally. The breathing in each group becomes deeper gradually by mental and physical relaxation although each group has a different breathing method, and it is similar to Jogigyeol(調氣訣) in Dongeuibogam. Ywasik(臥式) is distinguished by the presence of sensation. The breathing in Kukseondo is Yidanhoheub(二段呼吸), the breathing in Yeonjeongwon is Yugi(留氣) and the breathing in Seokmunhoheub is that the ratio of inhaling and blowing are 6 to 4. The breathing in each group is deep and small, Ki also accumulates in the Below-abdomen between blowing and inhaling. This is confirmed by Sinjunapgi(腎主納氣) theory in Oriental-medicine. There is the breath, which is through skin, in Kigonghoheub(氣孔呼吸) of Samhabdanbeop(三合丹法) and Jolidanbeop(造理丹法) in Kukseondo, it is also in Gwiilbeop(歸一法) of Seokmunhoheub. In Kukseondo's case, the breathing is through skin mainly instead of a respiratory organ. In Seokmunhoheub's case, the circulation of Ki is through skin during breathing. In Oriental-medicine, this is called as Pyejupimo(肺主皮毛) which is connected with lung and skin. The breathing coincide with tension and relaxation of body while the breathing through skin and the absorption of Ki spread sensation over the whole body, but the breathing through skin is just a specific ability from a training.

• 대한물리치료과학회지
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• 제29권2호
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• pp.57-65
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• 2022

Background: This study was to determine whether the diaphragmatic breathing exercise using a DiP Belt(Diaphragmatic Pressure Belt) is effective in increasing the diaphragmatic motion and forced vital capacity. Design: Pretest-Posttest design. Methods: A total of 44 subjects(15 male, 29 female) participated in this study. All subjects were measured the diaphragmatic motion with a sonography and the Forced Vital Capacity(FVC) was measured with a digital spirometer. After 4 weeks, the subjects were intervened the diaphragmatic breathing exercise using a DiP belt and were remeasured for diaphragm motion and FVC. Results: After exercise intervention, quiet breathing significantly increased with the change in diaphragmatic motion and showed a moderate effect size (p<.01, Cohen's d = -0.53). In addition, it was significantly increased in deep breathing and showed a high effect size (p<.001, Cohen's d = -1.32). The mean diaphragmatic contraction pressure increased, but there was no significant difference and the peak diaphragmatic contraction pressure increased significantly (p<.05). Both diaphragmatic contraction pressure showed small effect sizes (respectively Cohen's d = -0.28, -0.33). In spirometry, FVC, Forced Expiratory Volume in 1 second (FEV₁), and FEV₁/FVC% all increased, but there was no significant difference. Only peak expiratory flow increased significantly and showed a small effect size (p<.05, Cohen's d = -0.41). Conclusion: The DiP belt diaphragmatic breathing exercise that the principle of visual feedback can correct diaphragm breathing in a short time, so it is a useful breathing exercise device that can help the diaphragm breathing exercise in the right way in clinical practice.

• 국제물리치료학회지
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• 제8권2호
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• pp.1142-1145
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• 2017

The purpose of this study was to examine the effect of kinematic taping on respiratory muscle strength in smokers. Twenty - five university students who smoke were involved in the study. All participants were applied to kinematic taping to breathe deeply again. Subjects sit on their backs straight up and place their hands on their thighs. Tape 1 is applied from the lower prominent neck vertebrae(seven cervical vertebra) inward and downward, past shoulder blade, around ribs to the lower tip of sternum. Tape 2 extends to the lower, outer edge of shoulder blade, around ribs to the lower tip of sternum. Respiratory muscle strength was measured with Micro Mouth Pressure Measurement before and after taping. The application of kinematic taping significantly improved the inspiratory and expiratory muscle strength (p<.05). These findings suggest that kinematic taping effective in improving respiratory muscle strength and deep breathing.

• Radiation Oncology Journal
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• 제36권1호
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• pp.79-84
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• 2018

Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.

• 전기학회논문지
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• 제67권6호
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• pp.794-798
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• 2018

There is a growing need for a care system that can continuously monitor, manage and effectively relieve stress for modern people. In recent years, mobile healthcare devices capable of measuring heart rate have become popular, and many stress monitoring techniques using heart rate variability analysis have been actively proposed and commercialized. In addition, respiratory biofeedback methods are used to provide stress relieving services in environments using mobile healthcare devices. In this case, breathing information should be measured well to assess whether the user is doing well in biofeedback training. In this study, we extracted the heart beat interval signal from the PPG and used the oscillator based notch filter based on the IIR band pass filter to track the strongest frequency in the heart beat interval signal. The respiration signal was then estimated by filtering the heart beat interval signal with this frequency as the center frequency. Experimental results showed that the number of breathing could be measured accurately when the subject was guided to take a deep breath. Also, in the timeing measurement of inspiration and expiration, a time delay of about 1 second occurred. It is expected that this will provide a respiratory biofeedback service that can assess whether or not breathing exercise are performed well.

• 대한통합의학회지
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• 제10권4호
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• pp.187-197
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• 2022

Purpose: This study aimed to investigate the changes in the muscle activity of the trunk stabilizer muscles before and after incorporating Pilates breathing during three types of Pilates chair exercises. Methods: This study included 33 healthy men and women in their 20's; they were recruited according to the inclusion and exclusion criteria. sEMG was used to measure the changes in the muscle activity in the internal oblique/transverse abdominis, rectus abdominis, and erector spinae during the three types of Pilates chair movements (footwork, twist footwork, and bridging) without and with the Pilates breathing integration. The muscle activities of the trunk stabilizers between without and with Pilates breathing were statistically analyzed and compared. Results: The internal oblique/transverse abdominis showed an increase and a significant difference in the muscle activity in all three movements of footwork, twist footwork, and bridging after the Pilates breathing integration (p<.001). The muscle activity of the rectus abdominis (p<.05) and the erector spinae (p<.05) also increased and showed a significant difference after the Pilates breathing incorporation, except in the bridging movement for the erector spinae. The increase in the rate after integrating Pilates breathing was relatively greater in internal oblique/transverse abdominis than in other muscles. Conclusion: When Pilates breathing was applied, the activities of the trunk stabilizer muscles increased significantly and immediately in all three movements of Pilates chair footwork, twist footwork, and bridging. This means that the use of breathing is expected to have a positive and immediate effect on the activation of trunk stabilizers, thus indicating that it can possibly be an effective re-enforcing tool to promote trunk stability when it is integrated to the Pilates chair exercise. Incorporating Pilates breathing also seemed to have a tendency to activate the deep trunk stabilizer muscles more than the superficial stabilizer muscles.

• 대한의용생체공학회:의공학회지
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• 제39권2호
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• pp.87-93
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• 2018

The measurement of Heart Rate Variability (HRV) using electrocardiogram (ECG) signals has been used to predict fatigue and stress levels in a clinical environment, yet, owing to the complexity of such ECG systems, a domestic, nonclinical monitoring of HRV has not been a practical possibility. Recently though, Pulse Rate Variability (PRV) has been studied as an alternative to HRV. In this study, we investigated the reliability of measuring PRV by means of a smartwatch. The PRV results were compared to HRV results in similar test conditions, i.e. those obtained under rapid and deep-breathing scenarios. From the results obtained, it transpires that the Bland-Altman ratio and cross-correlation coefficients between several PRV and HRV parameters were highly correlated, thus suggesting that the results of measuring PRV using a smartwatch can be used to predict HRV in nonclinical environments.

• Journal of Yeungnam Medical Science
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• 제2권1호
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• pp.77-80
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• 1985

심전도에 의한 R-R 간격변동은 자율신경계의 기능을 검사하는데 매우 유용하고 또한 교감 신경계와 부교감신경계의 가능을 정량적으로 알아낼 수 있을 것으로 사료되었다. 특히, 당뇨병질환에 있어서 자율신경계의 dysfunction현상을 고찰하는데 매우 유용할 것으로 기대된다(Fig.5 참조). 그러나 임상에 직접 적용시켜온 바로는 기립시, 심호흡시에 발생되는 근전도에 의한 잡음이 간혹 발생되는 경우가 있는데 이것은 전극접착법과 무선송신기에 의해 제거될 것으로 기대되며 향후의 과제로 남아있다.

• Radiation Oncology Journal
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• 제32권2호
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• pp.84-94
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• 2014

Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.

• Biomaterials and Biomechanics in Bioengineering
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• 제2권4호
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• pp.225-235
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• 2015

Treatments for asthma are largely pharmaceutical, with some therapies also utilising alternative breathing techniques. The objective of both medical and alternative methods is to relax contracted airway smooth muscle (ASM). In normal subjects, tidal breathing- and deep inspiration-oscillations are believed to have a bronchodilatory effect. Similarly, application of length oscillations to isolated, contracted ASM also elicits muscle relaxation. As a means of investigating more-effective alternative treatment methods for contracted airways, we analyse the combined effects of bronchodilators and length oscillations on isolated, contracted ASM. The contractile state of the muscle tissue prior to treatment is of primary interest. Thereafter, the effect of applying a combination of small superimposed length oscillations with tidal breathing-like oscillations to ASM is studied alone and in combination with a common bronchodilator, isoproterenol (ISO). This work suggests that relaxation of isolated, contracted ASM following application of combined oscillations and ISO is larger than treatments of either combined oscillations or ISO alone. Further, the observed oscillation-associated relaxation is found to be amplitude- rather than frequency-dependent. This study gives additional insight into the role of oscillations and bronchodilators on contracted airways.