The Efficacy of Pulmonary Rehabilitation Using Mechanical In-Exsufflator in Stroke Patients with Tracheostomy Tube

강제 양압식 호흡훈련이 기관절개관을 삽입한 뇌졸중 환자의 호흡재활에 미치는 효과

  • Jang, Sang-Hun (Graduate school of physical therapy, Daegu University) ;
  • Lee, Yean-Seop (Graduate school of physical therapy, Daegu University) ;
  • Kim, Jin-Sang (Department of physical therapy, Daegu University)
  • 장상훈 (대구대학교 재활과학과 대학원) ;
  • 이연섭 (대구대학교 재활과학과 대학원) ;
  • 김진상 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2012.04.25
  • Accepted : 2012.07.12
  • Published : 2012.07.31


The purpose of this study was to investigate the efficacy of mechanical in-exsufflator (MI-E) with on pulmonary rehabilitation in stroke patients with trachostomy tube. Methods: We studied ten stroke patients who had neither history nor radiologic finding of pulmonary disease. The pulmonary function was evaluated by measuring forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and forced expiratory ratio (FEV1/FVC) The capacity of cough was evaluated by measuring manual assisted peak cough flow (MPCF). Data were analyzed statistically using repeated ANOVA test. Results:The results were as follows : 1) There are significant improvement of FVC and FEV1 according to training period (p<.05). 2) There are significant improvement of MPCF according to training period (p<.05). Conclusion:These results suggest that MI-E training can be used as an effective therapeutic modality for improvement of pulmonary function and capacity of cough in stroke patients with tracheostomy.


Mechanical in-exsufflator;Tracheostomy;Pulmonary rehabilitation


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