만성 뇌졸중 환자의 가로막과 호흡 보조근 활성도에 대한 연구
A Study on the Diaphragm and Respiratory Muscle Activity of Chronic Stroke Patients
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본 연구는 뇌졸중 환자의 호흡 시 가로막의 두께와 호흡보조근의 근활성도를 측정하여 상호비교함으로써 향 후 뇌졸중환자의 호흡패턴 변화에 기초적 임상자료를 제시하고자 한다. 전라남도의 A병원에 내원한 발병한지 6개월 이상의 만성 뇌졸중 환자로 58~69세 연령범위의 21명을 대상으로 하였다. 마비측에서는 가로막과 넓은등근(r=0.723, p<.01), 위등세모근(r=0.681, p<.05)은 음의 상관관계를 보였으나, 위등세모근과 넓은등근(r=0.633, p<.05)은 양의 상관관계를 보였다. 그리고 배곧은근과 배바깥빗근(r=0.612, p<.05)은 양의 상관관계를 보였다. 비마비측에서는 가로막과 넓은등근(r=0.618, p<.05), 위등세모근(r=0.631, p<.05)은 음의 상관관계를 보였으나, 위등세모근과 넓은등근(r=0.738, p<.01)은 양의 상관관계를 보였다. 그리고 배곧은근과 배바깥빗근(r=0.689, p<.05)은 양의 상관관계를 보였다. 호흡근과 호흡보조근의 정상적인 관계를 회복하기 위하여 올바른 호흡운동을 시행 할 수 있도록 보다 많은 연구가 필요할 것으로 여겨진다.
Abstract
The purpose of this study is to provide basic clinical data on respiratory pattern changes in post stroke patients by measuring the thickness of the diaphragm and the muscle activity of the respiratory muscle during breathing in stroke patients. Twenty - one patients aged 58 to 69 years with chronic stroke who were admitted to A hospital in Jeollanam - do and who were more than 6 months old were included. On the paralyzed side, there was a negative correlation between the diaphragm and the latissimus dorsi muscles (r=0.723, p<.01) and the upper trapezius (r=0.681, p<.05) 0.633, p<.05) showed a positive correlation. In addition, there was a positive correlation between the Rectus abdominis and External abdominal oblique muscles (r = 0.612, p <.05). On the non-paralysis side, there was a negative correlation between the diaphragm and the latissimus dorsi muscles (r = 0.618, p <.05) and the upper trapezius (r = 0.631, p <.05), However, there was a positive correlation between the Rectus abdominis and External abdominal oblique muscles (r = 0.738, p <.01). More research is needed to ensure that the respiratory movement can be performed to restore the normal relationship between respiratory and respiratory assistant muscles.
참고문헌 (23)
- 강정일, "Effects of Deep Abdominal Muscle Strengthening Exercises on Pulmonary Function and the Ability to Balance in Stroke Patients", 대한물리치료학회지, 27(4), pp.258~263 (2015), 대한물리치료학회
- De Almeida, IC, "Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement", Respir Physiol Neurobiol, 178(20), pp.196~201 (2011)
- Nam, C, W, "Impact of Cervical Stabilization Exercises and Breathing Retraining Impact on the Respiratory Function of Elderly Stroke Patients with Hemiplegia: a Randomized Control Trial", International Journal of Bio-Science and Bio-Technology, 7(4), pp.159~168 (2015)
- 송지욱, "체간 안정화 훈련이 만성 뇌졸중 환자의 폐 기능 및 체간근육 활성도에 미치는 영향", 예술인문사회 융합 멀티미디어 논문지, 6(2), pp.101~108 (2016), 사단법인 인문사회과학기술융합학회[DOI]
- Enright, SJ, "Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial", Phys Ther, 91(3), pp.894~905 (2011)
- Sarwal, A, "Neuromuscular ultrasound for evaluation of the diaphragm", Muscle & nerve, 47(3), pp.319~329 (2013)
- Heo, K, "The effect of aerobic exercise training on physical fitness and inflammatory markers in stroke pateints", Master’s, pp.2008
- Ferretti, G, "Effects of prolonged bed rest on cardiovascular oxygen transport during submaximal exercise in humans", Eur J Appl Physiol Occup Physiol, 78, pp.398~402 (1998)
- Lanini, B, "Chest wall kinematics in patients with hemiplegia", American journal of respiratory and critical care medicine, 168(1), pp.109~113 (2003)
- Billinger, SA, "Reduced cardiorespiratory fitness after stroke:biological consequences and exercise-induced adaptations", Stroke Res Treat, pp.1~11 (2012)
- 이명효, "목 안정화와 호흡 재교육 운동이 만성 뇌졸증 환자의 호흡기능에 미치는 효과", 박사, 재활과학과 물리치료전공, pp.2014
- Talasz, H, "Misconception of the Valsalva maneuver", Int Urogynecol J, 22, pp.1197~1198 (2011)
- Ratnovsky, A, "Mechanics of respiratory muscles", Respir Physiol Neurobiol, 163(1), pp.8289~ (2008)
- De Almeida, IC, "Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement", Respir Physiol Neurobiol, 178(2), pp.196~201 (2011)
- Butler, JE, "Drive to the human respiratory muscles", Respir Physiol Neurobiol, 159(2), pp.115~126 (2007)
- Fluck, DC, "Chest movements in hemiplegia", Clin Sci, 31, pp.383~388 (1966)
- Houston, JG, "Ultrasonic evaluation of movement of the diaphragm after acute cerebral infarction", J Neurol Neurosurg Psychiatry, 58(6), pp.738~741 (1995)
- Wang, JS, "The immediate effect of diaphragm taping with breathing exercise on muscle tone and stiffness of respiratory muscles and SpO2 in stroke patient", J Phys Ther Sci, 29, pp.970~973 (2017)
- Park, S, J, "The immediate effects of rib cage joint mobilization and chest wall stretch on muscle tone and stiffness of respiratory muscles and chest expansion ability in patients with chronic stroke", Journal of physical therapy science, 29(11), pp.1960~1963 (2017)
- Wijdicks, E, F, "Short of breath, short of air, short of mechanics", Practical Neurology, 2(4), pp.208~213 (2002)
- Määttä, T, "Sensory impairments and health concerns related to the degree of intellectual disability in people with Down syndrome", Down Syndrome Research and Practice, 11(2), pp.78~83 (2006)
- 김난수, "호흡훈련이 뇌졸중 환자의 횡격막 비대칭에 미치는 영향", 대한물리의학회지, 8(2), pp.263~269 (2013), 대한물리의학회
- Pollock RD, "Respiratory muscle strength and training in stroke and neurology: a systematic review", Int J Stroke, 8(2), pp.124~130 (2013)