The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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The improve of hemiplegic patients functional ambulation profile by forceful respiratory exercise

노력성 호흡운동을 통한 편마비환자의 기능적 보행지수 개선

  • Kim Byung-jo (Department of Physical Therapy, Dong-eui medical center) ;
  • Bae Sung-soo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Hwang-bo Gak (Department of Physical Terapy, Dongju College)
  • 김병조 (동의의료원 물리치료실) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과) ;
  • 황보각 (동주대학 물리치료과)
  • Published : 2004.03.01
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Abstract

The purpose of this study was to evaluate the change of functional ambulation profile(FAP) and temporal-spatial gait parameters in hemiplegic patient by forceful respiratory exercise. 28 Hemiplegic patients due to stroke was randomized in 3 groups, forceful expiratory training(FET), forceful inspiratory training(FIT) and control group. In the experimental groups, ordinary physical therapy with forceful expiratory training and forceful inspiratory training for 20 minutes duration 3 times per week for 6 weeks were respectively performed. In the control group, only ordinary physical therapy was done. FAP and temporal-spatial gait parameters was measured at before and after experiments. The results of this experimental study were as follows : 1. In comparison of FAP before and after experiment, the FAP was significantly increased in the FET and FIT group (p<.01). In comparison of difference of FAP among 3 groups, there was the significant difference between the FIT group and the control group (p<.05). 2. The results of temporal-spatial gait parameters are as follows : 1) In comparison of gait velocity before and after experiment, the gait velocity was significantly increased in the FET and FIT group (p<.05). In comparison of difference of the gait velocity among 3 groups, there was the significantly difference between the FIT group and the control group (p<.05). 2) In comparison of gait cadence before and after experiment, the gait cadence was significantly increased in FIT group (p<.05). In comparison of the difference of the gait cadence among 3 groups, there was no significant difference between the FIT group and the control group (p>.05). Based on these results, it is concluded that the forced respiratory exercise program for 6 weeks can be improve the FAP and temporal-spatial gait parameters in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients.

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