간헐적 양압호홉기를 이용한 호홉운동치료 후근 이영양종 환자의 폐기능 변화

Abstract

The purpose of this study was to identify the differences in pulmonary functioningafter respiratory exercise with IPPB CIntennittent Positive Pressure Breather) in patientswith progressive muscular dystrophy (PMD). The subjects were 46 patients with PMDwho were admitted to the Rehabilitation Medicine Department of Y oungdong SeveranceHospital. The subjects were assigned into one of 2 groups. The control group receivedcomprehensive treatments such as ROM exercise, deep breathing exercise, moist hotpacks, and ultrasound twice a day while admitted at the Rehabilitation MedicineDepartment. Unlike the control group, the subjects at the experimental group receivedrespiratory exercise treatment with IPPB. The subjects were admitted for 10-19 days,and the average length of hospital stay was 12.2 days. Pulmonary functioning wasev머ua않d at admission and discharge by SENSOR MEDICS. The data were an머yzedby a paired t-test and a independent t-test. The results were as follows: 1) Thechange of each parameter of pulmonary function tests were significantly improved in all groups after respiratory exercise treatment during admission (p<O.05). 2) By comparingthe change of each parameter of puImonary function tests between the experimentalgroup and control group, the parameters of vital capacity (VC), forced vital capacity,forced vital capacity predicted (FVCP) and forced expiratory volume in 1 second(FEV1) were significantly improved in the experimental group which had received thepulmonary exercise treatment with IPPB (p<O.05). In conclusion, this study suggeststhat the pulmonary exercise treatments with IPPB facilitated improvement in thepulmonary functioning for the PMD patients during their hospital stay.