대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제9권4호
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  • Pages.399-406
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  • 2014
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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호흡근 강화 훈련이 뇌졸중 환자의 호흡기능, 호흡근력과 기침능력에 미치는 영향

The Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Cough Capacity in Stroke Patients

  • 조명래 (부산가톨릭대학교 일반대학원 물리치료학과) ;
  • 김난수 (부산가톨릭대학교 물리치료학과) ;
  • 정주현 (부산가톨릭대학교 일반대학원 물리치료학과)
  • Jo, Myeong-Rae (Department of Physical Therapy, Graduate School, Catholic University of Pusan) ;
  • Kim, Nan-Soo (Department of Physical Therapy, Catholic University of Pusan) ;
  • Jung, Ju-Hyeon (Department of Physical Therapy, Graduate School, Catholic University of Pusan)
  • 투고 : 2014.09.01
  • 심사 : 2014.10.10
  • 발행 : 2014.11.30
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초록

PURPOSE: The purpose of this study was to examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and cough capacity in stroke patients. METHODS: This study used a nonequivalent control group pre-post test design. We recruited thirty-four stroke patients(16male, 18female), who were assigned to intervention (n=17), or control (n=17) groups. Both groups participated in a conventional stroke rehabilitation program, with the intervention groups also receiving respiratory muscle training 20 minutes a day, three times a week, for 4 weeks. Respiratory function (forced vital capacity) and respiratory muscle strength (maximal inspiratory pressure, maximal expiratory pressure) were assessed by spirometry. Cough capacity (peak expiratory flow) was assessed using a peak flow meter. The collected data were analyzed by independent and paired t-tests. RESULTS: The intervention group showed a significant increase in the forced vital capacity (FVC), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP) and peak expiratory flow (PEF) at the end of the program, while the control group showed no significant changes. CONCLUSION: This study showed that respiratory muscle training increased respiratory function, respiratory muscle strength, and cough capacity in stroke patients and prevented a decrease in cough capacity. These findings suggest that respiratory muscle training effect on respiratory function, respiratory muscle strength and cough capacity for rehabilitation in patients with stroke.

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참고문헌

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