• 제목/요약/키워드: Respiratory training

검색결과 216건 처리시간 0.022초

The Effects of Training on the Proper Use of Respiratory Rate Measurement Devices for Providing High-Quality Artificial Ventilation

  • Jae-Ran Lim;Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Ho-Jin Park
    • 한국컴퓨터정보학회논문지
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    • 제29권3호
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    • pp.165-171
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    • 2024
  • 본 연구는 2급 응급구조사가 호흡부전 및 호흡정지 환자에게 백-밸브 마스크(BVM) 인공호흡 시 호흡량 측정기를 사용하여 적정량의 호흡량과 및 성공률을 알아보고자 한다. 연구는 2023년 12월 11일부터 12일까지 D 대학교에 재학 중인 2급 응급구조사를 대상으로 20명을 선정하여 10명은 호흡량 측정기를 이용하여 BVM 인공호흡을 교육한 실험군으로, 다른 10명은 호흡량 측정기 없이 BVM 인공호흡을 교육한 대조군으로 선정하여 2분간 인공호흡을 제공하는 실험을 하였다. 연구 결과, 대조군에서는 정확한 호흡량을 제공하지 못하였고(p=.025), 호흡 성공률 역시 실험군에서는 2분간 호흡 성공률이 높았으나 대조군에서는 유의한 차이를 보였으며(p=.001), 주관적 호흡량과 측정된 객관적 호흡량이 대조군에서 유의한 차이를 보였다(p=.010). 따라서 호흡량 측정기를 사용한 교육은 2급 응급구조사가 느끼는 주관적 호흡량을 객관적 호흡량과 일치시키고 호흡 성공률을 높여 호흡부전 및 호흡정지와 심폐소생술 시 심장정지 환자의 생존율을 높이는 데 도움이 될 것이다.

노력성 호흡운동에 의한 편마비환자의 보행 비대칭율 개선 (The improvement of gait asymmetry ratio for hemiplegic patients by forceful respiratory exercise)

  • 김병조;이현옥;안소윤
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.38-58
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    • 2004
  • The regain of independent ambulatory ability is a important goal in the rehabilitation program of hemiplegic patient. Not only the function of lower extremity muscles, but also trunk muscles which stabilize extremities and pelvis, are important factors in normal gait. Therefor, it is necessary to develop an effective program which can improve muscle strength and symmetric activity of trunk muscles. The purpose of this study was to evaluate the influence of trunk muscle strengthening by forceful respiratory exercise on the gait asymmetry ratio in hemiplegic patient. 45 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. Before and after experiments, temporal-spatial gait parameters was measured in all patients. The data of 28 patients who carried out the whole experimental course were statistically analysed. The results of these experiment are as follows : 1. In comparison of difference of single support time asymmetry ratio among 3 groups, the FET group was significantly decreased than the control group (p<.05). 2. In comparison of difference of step length asymmetry ratio among 3 groups, the FIT group was significantly decreased than 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 gait asymmetry ratio in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients. Since this study dealt only with the patients who could walk more than 3 meters in distance on floor independently, the further study for evaluating the influence of the forceful respiratory exercise on patients with acute stage stroke and also the development in various methods of use are expected.

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촛불끄기 호흡운동 프로그램의 시행이 성인의 노력성 호흡량의 기능향상에 미치는 영향 (Effect of Implementing Candle-Blowing Respiratory Exercise Program on Functional Improvement of Forced Breathing Volume among Adults)

  • 이준철
    • 문화기술의 융합
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    • 제7권4호
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    • pp.203-210
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    • 2021
  • 본 연구는 노력성 호흡 운동 중심의 촛불끄기 호흡훈련이 성인의 몸통 근력 강화를 의미하는 호흡 능력 향상에 어떤 유의한 효과가 있는지를 알아보기 위하여 실시하였다. 4주간의 촛불끄기 훈련을 통해 실험 전-후의 노력성폐활량(FVC)은 통계학적으로 유의하게 증가하였다(p<.05). 4주간의 촛불 끄기 훈련을 통해 실험 전-후의 1초간 노력성 날숨량(FEV1)의 변화는 통계학적으로 유의한 차이를 보이지 않았다(p>.05). 4주간의 촛불 끄기 훈련을 통해 실험 전-후의 최대날숨유속(PEF)은 유의하게 증가하였다(p<.05). 본 연구는 건강한 성인을 대상으로 노력성 호흡 운동 중심의 촛불끄기 호흡운동을 실시하여 성인의 몸통 근력 강화를 의미하는 노력성 폐활량(FVC), 1초간 노력성 날숨량(FEV1), 최대날숨유속(PEF) 등의 노력성 호흡훈련과 허파기능의 관계에 대해 조사하여 유의한 결과를 얻었다. 앞으로 물리치료가 꼭 필요한 중증 호흡기계 질환자를 대상으로 하는 연구가 진행되어야 할 것으로 사료된다.

불안정한 지지면에서의 호흡근 강화훈련이 만성 뇌졸중 환자의 폐기능에 미치는 영향 (Effects of Respiratory Muscle Strengthening Training on the Pulmonary Function in Chronic Stroke Patients on an Unstable Support Surface)

  • 이명호;김명권
    • 대한물리의학회지
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    • 제17권2호
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    • pp.75-82
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    • 2022
  • PURPOSE: This study examined the correlation between the pulmonary function and respiratory muscle strengthening training on an unstable support surface and a stable support surface in stroke patients. METHODS: The study subjects were 22 stroke patients undergoing central nervous system developmental rehabilitation treatment. After excluding six dropouts, eight people in the experimental group and eight people in the control groups were classified by random sampling. Both groups performed central nervous system developmental rehabilitation therapy and were provided a 10-minute break. The experimental group was provided with an unstable support surface using Togu, and the control group was trained to strengthen the respiratory muscle in a stable support surface. Respiratory muscle strengthening training was conducted three times per week for 20 minutes. Before and after each group of experiments, a nonparametric test Wilcoxon signed rank test, and a Mann Whitney U-test analysis were used to analyze the variations between the two groups. All statistical significance levels (α) were set at 0.05. RESULTS: Both groups showed increases in the pulmonary function but showed significant differences only in the experimental group. There was a significant difference in the peak expiratory flow between the two groups. CONCLUSION: Central nervous system development rehabilitation treatment for patients with an impaired nervous system and respiratory muscle strengthening training on unstable support surfaces are effective in improving the pulmonary function of stroke patients. Therefore, they are expected to be applied to physical therapy programs to help various functional activities.

Pediatric advanced life support and sedation of pediatric dental patients

  • Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권1호
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    • pp.9-15
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    • 2016
  • Programs provided by the Korea Association of Cardiopulmonary Resuscitation include Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Korean Advanced Life Support (KALS). However, programs pertinent to dental care are lacking. Since 2015, related organizations have been attempting to develop a Dental Advanced Life Support (DALS) program, which can meet the needs of the dental environment. Generally, for initial management of emergency situations, basic life support is most important. However, emergencies in young children mostly involve breathing. Therefore, physicians who treat pediatric dental patients should learn PALS. It is necessary for the physician to regularly renew training every two years to be able to immediately implement professional skills in emergency situations. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is absolutely necessary to be able to immediately implement professional skills in emergency situations.

장기간의 계단운동 훈련이 심폐기능과 혈액화학상에 미치는 영향 (Effect of Long-term Step Exercise on the Cardiopulmonary Function and Blood Constituents)

  • 황상익;최명애;고창순
    • The Korean Journal of Physiology
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    • 제21권2호
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    • pp.305-311
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    • 1987
  • To evaluate training effect, the step exercise was loaded to three mem for nine weeks. Step score, cardiopulmonary functions and blood constituents were measured before, during and after the test exercise (50 cm-step exercise and treadmill running), and were compared with the pre-tranining values. The results were as follows: 1) By the training, Harvard step score increased remarkably, expecially in the early stage of training. 2) The post-training values of maximal oxygen uptake increased very significantly and it seemed to be due to increases of stroke volume and tissue oxygen extraction. 3) After the training, the degree of increase in expired volume was small during the treadmill exercise. 4) By the training, increasing rate of respiratory quotient lessened during the exercise and it was considered to be caused by the decreases of carbohydrate consumption and anaerobic metabolism. 5) The blood cholesterol concentrations were harldy changed with this degree of training. 6) The blood lactate level decreased during the recovery periods and the values of the recovery 0 and 5 minutes decreased remarkably, in comparison with the pre-trained values. The above results suggest that the 9 week-training of the step exercise brings about the enhancement of circulatory functions and tissue oxygen utilization, and changes of food-stuffs used during the exercise.

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호흡 기능 향상을 위한 들숨근 강화 훈련 방법 : 위팔운동을 동반한 가로막 호흡과 파워브리드 호흡의 효과 비교 (Inspiratory Muscle Strengthening Training Method to Improve Respiratory Function : Comparison of the Effects of Diaphragmatic Breathing with Upper Arm Exercise and Power-Breathe Breathing)

  • 이건철;추연기
    • 대한통합의학회지
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    • 제9권3호
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    • pp.203-211
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    • 2021
  • Purpose : It was to compare changes in respiratory function (pulmonary function, inspiratory function) after four weeks of inspiratory muscle strengthening training (diaphragmatic breathing with upper arm exercise, Power-Breathe breathing) for 36 healthy people. Methods : Subjects were randomly assigned to diaphragmatic breathing with upper arm exercise (Group I) and Power-breathe breathing (Group II) was conducted by the protocol for four weeks five times per week. As the main measurement method for comparison between groups For pulmonary function, Forced Vital Capacity (FVC) and Forced Expiratory Volume at One second (FEV1) were used, and for inspiratory function, Maximum Inspiratory Capacity (MIC), Maximum Inspiratory Pressure (MIP), and Maximum Inspiratory Flow Rate (MIFR) were used. Results : In changes in pulmonary function between groups, FVC and FEV1 showed no significant difference, and in inspiratory function changes, MIC showed no significant difference, but in MIP and MIFR, Group B significantly improved over Group A. Conclusion : The progressive resistance training using the Power-breath device applied to the inspiratory muscle did not show a significant difference in the increase in the amount of air in the lungs and chest cage compared to the diaphragmatic breathing training accompanied by the upper arm exercise. However, by increasing the air inflow rate and pressure, it showed a more excellent effect on improving respiratory function.

Effects of endurance training for 4weeks on resting metabolic rate and excess post-exercise oxygen consumption in mouse

  • Jeon, Yerim;Kim, Jisu;Hwang, Hyejung;Lim, Kiwon
    • 운동영양학회지
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    • 제16권2호
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    • pp.113-122
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    • 2012
  • This study assessed the amount of energy consumed and fat deposition after endurance training in order to review the effect of 4-week endurance exercise on resting metabolic rate of a mouse during and after exercise and the effect of exercise. A total of 19 seven-week-old ICR male mice were used as the study subject. Those mice were divided into sedentary group (Sed) and trained group (Tr) after a week of environment adaption. The Tr group was trained with endurance exercise five times a week for four weeks. Weight and the amount of food intake were daily weighed and resting metabolic rate and metabolic rate after exercise were assessed before starting exercise and on the fourth week after training. Metabolic rate during exercise were measured four weeks after training. At the end of breeding period, statistically significant difference was shown in weights of trained and sedentary groups (p < 0.05). During a resting period, no significant difference was shown in oxygen intake, respiratory exchange ratio, and the amount of carbohydrate and fat oxidized. Moreover, no significant difference was shown in excess post-exercise oxygen consumption (EPOC) of an hour period after training. In contrast, the maximal oxygen uptake (VO2 max) was approximately 11.1% higher in trained group after training compare to before. However, there was no significant difference in respiratory exchange ratio and carbohydrate and fat oxidization. During exercise, oxygen uptake, carbon dioxide production, and respiratory exchange ratio in energy metabolism during exercise showed no significant difference. However, significant difference was exhibited in the amount of fat oxidized in both groups. Summing up those results, endurance exercise could be concluded to be effective in weight control. However, weight loss is thought to be resulted from increase in fat oxidization during exercise unlike the conclusion made from previous studies where weight loss is prominently influenced by energy metabolism during a resting period and increased fat oxidation during post-exercise recovery. All experimental procedures were carried out at the Animal Experiment Research Center of Konkuk University. This study was conducted in accordance with the ethical guidelines of the Konkuk University Institutional Animal Care and Use Committee.

호흡운동 프로그램과 수중운동 프로그램이 아급성기 뇌졸중 환자의 폐기능에 미치는 영향 비교 (Comparison between the Effects of Combined Conventional Exercise Therapy Plus Respiratory Exercise Program with Combined Conventional Exercise Therapy Plus Aqua Exercise Program on the Pulmonary Function of Subacute Stroke Patients )

  • 이동협;유경태
    • 대한물리의학회지
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    • 제18권2호
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    • pp.115-123
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    • 2023
  • PURPOSE: This study examined the effects of combined conventional exercise therapy plus respiratory exercise program with combined conventional exercise therapy plus aqua exercise program in the pulmonary function of subacute stroke patients. METHODS: The respiratory exercise program group underwent inspiration and expiration training using the Threshold IMT and Threshold PEP three days per week for four weeks. The aquatic exercise program group had aquatic aerobics, halliwick, and bad ragaz ring training three days per week for four weeks. Before and after the experiment, Pony fx was used to examine the FVC, FEV1, FEV1/FVC, VC, and MVV. RESULTS: Significant improvement was found after the experiment in the FVC. FEV1, VC, MVV, excepting FEV1/FVC, of the pulmonary function in the aquatic exercise program group. After the experiment, significant improvement was found in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function in the respiratory rehabilitation therapy group. No significant difference in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function was observed in the inter-group comparison. CONCLUSION: Significant improvement was found after the experiment in both the aquatic exercise program group and the respiratory exercise program group. No difference in pulmonary function was noted in the inter-group comparison. Therefore, combining general exercise therapy and an aquatic or respiratory exercise program is expected to be effective for the pulmonary function of acute stroke patients. These results are expected to provide basic data to help research intervention of aquatic and respiratory exercise programs for subacute stroke patients.

축구 선수에서 집중훈련이 환기기능에 미치는 영향 (Effect of Intensive Training on Ventilatory Functions in Soccer Players)

  • 백효종;김경호;이병기;이중기;최동욱;박희명;김유문;김종석
    • Tuberculosis and Respiratory Diseases
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    • 제38권4호
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    • pp.379-383
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    • 1991
  • To evaluate the effect of intensive training on ventilatory functions in soccer players, comparisons of various ventilatory parameters were made before and after 5-5.5 months of intensive training. The subjects were 15 members of a university soccer team with mean age and career of 19.9 and 8.3 years, respectively. Ventilatory parameters studied were those obtained by the analyses of forced expiratory volume and maximal expiratory flow-volume curves, as well as spirometric measurements of VC and MVV. After intensive training, volume parameters, such as VC, FVC and $FEV_{1&3}$ as well as flow parameters, effort-dependent and effort-independent, such as MVV, FEF200-1200, FEF25-75%, PEF, FEF25%, FEF50%, FEF75% showed significant increase. However, when the observed values of flow parameters were volume-adjusted to FVC, the differences before and after intensive training became insignificant. This suggests that enhanced ventilatory functions in soccer players after intensive training are primarily due to increase in FVC caused by increase in respiratory musle strength.

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