본문 바로가기
KERD
논문KCI 등재

만성요통환자에서 복부심부근 강화 운동이 노력성 호기 폐기능 검사 동안 최대호기유량 및 1초간노력성호기량과 요통에 미치는 효과

Effect of Abdominal Drawing-In Maneuver on Peak Expiratory Flow, Forced Expiratory Volume in 1 Second and Pain During Forced Expiratory Pulmonary Function Test in Patients With Chronic Low Back Pain

2

조회

0

다운로드

16

인용

0

참고문헌

주제분류물리치료학

초록

The aim of this study was to investigate the effect of abdominal drawing-in maneuver (ADIM) on peak exploratory flow (PEF), forced exploratory volume in 1 second (FEV1), and low back pain during forced expiration. Twenty-two subjects (14 subjects in experimental group, 8 subjects in control group) participated in this study. The stabilizer was used for ADIM training for five consecutive days. Vitalograph PEF/FEV1 DIARY and visual analogue scale (VAS) were used to determine forced expiratory pulmonary function and low back pain, respectively. Independent t-test and analysis of covariance were used for statistical analysis with a significance level of .05. The findings of this study were as follows: 1) There were no significant differences of ADIM effect on PEF and FEV1 between experimental group and control group. 2) There was a significant pain reduction in experimental group with ADIM. 3) PEF and FEV1 increased significantly in the fifth day compared with the first day pre-exercise baseline. Therefore, it is concluded that ADIM was effective in improving PEF and FEV1, and reducing VAS during forced expiration in patients with chronic low back pain.

Abstract

The aim of this study was to investigate the effect of abdominal drawing-in maneuver (ADIM) on peak exploratory flow (PEF), forced exploratory volume in 1 second (FEV1), and low back pain during forced expiration. Twenty-two subjects (14 subjects in experimental group, 8 subjects in control group) participated in this study. The stabilizer was used for ADIM training for five consecutive days. Vitalograph PEF/FEV1 DIARY and visual analogue scale (VAS) were used to determine forced expiratory pulmonary function and low back pain, respectively. Independent t-test and analysis of covariance were used for statistical analysis with a significance level of .05. The findings of this study were as follows: 1) There were no significant differences of ADIM effect on PEF and FEV1 between experimental group and control group. 2) There was a significant pain reduction in experimental group with ADIM. 3) PEF and FEV1 increased significantly in the fifth day compared with the first day pre-exercise baseline. Therefore, it is concluded that ADIM was effective in improving PEF and FEV1, and reducing VAS during forced expiration in patients with chronic low back pain.

참고문헌 (23)

  1. 김영삼, "Mini-Wright Peak Flow Meter로 측정한 한국 성인의 최고호기유량의 정상치", 결핵 및 호흡기질환, 50(3), pp.320~333 (2001)
  2. 이병기, "걷기와 요부안정화운동이 만성요통환자의 폐기능과 요부심부근에 미치는 영향", 대한임상건강증진학회지, 8(3), pp.168~177 (2008), 대한임상건강증진학회
  3. Bach JR, "Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilator assisted individuals", Arch Phys Med Rehabil, 74(2), pp.170~177 (1993)
  4. Troyer A, "Functional anatomy of the respiratory muscle", Clin Chest Med, 9(2), pp.175~193 (1988)
  5. Deyo RA, "What can the history and physical examination tell us about low back pain?", JAMA, 268(6), pp.760~765 (1992)
  6. Hall L, "Immediate effects of co-contraction training on motor control of the trunk muscles in people with recurrent low back pain", J Electromyogr Kinesiol, 9(27), pp.1~11 (2007)
  7. Hanayama K, "Amyotrophic lateral sclerosis. Successful treatment of mucous plugging by mechanical insufflation-exsufflation", Am J Phys Med Rehabil, 76(4), pp.338~339 (1997)
  8. Hodges PW, "Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds", Arch Phys Med Rehabil, 80(9), pp.1005~1012 (1999)
  9. Jardins TD, "Cardiopulmonary Anatomy and Physiology: Essentials for respiratory care. 4th ed", pp.49~55 (2002), Delmar Cengage Learning
  10. Jarvik JG, "Diagnostic evaluation of low back pain with emphasis on imaging", Ann Intern Med, 137(7), pp.586~597 (2002)
  11. Leung AK, "Sneezing", J Otolaryngol, 23(2), pp.125~129 (1994)
  12. Mannion AF, "Influence of age and duration of symptoms on fibre type distribution and size of the back muscles in chronic low back pain patients", Eur Spine J, 9(4), pp.273~281 (2000)
  13. Panjabi MM, "Clinical spinal instability and low back pain", J Electromyogr Kinesiol, 13(4), pp.371~379 (2003)
  14. Panjabi MM, "A hypothesis of chronic back pain: Ligament subfailure injuries lead to muscle control dysfunction", Eur Spine J, 15(5), pp.668~676 (2006)
  15. Pfaar O, "Pathophysiology of itching and sneezing in allergic rhinitis", Swiss Med Wkly, 139(3), pp.35~40 (2009)
  16. Röttger C, "Sinus thrombosis after a jump from a small rock and a sneezing attack: Minor endothelial trauma as a precipitating factor for cerebral venous thrombosis?", Headache, 44(8), pp.812~815 (2004)
  17. Ruppel G, "The respiratory system. in: Egan's Fundamentals of Respiratory Care. 7th ed", pp.140~155 (1999), Mosby
  18. Schleip R, "Letter to the Editor concerning "hypothesis of chronic back pain: Ligament subfailure injuries lead to muscle control dysfunction"(M. Panjabi)", Eur Spine J, 16(10), pp.1733~1735 (2007)
  19. Schmidt R, "Motor Control and Learning: A behavioral emphasis. 4th ed", pp.107~109 (2005), Human Kinetics
  20. Tsao H, "Immediate changes in feedforward postural adjustments following voluntary motor training", Exp Brain Res, 181(4), pp.537~546 (2007)
  21. Yue JJ, "Clinical application of the Panjabi neutral zone hypothesis: The Stabilimax NZ posterior lumbar dynamic stabilization system", Neurosurg Focus, 22(1), pp.E12~ (2007)
  22. Vroomen PC, "Predicting the outcome of sciatica at short-term follow-up", Br J Gen Pract, 52(475), pp.119~123 (2002)
  23. Woollacott M, "Attention and the control of posture and gait: A review of an emerging area of research", Gait Posture, 16(1), pp.1~14 (2002)

관련 논문AI추천

걷기와 요부안정화운동이 만성요통환자의 폐기능과 요부심부근에 미치는 영향고일규, 김은경, 이병기, 이중철, 지용석대한임상건강증진학회 · Korean Journal of Health Promotion2008 · 제8권 제3호요추부 불안정성을 가진 요통환자의 복부 드로우-인 기법과 복부 확장 기법을 이용한 체간안정화운동의 효과 비교김선엽, 이호준한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제1호호흡 재교육을 병행한 필라테스 안정화 운동이 만성 요통 환자의 통증, 기능장애 및 심리사회적 요인에 미치는 영향윤중대, 이재남, 정상모대한정형도수물리치료학회 · 대한정형도수물리치료학회지2025 · 제31권 제1호흡기근강화운동이 만성허리통증 환자의 척추분절움직임과 허리 심부근 두께에 미치는 영향정대근사단법인 인문사회과학기술융합학회 · 예술인문사회 융합 멀티미디어 논문지2018 · 제8권 제12호사무직 근로자의 만성요통에 대한 복부 드로잉-인 기법이 요부 기능장애와 균형 능력에 미치는 효과김윤환, 송현승, 정용식대한정형도수물리치료학회 · 대한정형도수물리치료학회지2021 · 제27권 제3호기구 필라테스 운동이 만성 요통 환자의 통증 정도, 장애 지수, 복부근 두께에 미치는 영향최현, 권오국, 박찬호, 양영식, 유달영대한정형도수물리치료학회 · 대한정형도수물리치료학회지2023 · 제29권 제1호

이 간행물의 다른 논문 (8건)