허리안정화운동이 뇌졸중환자의 호흡압력에 미치는 영향
The effects of lumbar stabilization exercise on respiratory pressure in stroke patients
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본 연구의 목적은 뇌졸중 환자의 허리안정화운동이 들숨 및 날숨 압력에 미치는 시기별 변화를 알아보고자 하였다. 뇌졸중 환자 36명을 각각 허리안정화운동군 17명과 일반적 물리치료운동군 19명으로 나누어 중재를 실시하였다. 두 군 모두 호흡압력 측정기를 이용한 들숨 및 날숨 압력을 운동전, 4주와 8주에 걸쳐 측정하였다. 최대날숨압력에서 허리안정화운동군은 시기에 따라 운동전, 4주, 8주 모두에서 유의한 증가를 보였으나 일반적 물리치료운동군은 모든 시기에서 유의한 차이가 없었다. 최대들숨압력에서 허리안정화운동군은 시기에 따라 운동전보다 4주, 4주보다 8주는 유의한 차이는 없었으나, 운동전보다 8주는 유의한 증가가 있었다. 일반적 물리치료운동군의 모든 시기에서 유의한 차이가 없었다. 두 군간 변화량 차이는 유의한 차이가 없었다. 본 연구를 통해 허리안정화운동이 뇌졸중 환자에 날숨압력 개선에 효과적인 것을 알 수 있었고, 이 운동을 지속적으로 한다면 들숨압력에도 효과적인 방법임을 확인할 수 있었다. 향후연구에서 허리안정화운동 후 개별적 호흡근육 측정이 연구되기를 기대한다.
Abstract
The purpose of this study was to investigate the exercise periods changes of the waist stabilization exercise on the inspiratory and expiratory pressure of stroke patients. Thirty-six stroke patients were divided into 17 lumbar stabilization group(LSEG) and 19 general exercise group(GPEG). In both groups, inspiratory and expiratory pressure using a respiratory pressure device was measured over 4 and 8 weeks. At maximal expiratory pressure, LSEG was significantly increased in Before, 4 weeks and 8 weeks according to the period, but there was no significant difference in GPEG in all periods. At maximal inspiratory presusre, there was no significant difference in LSEG between before-4 weeks and 4-8 weeks, but there was a significant increase in Before-8weeks. There was no significant difference in all periods of GPEG group. There was no significant difference in the amount of change between the two groups. In this study, it was found that the lumbar stabilization exercise was effective in improving the expiratory pressure in the stroke patients. If the stroke patient continues to lumbar stabilization exercise, it is also an effective method for inspiratory pressure. Future studies are expected to study individual respiratory muscle measurements after lumbar stabilization exercise.
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