Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Comparison of the Effect of Inhalation and Exhalation Breathing Exercises on Pulmonary Function of Patients With Cervical Cord Injury

경수손상환자들의 폐기능 향상을 위한 흡기 및 호기 호흡운동 방법의 효과 비교

  • Jean, Yong-Jin (Physical Therapy Section, Therapy and Education Team, Our Lady of Mercy Rehabilitation Center) ;
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health and Sports Science, Daeieon University) ;
  • Kim, Kyung-Mo (Dept. of Physical Therapy, Bundang Cha General Hospital) ;
  • Lee, Young-Jung (Dept. of Physical Therapy, Bundang Jesaeng General Hospital)
  • 전용진 (성모자애복지관 치료교육팀 물리치료실) ;
  • 오덕원 (대전대학교 보건스포츠과학대학 물리치료학과) ;
  • 김경모 (분당차병원 물리치료실) ;
  • 이영정 (분당제생병원 물리치료실)
  • Received : 2010.01.02
  • Accepted : 2010.02.03
  • Published : 2010.02.19
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Abstract

This study aimed to compare 2 protocols recommended to patients with chronic cervical cord injury: each protocol included breathing exercises (inhalation-oriented or exhalation-oriented) and facilitation maneuver for the accessory respiratory muscles. Seventeen patients with chronic cervical cord injury volunteered to participate in this study, and we randomized these patients into 2 groups: the inhalation-oriented breathing exercise group (IOBEG) and exhalation-oriented breathing exercise group (EOBEG), consisting of 8 and 9 patients, respectively. Patients in the IOBEG performed inspiratory exercises using intermittent positive pressure breathing devices, while those in the EOBEG performed expiratory exercises using incentive spirometry. All exercises were performed by the subjects twice a day for 4 weeks, with each session lasting an average of 20 min. The outcomes were assessed on the basis of the pre- and post-treatment values of vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC. In the IOBEG, no significant differences were observed between the pre- and post-treatment values of any of the measured variables (p>.05); however, in the EOBEG, significant improvement was noted in the VC, FVC, FEV1 measured (p<.05) after the treatment. In addition, the rates of change in the values of VC, FVC, and FEV1 differed significantly between the 2 groups (p<.05). These findings suggest that the EOBEs can enhance respiratory function and are clinically feasible in patients with chronic cervical cord injury. Further studies will be undertaken to evaluate the clinical application of these findings.

Keywords

References

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