Journal of Korea Entertainment Industry Association (한국엔터테인먼트산업학회논문지)

The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
권호 표지
DOI QR코드

DOI QR Code

Changes in Thoracoabdominal Usage Rate after Respiratory Pattern Correction in Patients with Lumbar Instability

호흡패턴교정이 요추불안정성자의 흉·복부 사용률에 미치는 효과

  • Ki, Chul (GwangJu M-training Institute, Department of Physical therapy) ;
  • Heo, Myoung (Department of Occupational therapy Gwangju University)
  • 기철 (광주 M-training Institute) ;
  • 허명 (광주대학교 작업치료학과)
  • Received : 2020.09.22
  • Accepted : 2020.10.27
  • Published : 2020.10.31
⟨ Previous Next ⟩

Abstract

The Many patients who have lumbar instability(LI) could make a different trunk movement pattern by reduction of their respiratory function and altered breathing pattern. This study was conducted to investigate the change in the thoracoabdominal usage rate(TAUR) on three circumference lines(axillary, xiphoid junction, 10th rib) during the resting and forced breathing (RB and FB) after respiratory pattern correction(RPC) exercises in patients with LI. 15 patients in the experimental group performed RPC exercises, and 15 patients in the control group conducted lumbar stabilization exercises. Before the intervention, both groups had a significant difference in the usage rate among the three thoracoabdominal lines during the RB and FB(p<.05). After the intervention, the experimental group was seen no significant difference in the usage rate among the three lines during the RB(p>.05) and exhibited significant differences in the usage rate between the two thoracoabdominal lines during the FB(p<.05). The RPC exercises might improve the trunk movement patterns by restoring the respiratory patterns. We suggest that the RPC can apply in the re-education and reinforcement process at the reha-program for LI patients.

많은 요추 불안정성 환자들은 호흡 기능 감소와 호흡 패턴 변화로 인해 몸통 움직임 패턴의 변화를 나타낸다. 본 연구는 요추 불안정성 환자의 호흡 패턴 교정 운동 후 안정 및 노력성 호흡 동안 3개의 흉·복부 둘레 선 (겨드랑이, xiphoid junction, 10번째 갈비뼈)에 대한 사용률 변화를 조사하기 위해 실행하였다. 실험군 15명은 호흡 패턴 교정 운동을, 대조군 15명은 요추 안정화 운동을 실시했다. 중재 전, 두군 모두 안정 호흡과 노력성 호흡 동안 3개의 흉·복부 라인 간의 사용률에서 유의한 차이를 보였다(p<.05). 중재 후, 실험군은 안정 호흡 동안에 3 라인간 사용률 차이가 없는(p>.05) 변화를 나타내었고 노력성 호흡 동안에 두 라인 간 사용률의 변화를 나타내었다(p<.05). 호흡 패턴 교정 운동은 호흡 패턴의 회복을 통해 몸통 운동 패턴을 개선하였다. 따라서 우리는 호흡 패턴 교정이 요추 불안정성 환자를 위한 재활-프로그램의 재교육 및 강화 과정에 적용될 수 있음을 제안한다.

Keywords

Acknowledgement

이 논문은 2020년도 광주대학교 학술연구비 지원을 받아 수행되었음

References

  1. Lewit, K.(1980). Relation of faulty respiration to posture, with clinical implications. J Am Osteopath Assoc, 79(8): 525-529.
  2. Bradley, H., & Esformes, J.(2014). Breathing pattern disorders and functional movement. Int J Sports Phys Ther, 9(1): 28-39.
  3. O'Sullivan, P.(2005). Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther, 10(4): 242-255. https://doi.org/10.1016/j.math.2005.07.001
  4. Perri, M.(2007). Rehabilitation of breathing pattern disorders. Liebenson C. Rehabilitation of the Spine: a practitioner's manual, 2nd ed. Philadelphia: Lippincott Williams & Wilkins.
  5. O'Sullivan, P.B., & Beales, D.J.(2007). Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: a case series. Man Ther, 12(3): 209-218. https://doi.org/10.1016/j.math.2006.06.006
  6. Roussel, N., Nijs, J., Truijen, S., Vervecken, L., Mottram, S., & Stassijns, G.(2009). Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study. Eur Spine J, 18(7): 1066-1073. https://doi.org/10.1007/s00586-009-1020-y
  7. Ostwal, P.P., & Wani, S.K.(2014). Breathing pattern in patients with low back pain. Int J Physiother Res, 2(1): 347-353.
  8. Hamaoui, A., Do, M.C., Poupard, L., & Bouisset, S.(2002). Does respiration perturb body balance more in chronic low back pain subjects than in healthy subjects? Clin Biomech (Bristol, Avon), 17(7): 548-550. https://doi.org/10.1016/S0268-0033(02)00042-6
  9. Grimstone, S.K., & Hodges, P.W.(2003). Impaired postural compensation for respiration in people with recurrent low back pain. Exp Brain Res, 151(2): 218-224. https://doi.org/10.1007/s00221-003-1433-5
  10. Perri, M.A., & Halford, E.(2004). Pain and faulty breathing: a pilot study. J Bodyw and Mov Ther, 8(4): 297-306. https://doi.org/10.1016/S1360-8592(03)00085-8
  11. Gilbert, R., Auchincloss, J.H.Jr, & Peppi, D.(1981). Relationship of rib cage and abdomen motion to diaphragm function during quiet breathing. Chest, 80(5): 607-612. https://doi.org/10.1378/chest.80.5.607
  12. Cahalin, L.P., Braga, M., Matsuo, Y., & Hernandez, E.D.(2002). Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: a review of the literature. J Cardiopulm Rehabil, 22(1): 7-21. https://doi.org/10.1097/00008483-200201000-00002
  13. Courtney, R., van Dixhoorn, J., & Cohen, M.(2008). Evaluation of breathing pattern: comparison of a Manual Assessment of Respiratory Motion (MARM) and respiratory induction plethysmography. Appl Psychophysiol Biofeedback, 33(2): 91-100. https://doi.org/10.1007/s10484-008-9052-3
  14. O'Sullivan, P.B.(2000). Lumbar sgmental 'instability': clinical presentation and specific stabilizing exercise management. Man Ther, 5(1): 2-12. https://doi.org/10.1054/math.1999.0213
  15. Chaitow, L.(2004). Breathing pattern disorders, motor control, and low back pain. J of Osteopc Med, 7(1): 33-40. https://doi.org/10.1016/S1443-8461(04)80007-8
  16. Ki, C., Heo, M., Kim, H.Y., & Kim, E.J.(2016). The effects of forced breathing exercise on the lumbar stabilization in chronic low back pain patients. J Phys Ther Sci, 28(12): 3380-3383. https://doi.org/10.1589/jpts.28.3380
  17. Anderson, B.E., & Bliven, K.C.H.(2017). The use of breathing exercises in the treatment of chronic, nonspecific low back pain. J Sport Rehabil, 26(5): 452-458. https://doi.org/10.1123/jsr.2015-0199
  18. Biely, S.A., Silfies, S.P., Smith, S.S., & Hicks, G.E.(2014). Clinical observation of standing trunk movements: what do the aberrant movement pattern tell us? J Orthop Sports Phys Ther, 44(4): 262-272. https://doi.org/10.2519/jospt.2014.4988
  19. Kaltenborn, F.M.(2009). Manual Mobilization of the Joint, vol II, The Spine. Oslo. Nori.
  20. Hicks, G.E., Fritz, J.M., Delitto, A., & Mishock, J.(2003). Interrater reliability of clinical examination measures for identification of lumbar segmental instability. Arch Phys Med Rehabil, 84(12): 1858-1864. https://doi.org/10.1016/S0003-9993(03)00365-4
  21. Chapman, E.B., Hansen-Honeycut, T.J., Nasypany, A., Baker, R.T., & May, J.(2016). A clinical guide to the assessment and treatment of breathing pattern disorders in the physically active: part 1. Int J Sports Phys Ther, 11(5): 803-809.
  22. Bockenhauer, S.E., Chen, H., Julliard, K.N., & Weedon, J.(2007). Measuring thoracic excursion: reliability of the cloth tape mesure technique. J Am Osteopath Assoc, 107(5): 191-196.
  23. Obayashi, H., Urabe, Y., Yamanaka, Y., & Okuma, R.(2012). Effects of respiratory-muscle exercise on spinal curvature. J Sport Rehabil, 21(1): 63-68. https://doi.org/10.1123/jsr.21.1.63