DOI QR코드

DOI QR Code

치료적 복합운동이 제한성 폐질환 노인의 호흡기능과 체간자세 개선에 미치는 효과

Effects of Combined Therapeutic Exercise on Improvement of Respiratory Function and Trunk Posture in Elderly Patients with Restrictive Lung Disease

  • 왕중산 (여주대학교 물리치료과)
  • Wang, Joong-San (Dept. of Physical Therapy, Yeoju Institute of Technology)
  • 투고 : 2015.07.21
  • 심사 : 2015.09.20
  • 발행 : 2015.09.28

초록

본 연구의 목적은 호흡기 장애가 있는 제한성 폐질환 노인의 체간에 관절가동술과 스트레칭이 호흡기능, 자세, 신체피로감의 개선효과를 확인하는데 있다. 연구대상자는 총 10명으로 2014년 1월부터 동년 11월까지 8주간 비동시적으로 진행되었고, 주 3회, 1일 30분간 체간에 관절가동술과 스트레칭을 실시하였다. 연구 결과 FVC, FEV1, 체간자세, 체간움직임, 신체피로감이 유의하게 개선되었다(p<.05). 본 연구를 통해 관절가동술과 스트레칭이 호흡기장애 노인의 호흡기능, 체간자세, 체간움직임, 신체피로감을 동시에 개선시킬 수 있는 호흡정형물리치료가 될 수 있음을 확인하였다. 이후 연구들에서는 제한성 폐질환 노인을 대상으로 본 연구에서 적용한 호흡정형물리치료와 운동 분야들과의 치료적 융복합을 통한 지속적인 연구가 필요하겠다.

참고문헌

  1. D. M. Mannino, E. S. Ford, S. C. Redd, "Obstructive and restrictive lung disease and functional limitation: data from the Third National Health and Nutrition Examination. J Intern Med", Vol. 254, No. 6, pp. 540-547, 2003. https://doi.org/10.1111/j.1365-2796.2003.01211.x
  2. doi: http://www.respiratory-research.com/content/pdf/1465-9921-14-22.pdf.
  3. B. Salh, T. Troosters, M. Behaege, G. Joos, E. Derom, "Effects of Pulmonary Rehabilitation in Patients With Restrictive Lung Diseases, Chest", Vol. 137, No. 2, pp. 273-279, 2010. https://doi.org/10.1378/chest.09-0241
  4. F. S. Gayzik, M. M. Yu, K. A. Danelson, D. E. Slice, J. D. Stitzel, "Quantification of age-related shape change of the human rib cage through geometric morphometrics. J Biomech", Vol. 41, No. 7, pp. 1545-1554, 2008. https://doi.org/10.1016/j.jbiomech.2008.02.006
  5. S. J. Edmondston, K. P. Singer, "Thoracic spine: anatomical and biomechanical considerations for manual therapy. Man Ther", Vol. 2, No. 3, pp. 132-143, 1997. https://doi.org/10.1054/math.1997.0293
  6. G. K. Fitzgerald, K. J. Wynveen, W. Rheault, B. Rothschild, "Objective assessment with establishment of normal values for lumbar spinal range of motion. Phys Ther", Vol. 63, No. 11, pp. 1776-1781, 1983. https://doi.org/10.1093/ptj/63.11.1776
  7. D. A. Neumann, "Kinesiology of the musculoskeletal system: Foundations for rehabilitation (2th ed), Mosby". 2010.
  8. T. Seacrist, J. Saffioti, S. Balasubramanian, J. Kadlowec, R. Sterner, J. F. Garcia-Espana, K. B. Arbogast , M. R. Maltese, "Passive cervical spine flexion: The effect of age and gender. Clin Biomech", Vol. 27, No. 4, pp. 326-333, 2012. https://doi.org/10.1016/j.clinbiomech.2011.10.012
  9. A. M. Briggs, J. H. van Dieën, T. V. Wrigley, A. M. Greig, B. Phillips, S. K. Lo, K. L. Bennell, "Thoracic kyphosis affects spinal loads and trunk muscle force. Phys Ther", Vol. 87, No. 5, pp. 595-607, 2007. https://doi.org/10.2522/ptj.20060119
  10. Hee-Joon Shin, "The Effects of respiratory training programs on respiratory function and fatigue of elderly in a facility. Ph.D. dissertation", p.36-80, Yongin University. 2012.
  11. Pil-Neo Hwangbo, "The effects of thoracic joint mobilization and self stretching exercise on the pulmonary function of patients with chronic neck pain", p.21-40, Daegu University. 2011.
  12. Joo-Hyun Park, "The effects of evjenth-hamberg stretching and static stretching on improvement of forward head posture. Ph.D. dissertation", p.39-88, Yongin University. 2012.
  13. O. Evjenth, and J. Hamberg, "Muscle stretching in manual therapy: The spinal column and the temporo-mandibular joint. Sweden: Alfta Rehab", 1994.
  14. M. Kondratek, M. E. Pepin, J. Krauss, D. Preston, "Effects of hold-relax and active range of motion on thoracic spine mobility", J Int Acad Phys Ther Res, Vol. 3, No. 2, pp. 413-421, 2012. https://doi.org/10.5854/JIAPTR.2012.10.30.413
  15. Y. M. Oh, "How many patients with mixed spirometric pattern really have restrictive disorders?. Tuberc Respir Dis", Vol. 47, No. 6, pp. 836-842, 1999. https://doi.org/10.4046/trd.1999.47.6.836
  16. Y. C. Kwon, J. H. Park, "Korean version of Mini-Mental State Examination(MMSE) Part I: development of the test for the eldery. J Korean Neuropsychiatr Assoc", Vol. 13, No. 2, pp. 125-135, 1989.
  17. A. F. Mannion, K. Knecht, G. Balaban, J. Dvorak, D. Grob, "A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: Reliability of measurements and comparison with data reviewed from the literature. Eur Spine J", Vol. 13, No. 2, pp. 122-136, 2004. https://doi.org/10.1007/s00586-003-0618-8
  18. W. B. Katzman, D. E. Sellmeyer, A. L. Stewart, L. Wanek, K. A. Hamel, "Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women, Arch Phys Med Rehabil", Vol. 88 No. 2, pp. 192-199, 2007. https://doi.org/10.1016/j.apmr.2006.10.033
  19. M. Guermazi. S. Ghroubi, M. Kassis, O. Jaziri, H. Keskes, W. Kessomtini, I. Ben Hammouda, M. H. Elleuch, "Validity and reliability of Spinal $Mouse^{(R)}$ to assess lumbar flexion. Ann Readapt Phys", Vol. 49, No. 4, pp. 172-177, 2006. https://doi.org/10.1016/j.annrmp.2006.03.001
  20. B. F. Piper, "Subjective fatigue in women receiving six cycles of adjuvant chemotherapy for breast cancer. Ph.D. dissertation", San Francisco: California University. 1992.
  21. F. M. Kaltenborn, O. Evjenth, T. B. Kaltenborn, and E. Vollowitz, "The spine: Basic evaluation and mobilization techniques(3th ed), Norway: Olaf Norlis Bokahandel", 1993.
  22. P. H. Gallego, J. M. T. Moreno, O. L Lopez, S. C. Polo, C. H. Garcia, E. D. Miguel, "Indirect influence of specific Kaltenborn glide mobilizations of the carpal joint on a subject with neurological impairments. J Bodyw Mov Ther", Vol. 11, No. 4, pp. 275-284, 2007. https://doi.org/10.1016/j.jbmt.2006.11.004
  23. O. Evjenth, and J. Hamberg, "Muscle stretching in manual therapy: The extremities. Sweden: Alfta Rehab", 1994.
  24. C. Kisner, L. Colby, "Therapeutic Exercise: Foundations and Techniques(5th ed), Philadelphia: FA Davis", 2007
  25. F. P. Kendall, K. E. McCreary, G. P. Provance, M. M. Rodgers, W. R. Anthony, Muscles testing and function with posture and pain. Philadelphia: Lippincott Williams & Wilkins", 2005
  26. T. W. Myers, D. Juhan, L. Chaitow, "Anatomy trains: myofascial meridians for manual and movement therapists. Churchill Livingstone", 2001.
  27. J. M. Muyor, P. A. Lopez-Minarro, F. Alacid, "A comparison of the thoracic spine in the sagittal plane between elite cyclists and non-athlete subjects. J Back Musculoskelet Rehabil", Vol. 24, No. 3, pp. 129-135, 2011. https://doi.org/10.3233/BMR-2011-0286
  28. S. C. Chon, K. Y. Chang, "The effects of evjenth-hamberg stretching on active range of motion of the hip joint and the pennation angle the purpose of this study. Korean Res Society Phys Ther", Vol. 17, No. 2, pp. 43-50, 2010.
  29. Hyun-Hee Lee, "The effects of Evjenth-Hamberg stretching on range of motion of knee joint and isometric, isokinetic muscle strength, M.D. dissertation", p.26-53, Yonsei University. 2004.
  30. D. H. Lacaze, C. Sacco Ide, L. E. Rocha, C. A. Pereira, R. A. Casarotto, "Stretching and joint mobilization exercises reduce call-center operators' musculoskeletal discomfort and fatigue. Clinics(Sao Paulo)", Vol. 65, No. 7, pp. 657-662, 2010. https://doi.org/10.1590/S1807-59322010000700003
  31. Won-Hyun Kim, Seung-Suk Kim, "Effect of the visually handicapped's participation in an aerobic exercise program on cardiorespiratory function and arterial pulse wave. Journal of Digital Convergence", Vol. 11 No. 3, pp. 337-344, 2013. https://doi.org/10.14400/JDPM.2013.11.3.337
  32. Yong-Sik Jeong, "Effects of self stretching exercise and movement with mobilization in lunge position on the muscle activity and balance in chronic stroke patients. Journal of Digital Convergence", Vol. 11 No. 10, pp. 549-556, 2013. https://doi.org/10.14400/JDPM.2013.11.10.549