• Title/Summary/Keyword: Borg Index

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A Case Report of Congestive Heart Failure Treated with Acupotomy Therapy (심부전으로 인한 호흡곤란 환자에게 시행한 침도침 시술 1례 보고)

  • Kim, Min-Jung;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.207-212
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    • 2009
  • Objectives : The purpose of this report is to report the effect of acupotomy for patients with congestive heart failure. Methods: We treated 1 patient who has dyspnea due to congestive heart failure with acupotomy. To check the effect and satisfaction of acupotomy we used New York Heart Association class(NYHA class), Modified Borg Scalw Dyspnea Index(Borg Index), Baseline Dyspnea Index(BDI), Five-point Likert scale. Results : After 1 month of treatment, the patient felt much better in breathing, and had better score in NYHA class, Borg Index, BDI. Conclusions : This report demonstrates that acupotomy therapy has useful effect on congestive heart failure, but the more cases and researches are needed.

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Assessment of the Relationship between Pulmonary Function Test and Dyspnea Index in Patients with Bronchial Asthma (기관지천식 환자에서 폐기능검사와 호흡곤란지수의 관련성에 관한 연구)

  • Kim, Se-Kyu;Cheon, Seon-Hee;Chang, Joon;Ha, Jong-Won;Hong, Chein-Soo;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.5
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    • pp.392-399
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    • 1992
  • Background: Despite dyspnea is a predominant complaint of patients with respiratory disease, the mechanisms contributing to the sensation of breathlessness are poorly understood. Traditionally, physicians have measured objective pulmonary function to assess severity of dyspnea. But it will be also useful to measure subjective dyspnea index because dyspnea probably depends on a complex interplay of mechanical, experimental, emotional and other factors. Method: We measured breathlessness at rest, after Methacholine challenge and then bronchodilator inhalation using a Visual Analogue Scale (VAS) and Borg Scale Dyspnea Index (BSDI) in stable asthmatic patients. Spirometry was performed concomittently. Results: There was no correlation between dyspnea index and FEV1. There was also no correlation between the change in dyspnea index and change in FEV1. The change in dyspnea index after methacholine and bronchodilator was greater in clinically mild asthmatic patients than clinically severe symptomatic group. Conclusion: In asthmatic patients, there was a wide variation in sensory response for any given FEV1, and the change in perception of dyspnea was greater in those with clinically mild symptoms. The measurement of dyspnea index may yield information complementary to that obtained by spirometry.

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The Correlation of Dyspnea and Radiologic Quantity in Patients with COPD (만성폐쇄성폐질환 환자에서 호흡곤란과 영상학적 정량과의 상관관계)

  • Jung, Eun Jung;Kim, Yang Ki;Lee, Young Mok;Kim, Ki-Up;Uh, Soo-Taek;Kim, Yong Hoon;Kim, Do Jin;Park, Choon Sik;Hwang, Jung Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.4
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    • pp.288-294
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    • 2009
  • Background: A lung hyperinflation, or air trapping, caused by expiratory flow-limitation contributes to dyspnea in patients with chronic obstructive pulmonary disease (COPD). Forced expiratory volume in 1 second ($FEV_1$) has served as an important diagnostic measurement of COPD, but does not correlate with patient-centered outcomes such as dyspnea. Therefore, this study was performed to investigate the role of radiologic quantity in evaluating the dyspnea in patients with COPD by measuring lung hyperinflation in chest x-ray and high resolution chest tomography (HRCT). Methods: Fifty patients with COPD were enrolled in this study. Their subjective dyspnea score (modified Borg scale dyspnea index), spirometry, and lung volume were measured. Simultaneous hyperinflations of chest x-ray score ("chest score") and degree of emphysema of HRCT ("HRCT score") were measured. The "chest score" were composed of lung length, retrosternal space width, and height of the arc of the diaphragm and "HRCT score" were composed of severity and extent of emphysema. Results: The mean age of patients was 69 years old and their mean $FEV_1$ was 51.7%. The Borg score significantly correlated with parameters of spirometry and lung volume, including FVC, $FEV_1$, $FEV_1$/FVC, RV, RV/TLC, and DLCO. The Borg score correlated well with "HRCT score", but did not correlate with "chest score". Also, the Borg scale correlates inversely with body mass index. Conclusion: The quantity of emphysema on chest HRCT may serve as an objective marker of dyspnea in patients with COPD.

Acupuncture as an Additional Method of Rehabilitation Post-COVID-19: a randomized controlled trial

  • Indira Omarova;Assiya Akanova;Almagul Kurmanova;Gaukhar Kurmanova;Natalya Glushkova;Amina Seidanova;Kuatzhan Turysbekov
    • Journal of Pharmacopuncture
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    • v.26 no.3
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    • pp.238-246
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    • 2023
  • Objectives: The purpose of this study was to evaluate the effectiveness of complex rehabilitation with and without acupuncture in a hospital setting. Methods: A randomized clinical trial was performed at Rehabilitation center "Kamenskoe Plato" in Almaty, Kazakhstan. 160 patients with Post COVID-19 condition were randomly equally divided into an acupuncture with complex rehabilitation methods and a only complex rehabilitation methods group in the period from March 1, 2022 to July 1, 2022. Either groups was performed for an 10-14 days period. The outcome measures were the Bartel index, the Borg scale, Modified Dyspnea Scale and the 6-minute walking test. Adverse events also were monitored and documented. Results: We found statistically significant improvement after the rehabilitation course with acupuncture in the all scales. And in the group without acupuncture, only on two scales: MDS and Borg scale. Conclusion: Rehabilitation with acupuncture is possible and effective in patients recovering from post-COVID-19. Our findings may be useful to guide clinicians taking care of patients with post-COVID-19.

Effects of Elastic Band Resistance Training on Body Composition, Arterial Compliance and Risks of Falling Index in Elderly Females (탄성밴드 저항운동이 고령여성의 신체조성, 혈관탄성 및 낙상위험도지수에 미치는 영향)

  • Park, Hyeok;Kim, Dayeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.199-208
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    • 2017
  • Both cardiovascular diseases caused by decreased body composition and arterial compliance and falling induced by loss of muscle mass are frequent occurrences in the elderly. Therefore, elderly people are advised to perform elastic band resistance exercises to improve their body composition and arterial compliance. Thus, the purpose of this study was to examine the effects of 12 weeks of elastic band resistance training on the body composition, arterial compliance and falling index in elderly females (> 65 years). The elastic band resistance exercise program was administered 3 times per week for 60 minutes each time for 12 weeks. In addition, the exercise intensity was set to 11-14 on the Borg scale (6-20). Before and after the training period, the body composition (body weight (BW), muscle mass, % body fat, body mass index (BMI)), arterial compliance (ankle brachial index (ABI) and pulse wave velocity (PWV)) and risk of falling index were determined. (After the program?), the BW (p=.003), BMI (p=.002), PWV (p=.017) and risk of falling (p=.037) in the exercise group were significantly reduced, whereas the BW (p=.009) and BMI (p=.009) in the control group were significantly increased. In conclusion, the body weight, BMI and arterial compliance of elderly females were positively changed by the elastic band resistance training. Thus, the elastic band resistance exercise may be useful for elderly people to prevent metabolic syndrome and cardiovascular diseases and to reduce their risk of falling.

Evaluation of the Wet Bulb Globe Temperature (WBGT) Index for Digital Fashion Application in Outdoor Environments

  • Kwon, JuYoun;Parsons, Ken
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.1
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    • pp.23-36
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    • 2017
  • Objective: This paper presents a study to evaluate the WBGT index for assessing the effects of a wide range of outdoor weather conditions on human responses. Background: The Wet Bulb Globe Temperature (WBGT) index was firstly developed for the assessment of hot outdoor conditions. It is a recognised index that is used world-wide. It may be useful over a range of outdoor conditions and not just for hot climates. Method: Four group experiments, involving people performing a light stepping activity, were conducted to determine human responses to outside conditions in the U.K. They were conducted in September 2007 (autumn), December 2007 (winter), March 2008 (spring) and June 2008 (summer). Environmental measurements included WBGT, air temperature, radiant temperature (including solar load), humidity and wind speed all measured at 1.2m above the ground, as well as weather data measured by a standard weather station at 3m to 4m above the ground. Participants' physiological and subjective responses were measured. When the overall results of the four seasons are considered, WBGT provided a strong prediction of physiological responses as well as subjective responses if aural temperature, heart rate and sweat production were measured. Results: WBGT is appropriate to predict thermal strain on a large group of ordinary people in moderate conditions. Consideration should be given to include the WBGT index in warning systems for a wide range of weather conditions. However, the WBGT overestimated physiological responses of subjects. In addition, tenfold Borg's RPE was significantly different with heart rate measured for the four conditions except autumn (p<0.05). Physiological and subjective responses over 60 minutes consistently showed a similar tendency in the relationships with the $WBGT_{head}$ and $WBGT_{abdomen}$. Conclusion: It was found that either $WBGT_{head}$ or $WBGT_{abdomen}$ could be measured if a measurement should be conducted at only one height. The relationship between the WBGT values and weather station data was also investigated. There was a significant relationship between WBGT values at the position of a person and weather station data. For UK daytime weather conditions ranging from an average air temperature of $6^{\circ}C$ to $21^{\circ}C$ with mean radiant temperatures of up to $57^{\circ}C$, the WBGT index could be used as a simple thermal index to indicate the effects of weather on people. Application: The result of evaluation of WBGT might help to develop the smart clothing for workers in industrial sites and improve the work environment in terms of considering workers' wellness.

Effects of Rhythm Exercise Training on Body Composition and Arterial Compliance in Elderly Females (리듬운동이 고령여성의 신체조성과 혈관탄성에 미치는 영향)

  • Kim, Daeyeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.243-250
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    • 2016
  • The body composition and arterial compliance with advanced age increase the risks of cardiovascular diseases, but the elderly can perform rhythm exercise easily, which may positively influence their body composition and arterial compliance. Therefore, this study examined the effects of rhythm exercise training on the body composition and arterial compliance in elderly females. The subjects (n=20) were assigned randomly to either an exercise group (n=10, EX) or non-exercise control group (n=10, CON). The rhythm exercise training for 12 weeks consisted of 3 sessions per week with 60 minutes per session. In addition, the intensity was set to 11-14 of the Borg scale (6-20). The body composition and arterial compliance (pulse wave velocity (PWV)) were measured before and after training. The skeletal muscle mass in the EX was increased significantly (p=0.04) and the right (p=0.002) and left side (p=0.02) of the PWV in the EX were decreased significantly, but the skeletal muscle and both sides of the PWV in the CON were not changed. Elderly females could easily perform rhythm exercise training, which resulted in improvements of the skeletal muscle mass and arterial compliance. Therefore, rhythm exercise training may prevent or delay sarcopenia and reduce the risk of cardiovascular diseases.

The Effects of Self-Efficacy Promoting Pulmonary Rehabilitation Program in Out-Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 외래환자에서 자기효능감증진 호흡재활프로그램의 효과)

  • Jung, Jang Hee;Kim, Jung Youp
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.6
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    • pp.533-546
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    • 2006
  • Background: The aim of this study was to determine the effectiveness of self-efficacy promoting pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). Methods: thirty six patients, with clinically stable COPD were randomly assigned: 18 to a rehabilitation group and another 18 as a control group, The subjects participated in a the self-efficacy promoting pulmonary rehabilitation program for 8 weeks. This program consisted of education, breathing retraining, exercise training, relaxation and counseling. The control group received education only. The outcome variables were self-efficacy, dyspnea, exercise endurance, pulmonary function, and quality of life. Dyspnea was measured using the modified Borg scale. Exercise endurance was measured by the six minute walking distance. The quality of life was measured by the quality of life index for pulmonary disease patients. Results: In the rehabilitation group after performing the self-efficacy promoting pulmonary rehabilitation program, the self-efficacy score, exercise endurance, and quality of life score were higher than the control group (p=0.007, p=0.038, and p=0.039, respectively). and the exertional dyspnea score was significantly lower than controls(p=0.045). However, the dyspnea score and FEV1 were similar after performing the self-efficacy promoting pulmonary rehabilitation program. Conclusion: The self-efficacy promoting pulmonary rehabilitation program is effective to in improve self-efficacy, exertional dyspnea, exercise endurance and quality of life in patients with COPD.

Walking test for assessing lung function and exercise performance in patients with cardiopulmonary disease (심폐질환 환자에서 걷기검사를 이용한 폐기능 및 운동기능의 평가)

  • Jung, Hye Kyung;Chang, Jung Hyun;Cheon, Seon Hee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.976-986
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    • 1996
  • BACKGROUND : Dyspnea is common among patients with cardiopulmonary disease, and "daily disability" is defined as a functional impairment resulting from exercise intolerance. The maximal oxygen uptake(VO2max) during exhausting work is not only the best single physical indicator of the capacity of a man for sustaining hard muscular work, but also the most objective method by which one can determine the physical fitness of an individual as reflected by his cardiovascular system. However, the expense, time and personnel requirements make this procedure prohibitive for testing large group. The walking test is well-known type of exercise and it cost nothing to perform and have good reproducibility. Thus we performed the walking test and investigated correlations with spirometry, ABG and exercise test. METHOD: We observed the walking test and exercise test by cycle ergometer in 37 patients who visited our hospital because of dyspnea. Arterial blood gas analysis and spiromety, dyspnea index were performed, too. RESULT : (1) The VO2max was significantly lower in patients with COPD and cardiovascular disease than asthma and dyspnea on exertion group(p<0.05). The walking test distance was also lower in former. (2) The 12 minute walking test was significantly correlated with VO2max, PaCO2, FVC(%), FEV1(%) in all patients(p<0.05), and the walking test was only conelated with VO2max in patients with COPD(p<0.05). (3) In COPD patients, the VO2max was best correlated with FEV1(%) and FVC(%) and significantly correlated with walking test. But there was no correlation between walking test and FEV1(%) & FVC(%). (4) The 6 minute walking test was well correlated with 12 minute walking test(r=0.92. p<0.01). CONCLUSION : The walking test is the simple method for assessing exercise performance in patient with cardiopulmonary disease and a reliable indicator for VO2max. And the walking test is practical method for assessing on everyday disability rather than maximal exercise capacity. The 6 minute walking test is highly correlated with 12 minute walking test and a less exhausting for the patients and a time-saving for the investigator.

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