호흡근 강화훈련이 구강안면근력과 호흡근력에 미치는 효과
Respiratory Muscle Strengthening Training Effect on Orofacial Muscle Strength and Respiratory Strength: A Randomized Controlled Trial
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초록
이 연구의 목적은 호흡근 강화훈련이 구강안면과 호흡근력에 미치는 영향을 알아보고자 하였다. 삼킴 문제가 없는 18명을 대상으로 실험군과 대조군으로 무작위 할당하였다. 실험군은 천연 라텍스 소재의 풍선을 단경 18cm 이상으로 부풀리도록 하였고 대조군은 풍선의 뒷부분을 제거하여 저항을 제거한 후에 최대 숨을 마신 후 내쉬도록 지시하였다. 평가는 IOPI(Iowa Oral Performance Instrument)로 구강안면근 4가지를 측정하고 MicroRPM(Micro Respiratory Pressure Meter)으로 최대흡기압(Maximal Inspiratory Pressure; MIP), 최대호기압(Maximal Expiratory Pressure; MEP)을 측정하였다. IOPI를 이용한 평가 결과 실험군의 중재 전후 구강안면근의 4가지 항목에서 통계학적 유의한 차이를 보였으며(p<.05) 대조군의 경우 1가지 항목에서 유의한 차이를 보였다. MicroRPM을 이용한 평가한 결과 실험군과 대조군 모두 MEP에서 통계학적 유의한 차이를 보였다. 본 연구를 통해 호흡근 강화훈련이 정상성인의 구강안면근력과 호흡근력 향상에 도움을 줄 수 있는 교정적 방법임을 확인하였다.
Abstract
The purpose of this study was to investigate the effect of respiratory muscle strengthening training on oral and facial and respiratory muscle strength. Eighteen subjects without swallowing problems were randomly assigned to an experimental group and a control group. The experimental group inflated a balloon made of natural latex material to a minor diameter of 18cm or more, and the control group was instructed to exhale after taking a maximum breath after removing the resistance by removing the back of the balloon. For evaluation, four types of oral and facial muscles were measured with the IOPI(Iowa Oral Performance Instrument), and MIP(Maximal Inspiratory Pressure) and MEP(Maximal Expiratory Pressure) were measured with a Micro RPM(Micro Respiratory Pressure Meter). As a result of the evaluation using IOPI, there was a statistically significant difference in 4 items of orofacial muscle before and after intervention in the experimental group (p<.05), and there was a significant difference in 1 item in the control group. As a result of the evaluation using MicroRPM, both the experimental group and the control group showed a statistically significant difference in MEP. Through this study, it was confirmed that respiratory muscle strengthening training is a corrective method that can help improve oral and facial muscle strength and respiratory muscle strength in normal adults.
참고문헌 (26)
- S. A. Whang, "Development of nursing intervention and Its effects on improving swallowing function in the elderly", 박사, pp.2015
- L. Rofes, "Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly", Gastroenterol Res Pract, 818979 (2011)
- D. H. Barer, "The natural history and functional consequences of dysphagia after hemispheric stroke", Journal of Neurology, Neurosurgery & Psychiatry, 52(2), pp.236~241 (1989)
- W. Ann, "Assessment and early diagnosis of dysphagia", Geriatric Nursing, 29(6), pp.376~377 (2008)
- C. Ertekin, "The effect of head and neck positions on oropharyngeal swallowing: a clinical and electrophysiologic study", Arch Phys Med Rehabil, 28(9), pp.1255~1260 (2001)
- H. Laciuga, "Functional outcomes associated with expiratory muscle strength training: narrative review", J Rehabil Res Dev, 51(4), pp.535~546 (2014)
- K. M. Wheeler, "Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks", Dysphagia, 22(2), pp.108~116 (2007)
- T. Pitts, "Co-ordination of cough and swallow in vivo and in silico", Exp Physiol, 97(4), pp.469~473 (2012)
- Y. J. Song, "Swallowing disorder" (2009), Gyechuk
- M. B. Kronenberger, "Dysphagia following head and neck cancer surgery", Dysphagia, 9(4), pp.236~244 (1994)
- J. Spahija, "Effects of imposed pursed-lips breathing on respiratory mechanics and dyspnea at rest and during exercise in COPD", Chest, 128(2), pp.640~650 (2005)
- E. J. Seo, "Comparison of the effects of breathing exercises using a ballon and ultrabreathe device on pulmonary function, respiratory muscle strength and arterial oxygen saturation of older adults", 박사, pp.2018
- S. C. Lee, "The Effects of Balloons Blowing and Kinesio Taping on Vital Capacity", Journal of Korean Physical Therapy Science, 18(3), pp.1~7 (2011)
- S. C. Lee, "The effects of balloon blow-ups and upper abdominal exercise on respiratory rehabilitation", Journal of Korean Physical Therapy Science, 18(3), pp.17~24 (2011)
- H. M. Clark, "Age and sex differences in orofacial strength", Dysphagia, 27(1), pp.2~9 (2012)
- K Angelin, "Effectiveness of balloon exercise on level of dyspnoea among patients with lower respiratory tract disorder", J Lung Pulm Respir Res, 4(2), pp.44~49 (2017)
- D. H. Nam, "Pulmonary functionn and the maximal inspiratory and expiratory pressure, and maximum phonation time before and after the specially programmed training", The journal of the Korean Society of Logopedics and Phoniatrics, 14(2), pp.88~93 (2003)
- J. S. Kim, "Effects of a balloon-blowing exercise on lung function of young adult smokers", J Phys Ther Sci, 24(6), pp.531~534 (2012)
- 전용진, "경수손상환자들의 폐기능 향상을 위한 흡기 및 호기 호흡운동 방법의 효과 비교", 한국전문물리치료학회지, 17(1), pp.9~16 (2010), 한국전문물리치료학회
- T. Pitts, "Using voluntary cough to detect penetration and aspiration during oropharyngeal swallowing in patients with Parkinson disease", Chest, 138(6), pp.1426~1431 (2010)
- S. Baker, "Examination of strength training and detraining effects in expiratory muscles", J Speech Lang Hear Res JSLHR, 48(6), pp.1325~1333 (2005)
- S. Cm, "Expiratory muscle training increases pressure support in high school band students", J Voice OffJ Voice Found, 16(4), pp.495~501 (2002)
- T. Moritani, "Neural factors versus hypertrophy in the time course of muscle strength gain", Am J Phys Med, 58(3), pp.115~130 (1979)
- 문종훈, "국내 성인을 대상으로 후두상승강화훈련기를 이용한 턱 당기기와 입 벌리기에 대한 압력의 표준화 연구", 한국지식정보기술학회 논문지, 15(2), pp.235~244 (2020), 한국지식정보기술학회[DOI]
- 원영식, "Effect of Olfactory Stimulation Mixed Carbonated Water Swallow on Suprahyoid Muscle Activity in Healthy Subjects", 한국지식정보기술학회 논문지, 15(1), pp.121~127 (2020), 한국지식정보기술학회[DOI]