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The Effects of Whole Body Vibration Stimulation Training Combined with Respiratory resistance on Respiratory and Balance Function in Stroke Patients

호흡저항이 병행된 전신진동자극 훈련이 뇌졸중환자의 호흡기능 및 균형능력에 미치는 영향

  • Kim, Byeong-Soo (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Park, Sam-Ho (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Park, Hyo-Jung (Dept. of Physical Therapy, Graduate School, Yongin University) ;
  • Lee, Myung-Mo (Dept. of Physical Therapy, Daejeon University)
  • 김병수 (대전대학교 일반대학원 물리치료학과) ;
  • 박삼호 (대전대학교 일반대학원 물리치료학과) ;
  • 박효정 (용인대학교 일반대학원 물리치료학과) ;
  • 이명모 (대전대학교 물리치료학과)
  • Received : 2019.09.06
  • Accepted : 2019.10.20
  • Published : 2019.10.28

Abstract

This study was conducted to investigate the effects of whole body vibration stimulation training combined with respiratory resistance on respiratory and balance function in stroke patients. 17 patients with chronic stroke were randomly assigned to the experimental group (n = 8) and the general vibration exercise program (n = 9). The intervention was conducted three times a week for 30 minutes once a week for 4 weeks. The respiratory function and balance ability were evaluated before and after the intervention to evaluate the degree of functional improvement. As a result, there was a significant difference (p<.05) between the respiratory function and the balance ability in the experimental group, and a significant difference(p<.05) in the respiratory function between the experimental group and the control group. The balance ability was not significantly different among the experimental groups. Through the results of this study, whole body vibration stimulation training combined with respiratory resistance may be useful as a program for improving respiratory function and balance ability of stroke patients.

Acknowledgement

Supported by : National Research Foundation of Korea(NRF)

References

  1. OECD Health Statistics. (2016). Available from: http://opendata.hira.or.kr/op/opc/olapOecdInfo.do.
  2. Korea national statistical office. (2018). Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1012
  3. L. Mercier et al. (2001). Impact of motor cognitive and perceptual disorders on ability to perform activities of daily living after stroke. Stroke, 32(11), 2602-2608. https://doi.org/10.1161/hs1101.098154
  4. S. Ryerson et al. (2008). Altered trunk position sense and its relation to balance functions in people post-stroke. Journal of Neurologic Physical Therapy, 32(1), 14-20. https://doi.org/10.1097/NPT.0b013e3181660f0c
  5. R. W Bohannon. (2007). Knee extension strength and body weight determine sit-to-stand independence after stroke. Physiotherapy Theory and Practice, 23(5), 291-7. https://doi.org/10.1080/09593980701209428
  6. J. Mehrholz et al. (2007). Electromechanical -assisted training for walking after stroke. Cochrane Database Systematic Reviews, 17(4). 1
  7. R. S. Howard et al. (2001). Pathophysiological and clinical aspects of breathing after stroke. Postgraduate Medical Journal, 77(913), 700-2. https://doi.org/10.1136/pmj.77.913.700
  8. L. F. Teixeira-Salmela et al. (2005). Respiratory pressures and thoracoabdominal motion in community-dwelling chronic stroke survivors. Archives of physical medicine and rehabilitation, 86(10), 1974-8 https://doi.org/10.1016/j.apmr.2005.03.035
  9. P. Weiner et al. (2003). Comparison of specific expiratory inspiratory and combined muscle training programs in COPD. CHEST Journal, 124(4), 1357-1364. https://doi.org/10.1378/chest.124.4.1357
  10. J. Rittweger et al. (2002) Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise: a randomized controlled trial. Spine, 27, 1829-34. https://doi.org/10.1097/00007632-200209010-00003
  11. M. Roelants et al. (2006). Whole-body-vibration-induced increase in leg muscle activity during different squat exercises. The Journal of Strength and Conditioning Research, 20, 124. 1
  12. T. K. Tihanyi et al. (2007) One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke. Clinical Rehabilitation, 21, 782-793. https://doi.org/10.1177/0269215507077814
  13. Van Nes et al. (2006). Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke a randomized, controlled trial, Stroke 37, 2331-2335. https://doi.org/10.1161/01.STR.0000236494.62957.f3
  14. G. Lee. (2015). Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study. Journal of Physical Therapy Science, 27, 1133-1136. https://doi.org/10.1589/jpts.27.1133
  15. L. Moodie et al. (2011). Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: A Systemic review. journal of Physiotherapy. 57(4), 213-221. https://doi.org/10.1016/S1836-9553(11)70051-0
  16. E. Cappadocia Carin et al. (2016). Improved Balance with Aquatic Therapy and Body Weight Supported Treadmill Training for a Patient with Chronic Strokes. Journal of Aquatic Physical Therapy, Winter. 24(1), 32-40. 1
  17. D. K. Lee et al. (2018). The effect of respiratory exercise on trunkcontrol, pulmonary function, an dtrunkmuscle activity in chronic stroke patients. journal of Physical Therapy Science, 30(5), 700-703. https://doi.org/10.1589/jpts.30.700
  18. AR. Amani. (2018). The effect of creatine mono hydrate supple ment on stroke volume during high intensity aerobic exercise in non active adults. Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 22(3), 120-123.
  19. I. Bautmans et al. (2005). The feasibility of whole body vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: a randomised controlled trial [ISRCTN62535013]. BMC geriatrics, 5, 17. https://doi.org/10.1186/1471-2318-5-17
  20. Ross A. Clark. et al. (2010). Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait & posture, 31(3), 307-310. https://doi.org/10.1016/j.gaitpost.2009.11.012
  21. S. Downs et al. (2014). Normative scores on the Berg Balance Scale decline after age 70 years in healthy community-dwelling people: a systematic review. journal of Physiotherapy, 60, 85-89 https://doi.org/10.1016/j.jphys.2014.01.002
  22. D. Podsiadlo et al. (1991). The timed up & go : a test of Basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39, 142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  23. DJ. Lynn et al. (1994). Respiratory dysfunction in muscular dystrophy and other myopathies. Clinics in chest medicine, 15(4), 661-674 1
  24. M. De Haart et al. (2004). Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Archives of physical medicine and rehabilitation, 85(6), 886-95. https://doi.org/10.1016/j.apmr.2003.05.012
  25. D. J. Cochrane. (2011). Vibration Exercise: The Potential Benefits. International Journal of Sports Medicine, 32(2), 75-99. https://doi.org/10.1055/s-0030-1268010
  26. Y. Jammes et al. (2000). Response of the rabbit diaphragm to tendon vibration. Neuroscience Letters, 290(2), 85-8. https://doi.org/10.1016/S0304-3940(00)01301-X
  27. D. Leduc et al. (2001). Response of the canine internal intercostal muscles to chest wall vibration. American Journal of Respiratory and Critical Care Medicine, 163(1), 49-54. https://doi.org/10.1164/ajrccm.163.1.2004166
  28. J. Rittweger. (2010). Vibration as an exercise modality: how it may work, and what its potential might be. European Journal of Applied Physiology, 108, 877-904. https://doi.org/10.1007/s00421-009-1303-3
  29. J. H. Kim et al. (2014). Effects of Respiratory Muscle and Endurance Training using an Individualized Training Device on Pulmonary Function and Exercise Capacity in Stroke Patients. Medical Science Monitor, 20, 2543-2549. https://doi.org/10.12659/MSM.891112
  30. R. R. Britto et al. (2011). Inspiratory muscular training in chronic stroke survivors: a randomized controlled trial. Archives of physical medicine and rehabilitation, 92(2), 184-90. https://doi.org/10.1016/j.apmr.2010.09.029
  31. A. Nicolini et al. (2013). Effectiveness of treatment with high-frequency chest wall oscillation in patients with bronchiectasis. BMC Pulmonary Medicine, 13, 21. https://doi.org/10.1186/1471-2466-13-21