뇌졸중 환자에게 복부압박벨트 적용이 폐 기능, 균형 및 보행 능력에 미치는 즉각적인 영향
The Immediate Effects of Abdominal Pressure Belt on Pulmonary Function, Balance and Gait Ability in Stroke Patients
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초록
본 연구의 목적은 복부압박벨트가 뇌졸중 환자의 폐 기능, 균형 및 보행능력에 미치는 영향을 즉각적으로 알아보고자 함이다. 20명의 뇌졸중 환자를 대상으로 복부압박벨트 착용 전에 폐기능, 압력중심, 버그균형검사, 일어서서 걷기 검사, 10m 보행, 기능적 보행검사를 실시하였다. 복부압박벨트를 착용한 직후에 사후 평가를 실시하였다. 연구 결과 복부압박벨트를 착용하였을 때 노력성 폐활량과 1초간 노력성 날숨 유량을 제외한 모든 결과값이 유의한 변화를 보였다. 본 연구를 통해 뇌졸중 환자가 복부압박벨트를 착용하였을 때 균형과 보행 능력의 증가에 즉각적인 영향을 미친다는 것을 알 수 있었다. 향후 연구에서는 폐 기능을 개선시키기 위해 압박 수준과 자세 변경과 같은 노력이 필요할 것이다.
Abstract
The purpose of this study was to determine whether abdominal pressure belt has an immediate effect on pulmonary function, balance and gait ability for stroke patients. Twenty subjects measured pulmonary function and the COP, BBS, TUG, 10m walk test, and FGA prior to belt wearing. Immediately all subjects were post-tested after wearing abdominal pressure belt of elastic components. Except for forced vital capacity (FVC) and forced experimental volume in the 1 second (FEV1), there were significant differences after belt wearing. This study suggests that the application of abdominal pressure belt enhanced balance and gait ability. However, improving pulmonary function requires several efforts, such as changing the pressure level, posture.
참고문헌 (24)
- 이영정, "만성 뇌졸중 환자에서 편안한 호흡 시 건측과 마비측으로 복근 두께 비교", 한국전문물리치료학회지, 18(3), pp.8~15 (2011), 한국전문물리치료학회
- . R. Jandt, "Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: an observational study", Physiotherapy Research International, 16(4), pp.218~224 (2011)
- 윤정현, "복합운동과 복부 끌어당김 조정 훈련의 병행이 뇌졸중 환자의 호기 시 복부근육 활성도 및 노력성 폐기능에 미치는 영향", 대한물리의학회지, 8(4), pp.513~523 (2013), 대한물리의학회
- 송주민, "체간 안정화 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향", 대한물리의학회지, 5(3), pp.413~420 (2010), 대한물리의학회
- P. J. Cordo, "Properties of postural adjustments associated with rapid arm movements", Journal of Neurophysiology, 47(2), pp.287~302 (1982)
- M. Zattara, "Posturo-kinetic organisation during the early phase of voluntary upper limb movement. 1. Normal subjects", Journal of Neurology, Neurosurgery & Psychiatry, 51(7), pp.956~965 (1988)
- 유성훈, "The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients", Journal of exercise rehabilitation, 9(3), pp.362~367 (2013), 한국운동재활학회[DOI]
- V. Akuthota, "Core stability exercise principles", Current Sports Medicine Reports, 7(1), pp.39~44 (2008)
- J. W. Baek, "The effects of core exercises combined with abdominal breathing on lung capacity in stroke patient", Master, pp.2015
- 김광수, "코어프로그램이 편마비환자의 동적 균형 감각에 미치는 영향", 한방재활의학과학회지, 20(2), pp.79~87 (2010), 한방재활의학과학회
- J. M. Goldman, "Effect of abdominal binders on breathing in tetraplegic patients", Thorax, 41(12), pp.940~945 (1986)
- 이재호, "척수손상 환자의 자세 변화 후 시간경과와복대사용이 폐기능에 미치는 영향", 한국전문물리치료학회지, 4(3), pp.17~33 (1997), 한국전문물리치료학회
- A. R. Fugl-Meyer, "Restrictive ventilatory dysfunction in stroke : its relation to locomotor function", Scandinavian Journal of Rehabilitation Medicine, 9, pp.118~124 (1983)
- K. K. Kim, "The effect of abdominal pressure belt during treadmill gait training on gait and balance in stroke patients", Master, pp.2016
- Clinical research center for stroke., "Clinical practice guidelines for stroke", pp.26~29 (2015), Clinical research center for stroke
- M. Pau, "Effect of light and vigorous physical activity on balance and gait of older adults", Archives of Gerontology and Geriatrics, 59(3), pp.568~573 (2014)
- K. Berg, "The balance scale : reliability assessment with elderly residents and patients with an acute stroke", Scandinavian Journal of Rehabilitation Medicine, 27(1), pp.27~36 (1995)
- S. S. Ng, "The timed up & go test : its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke", Archives of Physical Medicine and Rehabilitation, 86(8), pp.1641~1647 (2005)
- J. Green, "Reliability of gait speed measured by a timed walking test in patients one year after stroke", Clinical Rehabilitation, 16(3), pp.306~314 (2002)
- H. Thieme, "Reliability and validity of the functional gait assessment(german version)in subacute stroke patients", Archives of Physical Medicine and Rehabilitation, 90(9), pp.1565~1570 (2009)
- S. J. Park, "Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients", Journal of Physical Therapy Science, 29(7), pp.1144~1147 (2017)
- P. Quanjer, "Peak expiratory flow:conclusions and recommendations of a working party of the european respiratory society", European Respiratory Journal, 10(24), pp.2s~8s (1997)
- E. J. Chung, "The effects of core stabilization exercise on dynamic balance and gait function in stroke patients", Journal of Physical Therapy Science, 25(7), pp.803~806 (2013)
- Y. H. Cho, "). Effects of only trunk stability exercise and trunk stability exercise with elastic taping on balance ability in stroke patients", Master, pp.2019