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Assisted Cough and Pulmonary Compliance in Patients with Duchenne Muscular Dystrophy

강성웅|강연승|문재호|유태원
연세대학교의과대학 (Yonsei University College of Medicine)|2005.04|Yonsei Medical Journal|제46권 제2호|pp. 233-238

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참고문헌

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초록

Abstract

The aim of this study was to investigate the factors affecting cough ability, and to compare the assisted cough methods in patients with Duchenne muscular dystrophy (DMD). A total seventy-one male patients with DMD were included in the study. The vital capacity (VC) and maximum insufflation capacity (MIC) were measured. The unassisted peak cough flow (UPCF) and three different techniques of assisted peak cough flow were evaluated. UPCF measurements were possible for all 71 subjects. But when performing the three different assisted cough techniques, peak cough flows (PCFs) could be obtained from only 51 subjects. The mean value of MICs (1801±780cc) was higher than that of VCs (1502±765cc) (p<0.01). All three assisted cough methods showed a significantly higher value than the unassisted method (F=80.92, p<0.01). The manual assisted PCF under MIC (MPCFmic) significantly exceeded those produced by manual assisted PCF (MPCF) or PCF under MIC (PCFmic). The positive correlation between the MIC, VC difference (MIC-VC), and the difference between PCFmic and UPCF (PCFmic-UPCF) was seen (r= 0.572, p<0.01). The preservation of pulmonary compliance is important for the development of an effective cough as well as assisting the compression and expulsive phases. Thus, the clinical importance of the inspiratory phase and pulmonary compliance in assisting a cough should be emphasized.

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관련 논문AI추천

Respiratory Muscle Strength and Cough Capacity in Patients with Duchenne Muscular Dystrophy강성웅, 강연승, 문재호, 박정현, 손홍석연세대학교의과대학 · Yonsei Medical Journal2006 · 제47권 제2호Clinical Implications of Routine Monitoring of Pulmonary Function and Ventilation in Patients with Duchenne Muscular Dystrophy강성웅, 이장우, 조한얼, 최원아연세대학교의과대학 · Yonsei Medical Journal2022 · 제63권 제6호A Comparison of Cough Assistance Techniques in Patients with Respiratory Muscle Weakness강성웅, 김선미, 원유희, 최원아연세대학교의과대학 · Yonsei Medical Journal2016 · 제57권 제6호How Respiratory Muscle Strength Correlates with Cough Capacity in Patients with Respiratory Muscle Weakness강성웅, 김동현, 박중현, 이상철, 최원아연세대학교의과대학 · Yonsei Medical Journal2010 · 제51권 제3호뒤시엔느형 근디스트로피 환자에서 Sniff Nasal Inspiratory Pressure의 임상적 의의김완, 강성웅, 박윤길, 유태원, 이병인, 장현정대한재활의학회 · Annals of Rehabilitation Medicine2006 · 제30권 제6호뒤시엔느 근 이영양증 환자에서 기능 수준과 측정 자세에 따른 최대호기유량, 1초간노력성호기량 및 최대기침유량의 변화김기송, 신헌석한국전문물리치료학회 · 한국전문물리치료학회지2009 · 제16권 제3호

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