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집중적인 흉부가동성운동이 뇌졸중 환자의 폐기능과 보행기능에 미치는 영향

The Effects of Intensive Chest Mobility Exercise on Increasing Pulmonary Function and Gait in Stroke Patients

오덕원|최성진
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2012.06|특수교육재활과학연구|제51권 제2호|pp. 221-239|DOI http://dx.doi.org/

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키워드

뇌졸중stroke집중적인 흉부가동성운동페기능보행기능Intensive chest mobility exercisechest functionwalking function
주제분류기타사회과학

초록

본 연구의 목적은 만성 뇌졸중 환자에서 폐기능과 보행 능력에 대한 집중적인 흉부가동성운동의 효과를 알아보고자 하였다. 본 연구의 대상자는 뇌졸중으로 인한 편마비환자 27명이었으며, 대상자들은 실험군(14명)과 대조군(13명)으로 무작위 배정되었다. 실험군의 대상자들은 2주 동안 주 5일, 1시간씩 집중적인 흉부가동성운동을 시행하였다. 대상자들의 폐기능은 흉곽확장 정도와 폐기능(노력성 폐활량, 1초 노력성 호기량, 노력성 폐활량에 대한 1초 노력성 호기량 비)에 대한 검사를 통해 측정되었으며, 보행 능력은 일어나 걸어가기 검사, 10m 보행 검사, 6분 보행 검사를 사용하여 평가되었다. 모든 측정은 중재 전과 후에 시행되었다. 본 연구의 결과는 실험군의 대상자들이 대조군의 대상자들에 비해 흉곽확장 정도와 1초 노력성 호기량에서 유의하게 더 향상된 것으로 나타났으며(p<.05), 또한 일어나 걸어가기 검사, 10m 보행, 6분 보행에서도 실험군의 대상자들이 유의하게 증진된 것으로 나타났다(p<.05). 이러한 결과는 집중적인 흉부가동성운동이 만성 뇌졸중 환자들의 폐기능과 보행 능력에 도움이 된다는 것을 의미한다.

Abstract

The objective of this study was to identify the effects of intensive chest mobility exercise on chest and walking functions of patients with post-stroke hemiparesis. A total of 27 subjects were recruited and randomly assigned to an experimental (EG) (n1=14) or control (CG) (n2=13) group. All subjects underwent the routine rehabilitation procedure, and EG subjects additionally underwent an intensive chest mobility exercise protocol for 1-hour daily, 5 times a week, for 2 weeks (a total of 10 sessions). Before and after the intervention, chest function was determined by measuring chest expansion length, forced vital capacity (FVC), force expiratory volume at one second (FEV1), and FEV1/ FVC, and walking function was assessed using the timed up and go test (TUG), 10m walk test (10MWT), and 6-min walk test (6MWT). The EG subjects showed, significant differences in pre-test and post-test measurements of chest expansion length, FEV1, TUG, 10MWT, and 6MWT (p<0.05), whereas the CG subjects showed no significant differences (p>0.05). The EG subjects had significantly greater post- test chest expansion length when compared to the CG (p<0.05). Between-group comparison showed, significant differences in the change of chest expansion length, FEV1, TUG, 10MWT, and 6MWT (p<0.05). These findings suggest that an intensive chest mobility exercise may be beneficial for enhancing the chest and walking functions of patients with post-stroke hemiparesis.

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