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  • 발행기관: 대한심장호흡물리치료학회
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대한심장호흡물리치료학회지

  • 발행기관 : 대한심장호흡물리치료학회(Korean Academy of Cardiorespiratory Physical Therapy)
  • 출처구분 : 학회
  • 간행물유형 : 학술저널
  • 발행주기 : 연 2회간 (발행월:6;12)
  • Print ISSN : 2288-615X
대한심장호흡물리치료학회지
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자세 변화와 도구 사용 시 최대 들숨과 날숨 시 호흡근의 근활성도 차이
자세 변화와 도구 사용 시 최대 들숨과 날숨 시 호흡근의 근활성도 차이
김근조(Keun-Jo Kim);장영(Zang Rong);조동혁(Dong-hyeok Jo);정주은(Ju-eun Jeong);김경규(Gyeong-gyu Kim);김문규(Mun-kyu Kim);김민지(Min-zy Kim);김현승(Hyun-seung Kim);박경현(Kyeong-hyeon Park);박새롬(Sae-rom Park);이영준(Yeong-jun Lee);전다빈(Da-bin Jeon);정태환(Tae-hwan Jung);웅서함(shu-han Xiong);유림(lin Liu)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 1-5 (5 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In this study, we aimed to measure how respiratory muscle activity changes as posture changes. We also aimed to measure the inspiratory sternocleidomastoid (SCM) and upper trapezius (UT) muscle activities as well as expiratory rectus abdominis (RA) and oblique abdominis (OA) muscle activities in healthy male and female university students in their twenties. Methods : Using the percentage of reference voluntary contraction (% RVC) with electromyography, we measured the SCM, UT, RA, and OA muscle activities in 16 healthy male and female university students in their 20s according to position change and breather tool use. Results : We found that the average value of inspiratory and expiratory muscle activities by posture was highest when using the breather tool. When using the tool with 10-mm and 2-mm straws for standard breathing at rest in the sitting position, a statistically significant increase in SCM, UT, and OA activities occurred (p < 0.05). For standard breathing at rest in the supine position, a statistically significant increase in SCM, RA, and OA activities occurred (p < 0.05). Conclusion : In clinical application, it may be better to use a respiratory muscle-strengthening tool to increase the activity of inspiratory and expiratory muscles.
태권도 막기동작 응용 가슴우리 확장운동이 폐 기능에 미치는 영향
태권도 막기동작 응용 가슴우리 확장운동이 폐 기능에 미치는 영향
변성학(Sung-Hak Byun);하미숙(Mi-Sook Ha);한동욱(Dong-Wook Han)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 7-12 (6 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In this study, we aimed to investigate the effects of rib cage expansion exercise applying Taekwondo Makki motion on pulmonary functions. Methods : We examined 30 female university students without any dysfunctions of the nervous, muscular, and cardiopulmonary systems. Pulmonary functions were tested using a digital pulmonary function measuring device (Pony FX, COSMED Inc, Italy). The experimental group performed three movements of expanding their rib cage applying Taekwondo Makki motion. The participants performed exercises twice a day, once in the morning and again in the afternoon, for 4 weeks. The control group did not perform any other exercise. Pulmonary functions were measured again after 4weeks. SPSSWIN (ver 25.0) package program was used for statistical analysis. Results : In the experimental group, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), inspiratory reserve volume (IRV), inspiratory capacity (IC), expiratory reserve volume, vital capacity (VC), and maximal voluntary ventilation (MVV) improved significantly after 4 weeks of exercise; the control group showed no change. The changes in FVC, FEV1, IRV, IC, VC, and MVV in the experimental group were higher than those in the control group. Conclusion : The rib cage expansion exercise applying Taekwondo Makki motion can improve pulmonary functions.
만성 폐쇄성 폐질환을 위한 자가 관리 호흡운동의 최근 동향
만성 폐쇄성 폐질환을 위한 자가 관리 호흡운동의 최근 동향
정대인(Dae-In Jung);김현중(Hyun-Joong Kim)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 13-19 (7 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In self-management of chronic obstructive pulmonary disease (COPD), breathing exercises can effectively improve respiratory muscle strength and endurance, correct abnormal thoracic spine and abdominal motions, and reduce dyspnea and dynamic hyperinflation. In this systematic review and meta-analysis, we aimed to examine recent trends in self-management breathing exercises for patients with COPD. Methods: We searched the MEDLINE, EMBASE, CINAHL, PEDro, and CENTRAL databases until March 2021 for randomized controlled trials (RCTs) evaluating pulmonary function and exercise capacity through self-management breathing exercises (BEs) in patients with COPD. We used Cochrane’s risk of bias tool for qualitative analysis. Postintervention results were quantitatively analyzed using RevMan 5.4. Results : We selected 6 RCTs of 1,039 patients with COPD performing self-management BEs. A previous systematic review and meta-analysis also included six RCTs. For pulmonary function, we found that the results of the patients performing BEs were no more effective than those of the control groups (−0.08; 95% confidence interval [CI], −0.44 to 0.27; heterogeneity, χ² = 9.73, df = 3, I2 = 69%; overall effect, Z = 0.45). However, for exercise capacity, the results of the patients performing BEs were more effective than those of the control groups (0.37; 95% CI, 0.10 to 0.64; heterogeneity, χ² = 19.54, df = 5, I2 = 74%; overall effect, Z = 2.65). Conclusion : COPD self-management BEs did not significantly affect pulmonary function, but positively affected exercise capacity.
가로막 강화 운동이 만성 허리통증 환자의 폐 기능과 통증 및 장애 수준에 미치는 영향
가로막 강화 운동이 만성 허리통증 환자의 폐 기능과 통증 및 장애 수준에 미치는 영향
김범룡(Beom-Ryong Kim);강태우(Tae-Woo Kang)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 21-26 (6 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In this study, we investigated the effects of a diaphragm-strengthening exercise on pulmonary function, pain, and disability level in patients with chronic low back pain (CLBP). Methods : A total of 10 patients with CLBP were enrolled in this study. These patients performed diaphragm-strengthening exercise for 30 minutes per day, 5 times a week, for 4 weeks. We measured pulmonary function using spirometry, assessed CLBP using a visual analog scale, and measured disability level using Korean Oswestry disability index. We used paired t test to compare within-group changes before and after the diaphragm-strengthening exercise. Results : After the exercise, a significant within-group change occurred in pulmonary function, pain, and disability level (p < 0.05). Conclusion : The application of a diaphragm-strengthening exercise can be used for patients with CLBP, considering its positive effects on pulmonary function, pain, and disability level.
The Talk Test를 활용한 가정 호흡재활 프로그램이 만성 폐쇄성 폐질환 환자에게 미치는 영향
The Talk Test를 활용한 가정 호흡재활 프로그램이 만성 폐쇄성 폐질환 환자에게 미치는 영향
김시훤(Si-Hwon Kim)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 27-31 (5 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In this study, we aimed to determine the effects of a home-based pulmonary rehabilitation program using a talk test in patients with chronic obstructive pulmonary disease (COPD). Methods : The subjects in this study were 20 patients who were diagnosed COPD. We measured forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, peak expiratory flow (PEF), COPD assessment test (CAT), 6-minute walking test (6MWT), and left and right grip strengths before and after 4 weeks of training. We analyzed the data using a paired t test. Results : A significant increase in FVC, FEV₁, PEF, and left grip strength was observed. However, no significant differences in CAT, 6MWT, and right grip strength were noted. Conclusion : A home-based pulmonary rehabilitation program using the talk test positively affected respiratory function in patients with COPD.
신체활동량에 따른 관상동맥질환 위험인자의 차이 비교
신체활동량에 따른 관상동맥질환 위험인자의 차이 비교
하윤철(Yoon Chul-Ha);윤정호(Jung-Ho Yoon)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 33-38 (6 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : In this study, we aimed to determine the between-group differences in risk factors for coronary artery disease (CAD) through classification of the amount of energy consumed during physical activity. Method : In this study, subjects were selected from the 7th (2016−2017) National Health and Nutrition Survey data, and physical-activity metabolic equivalents (METs) were calculated and converted into energy consumption. Energy consumption was classified into the following three groups: <1,000 kcal; 1,000−1,500 kcal; and >1,500 kcal. From the data, we sampled body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), blood lipids (TC, HDL-C, LDL-C, TG, and FG), C-reactive protein (CRP), anxiety or depression, and Framingham risk score (FRS) related to CAD risk factors. One-way analysis of variance was used as a statistical method. Results : BMI, SBP, DBP, HDL-C, TG, and anxiety or depression showed significant differences in terms of the energy consumption classification of physical-activity METs. We found no significant differences in FG, TC, LDL-C, CRP, and FRS. Conclusion : This study showed that the level of CAD risk factors can differ according to the amount of physical-activity METs. Higher is the amount of physical-activity METs, lower is patients’ anxiety or depression.
심혈관질환자에서 심폐운동능력검사의 호흡곤란 종료 사유에 대한 예후적 유용성
심혈관질환자에서 심폐운동능력검사의 호흡곤란 종료 사유에 대한 예후적 유용성
김세윤(Se Youn Kim);윤정호(Jung Ho Yoon);홍수인(Su In Hong);고은희(Eun Hee Ko)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 39-45 (7 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose : Exercise capacity has clinical significance in patients with cardiovascular disease (CVD). Cardiopulmonary exercise testing (CPET) can determine maximum oxygen consumption, end-tidal carbon dioxide partial pressure, and minute ventilation/carbon dioxide production slope. In addition, CPET can confirm the cause of dyspnea. Therefore, in this study, we investigated the prognostic significance of the reasons for CPET termination due to dyspnea in patients with CVD. Methods: We conducted a retrospective study by analyzing the results of 243 patients (161 men and 82 women) diagnosed with CVD. We performed one-way analysis of variance to determine the mean difference between groups. For categorical data, chi-square test was performed to examine the differences between the groups. In addition, Kaplan- Meier analysis was used to investigate factors influencing the length of readmission. We considered the results to be significant at p < .05, and SPSSWIN 25.0 program was used for statistical analysis of data. Results : Differences existed between patient characteristics and reasons for CPET termination. However, significant differences were not found in all variables, including age, body mass index, skeletal muscle mass, and body fat percentage (p < 0.5). The reason for termination according to patients’ exercise level was significantly different (p < 0.5). The trend of readmission due to CP ET termination was not s tatistically s ignificant (=.014, df = 1 , p > .05). Conclusion : Dyspnea did not show a significant difference in patient characteristics, but reasons for CPET termination and level of exercise capacity were significant. We did not determine whether a high correlation with dyspnea exists, and the difference between reasons for CPET termination and trend of readmission was not significant.
호흡계질환이 동반된 척추골절로 인해 장기간 침상 안정을 유지한 고령의 환자에게 저유량 비강 캐뉼라 산소요법과 병행한 저강도 운동치료가 보행 향상에 미치는 영향
호흡계질환이 동반된 척추골절로 인해 장기간 침상 안정을 유지한 고령의 환자에게 저유량 비강 캐뉼라 산소요법과 병행한 저강도 운동치료가 보행 향상에 미치는 영향
류흥호(Hung-Ho Ryou)
대한심장호흡물리치료학회 / 대한심장호흡물리치료학회지 제9권 제1호 / 2021 / 47-51 (5 pages)
의약학>재활의학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 물리치료학
초록보기
Purpose: In this case study, we aimed to examine the effects of low-flow nasal oxygen therapy during a low-intensity exercise intervention on the gait improvement of a patient with thoracic vertebral fracture and respiratory disease. Methods: An old patient with thoracic vertebral fracture and respiratory disease received low-flow nasal oxygen therapy during low-intensity (Borg scale, 3-4) exercises (e.g., tilting table, walker standing, and walker gait) for 4 weeks. Results: We found that the patient could breathe on her own in room air during independent gait with a walker. Conclusion: Low-flow nasal cannula oxygen therapy during a low-intensity exercise intervention improved general weakness and strengthened respiratory muscles as well as shortened the period of oxygen therapy.