[논문]Effect of Mekenzie Lumbar Support on Pulmonary Function for Wheelchair Patients with Stroke

Park, Shin Jun; Kim, Soon Hee

doi:10.20540/jiaptr.2018.9.2.1494

[국내논문] Effect of Mekenzie Lumbar Support on Pulmonary Function for Wheelchair Patients with Stroke 원문보기

Journal of international academy of physical therapy research, v.9 no.2, 2018년, pp.1494 - 1497

Park, Shin Jun (Gangdong College) , Kim, Soon Hee (Youngin University)

Abstract ▼ AI-Helper

This study aimed to determine the effect of McKenzie lumbar support on pulmonary function in Stroke patients. Twenty subjects (n=20) were divided into two groups: a McKenzie lumbar support group (MLS group=10), a control group (n=10). Pulmonary function was performed to assess its effectiveness. A spirometer was used to measure the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF). The intervention was conducted for four weeks. In the MLS group, FEV1, FVC, and PEF were increased after McKenzie lumbar support. (p0.05). There were no significant differences in variables between the MLS group and the control group (p>0.05). Our findings suggest that applying Mckenzie lumbar support may be an alternative maneuver to improve pulmonary function in stroke patients.

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문제 정의

The purpose of this study was to investigate pulmonary function changes after wearing McKenzie lumbar support in a wheelchair of stroke patients for 4 weeks. There was a significant increase in FVC, FEV1, and PEF in the experimental group.

제안 방법

The CV angle of the stroke patients is reduced and cervical mobilization, which can increase the CV angle, can improve pulmonary function ⁸⁾. In this study, we investigated the effect of the Mekenzie lumbar support, which increases the lumbar lordosis in the wheelchair of stroke patients, on the pulmonary function, This study was conducted to provide basic data for stroke patients and wheelchair rehabilitation.
In this study, we used a spirometer (MicroLab spirometer ML3500 MK6, UK) for the pulmonary function of the subject. The instrument consists of a disposable mouthpiece, a nose clip, a turbine and an analyzer.
The measurement method is to wear a nose clip and wrap the mouthpiece over the lips to prevent the air from being washed out by the mouth. After 3 times of stable breathing, maximal inspiration was completed and maximal expiration was performed for 6 seconds according to the verbal signal of the researcher.
However, this study has limitations in that it does not directly confirm the change in the angle of the lumbar angle by only identifying the pulmonary function of a stroke patient. However, it is important to verify the effect of the lumbar support on the wheelchair posture of patients with stroke.

대상 데이터

This study was conducted on 20 stroke patients who were admitted to a rehabilitation hospital and were diagnosed with hemiparesis by CT and MRI. Twenty subjects were divided into two groups: 10 in the MLS group and 10 in the control group in the wheelchairs (Mekenzie lumbar support).
Twenty subjects were divided into two groups: 10 in the MLS group and 10 in the control group in the wheelchairs (Mekenzie lumbar support). The subjects were include from among those who had no back pain or back surgery for more than 6 months, those without heart and respiratory disease other than stroke, those who were able to communicate and did not have cognitive dysfunction (K-MMSE 24 points or more). Subject with condition for abdominal spasticity were excluded.
In this study, we used a spirometer (MicroLab spirometer ML3500 MK6, UK) for the pulmonary function of the subject. The instrument consists of a disposable mouthpiece, a nose clip, a turbine and an analyzer. The forced vital capacity (FVC), forced expiratory volume in 1 second, FEV1 and peak expiratory flow (PEF) were measured after connecting the analyzer to the notebook.

데이터처리

Descriptive statistics were used for the general characteristics of subjects, and the changes before and after wearing the McKenzie lumbar support were paired t test, Difference comparisons were made using an independent t test. All statistical analyzes were performed using SPSS 20.

성능/효과

This study confirms that the Mckenzie lumbar support increases pulmonary function in stroke patients who are routinely living in wheelchairs. However, the pulmonary function of stroke patients without pulmonary rehabilitation can’t be increased beyond the control group.

참고문헌 (12)

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원문보기 상세보기
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상세보기
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