The Effect of Integration Between Respiratory Muscle Training and Abdominal Drawing-in Maneuver on Decreased Pulmonary Function in Young Subjects
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The aim of this study was to investigate the effects of respiratory muscle training (RMT) with abdominal drawing-in maneuver (ADIM) on pulmonary function. Twenty-two subjects with restrictive breathing participated in this study. All the subjects were randomly assigned to three groups (7 subjects in RMT group, 7 subjects in RMT with ADIM group, 8 subjects in control group). The first group performed the RMT by using incentive respiratory spirometer (IRS). The second group performed the RMT by using IRS and the ADIM by using a Stabilizer. The exercises were conducted over four days. The pulmonary function was evaluated using the spirometer to measure the force exploratory volume in 1 second (FEV1) and forced vital capacity (FVC). Measurements were conducted on the first day and the last day. A paired-t test was used for pre-post changes and the change rates in FVC and FEV1 among each group were investigated by a one-way ANOVA. The findings of the the study were as follows: 1) There were significant differences of FVC and FEV1 between pre and post in the two training groups (p<.05) 2) There was no significant difference of the change ratio the FVC and FEV1 between the RMT group and RMT with ADIM group. Therefore, it is concluded that respiratory muscle and ADIM training, combined with two methods of treatment would suggest positive evidence for improving pulmonary function.
Abstract
The aim of this study was to investigate the effects of respiratory muscle training (RMT) with abdominal drawing-in maneuver (ADIM) on pulmonary function. Twenty-two subjects with restrictive breathing participated in this study. All the subjects were randomly assigned to three groups (7 subjects in RMT group, 7 subjects in RMT with ADIM group, 8 subjects in control group). The first group performed the RMT by using incentive respiratory spirometer (IRS). The second group performed the RMT by using IRS and the ADIM by using a Stabilizer. The exercises were conducted over four days. The pulmonary function was evaluated using the spirometer to measure the force exploratory volume in 1 second (FEV1) and forced vital capacity (FVC). Measurements were conducted on the first day and the last day. A paired-t test was used for pre-post changes and the change rates in FVC and FEV1 among each group were investigated by a one-way ANOVA. The findings of the the study were as follows: 1) There were significant differences of FVC and FEV1 between pre and post in the two training groups (p<.05) 2) There was no significant difference of the change ratio the FVC and FEV1 between the RMT group and RMT with ADIM group. Therefore, it is concluded that respiratory muscle and ADIM training, combined with two methods of treatment would suggest positive evidence for improving pulmonary function.
참고문헌 (28)
- Bach JR, "Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilatior assisted individuals", Arch Phys Med Rehabil, 74(2), pp.170~177 (1993)
- Bartelink DL, "The role of intra-abdominal pressure in relieving the pressure on the lumbar vertebral discs", J Bone Joint Surg Br, 39(4), pp.718~725 (1957)
- Bartlett RH, "Studies on pathogenesis and prevention of postoperative pulmonary complications", Surg Gynecol Obstet, 137(6), pp.925~933 (1973)
- Becklake MR, "Concepts of normality applied to measurement of lung function", Am J Med, 80(6), pp.1158~1163 (1986)
- Cairns MC, "Pressure biofeedback: A useful tool in the quantification of abdominal muscular dysfunction", Phys Ther, 86(3), pp.127~138 (2000)
- Cresswell AG, "Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man", Acta Physiol Scand, 144(4), pp.409~418 (1992)
- Cresswell AG, "The influence of sudden perurbations on trunk muscles activity and intra-abdominal pressure while standing", Exp Brain Res, 98(2), pp.336~341 (1994)
- De Troyer A, "Functional anatomy of the respiratory muscle", Clin Chest Med, 9(2), pp.175~193 (1988)
- Estenne M, "The effect of pectoralis muscle training in tetraplegic patients", Am Rev Respir Dis, 139(5), pp.1218~1222 (1989)
- Grillner S, "Thorstensson A. Intraabdominal pressure changes during natural movements in man", Acta Physiol Scand, 103(3), pp.275~283 (1978)
- Hall LC, "A case-control study of postoperative pulmonary complications after laparoscopic and open cholecystectomy", J Lapaloendosc Surg, 6(2), pp.87~92 (1996)
- Hanayama K, "Amyotrophic lateral sclerosis. Successful treatment of mucous plugging by mechanical insufflation-exsufflation", Am J Phy Med Rehabil, 76(4), pp.338~339 (1997)
- Harber P, "Is the MVV:FEV1 ratio useful for assessing spirometer validity", Chest, 88(1), pp.52~57 (1985)
- Hodges PW, "Change in intra-abdominal pressure during postural and respiratory activation of the human diaphragm", J Appl Physiol, 89(3), pp.967~976 (2000)
- Houge A, "Physiotherapy in Respiratory Care. 3rd ed" (2001), Nelson Thornes
- Jardins TD, "Cardiopulmonary Anatomy and Physiology: Essentials for respiratory care. 4th ed", Albany, Delmar Cengage learning, ~ (2002)
- 전용진, "경수손상환자들의 폐기능 향상을 위한 흡기 및 호기 호흡운동 방법의 효과 비교", 한국전문물리치료학회지, 17(1), pp.9~16 (2010), 한국전문물리치료학회
- Kagaya H, "Effective home-based pulmonary rehabilitation in patients with restrictive lung diseases", Tohoku J Exp Med, 218(3), pp.215~219 (2009)
- Kim J, "Effect of expiratory muscle strength training on elderly cough function", Arch Gerontol Geriatr, 48(3), pp.361~366 (2008)
- Kim K, "Introduction to Cardiopulmonary Physical Therapy", Terabooks, pp.110~125 (2009)
- 김기송, "만성요통환자에서 복부심부근 강화 운동이 노력성 호기 폐기능 검사 동안 최대호기유량 및 1초간노력성호기량과 요통에 미치는 효과", 한국전문물리치료학회지, 16(1), pp.10~17 (2009), 한국전문물리치료학회
- Kim YS, "Peak Expiratory Flow in Normal Healthy Korean Subjects Measured by Mini-Wright Peak Flow Meter. Tuberculosis and Respiratory Diseases", 50(3), pp.320~333 (2001)
- Kreitzer SM, "Respiratory muscle function in amyotrophic lateral sclerosis", Am Rev Respir Dis, 117(3), pp.437~447 (1978)
- Richardson, CA, "Therapeutic Exercises for Lumbopelvic Stabilization, 2nd ed" (2004), Churchill Livingstone
- Roth EJ, "Pulmonary function testing in spinal cord injury: Correlation with vital capacity", Paraplegia, 33(8), pp.454~457 (1995)
- Roth EJ, "Expiratory muscle training in spinal cord injury: A randomized controlled trial", Arch Phys Med Rehabil, 91(6), pp.857~861 (2010)
- Suzuki S, "Expiratory muscle fatigue in normal subject", J Appl Physiol, 70(6), pp.2632~2639 (1991)
- Westwood K, "Incentive spirometer decreases respiratory complications following major abdominal surgery", Surgeon, 5(6), pp.339~342 (2007)
