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Comparisons for the Abnormality of Breathing Pattern, Kinesiophobia and Flexion Relaxation Phenomenon in Patients with Chronic Low Back Pain and Healthy Person during Flexion and Extension of the Trunk 원문보기

Journal of international academy of physical therapy research, v.10 no.2, 2019년, pp.1750 - 1755  

Yoon, Junggyu (Department of Physical Therapy, Namseoul University)

Abstract AI-Helper 아이콘AI-Helper

Background: Most of the previous researches on the abnormality of breathing pattern have focused on the silence of functional movements owing to such abnormality, however, have not been clearly identified the relationship between the abnormal breathing pattern on one hand and kinesiophobia and flexi...

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제안 방법

  • ) and respiratory quotient (RQ). Abnormal breathing patterns were measured and recorded with the following criteria: less than 35 mmHg of the EtCO 29), greater than 23 points of Nijmegen Questionnaire (NQ) 10), greater than 16 of RQ 2), less than 20 seconds of breath holding time (BHT) 11), and abnormal breathing pattern in the Hi-Lo evaluation 12). The NQ consisted of a total of 16 items: 4 items for symptoms for the respiratory system and 12 items for symptoms for the whole body.
  • FRP was obtained by dividing the value of the maximum muscle activity during the entire movement by the value of the maximum muscle activity for three second at the maximized flexion (Flex/FF = maximal muscle activity of 1 second during bending in standing / maximum muscle activity of 1 second in full flexion; Ext/FF = maximal muscle activity of 1 second during extension from full flexion / maximum muscle activity of 1 second in full flexion) 17, 18). All the subjects participated in this experiment 3 times in total; 3 times a week and once a day.
  • Following an auditory signal, the subjects bended forward until they reach a maximized flexion of the trunk. During EMG assessment, participants were instructed to bend forward as far as possible while keeping the knees straight, holding the flexed position for three second, then returning to the upright standing position. This movement pattern was repeated 3 times at a pace preferred by participants 8, 17).
  • The research subjects consisted of a group of 15 healthy person and another group of 15 CLBP patients. The group of patients with CLBP was randomly selected to meet the criteria for selection; healthy person was randomly selected as the subjects with similar age, height, and weight to the group of patients with CLBP selected to eliminate the selection error. The subjects’ abnormality of breathing pattern and kinesiophobia were measured.
  • Capnogrpahy was used to measure the EtCO2 and RQ. The subjects were asked to wear a nasal cannula and answer the questions in the NQ and TSK questionnaire. Without being conscious of their breathing, the abnormality of their breathing patterns and kinesiphobia were measured.
  • , but have not clearly identified the relationship between the abnormal breathing pattern on one hand and kinesiophobia and FRP on the other hand. Thus, the current research attempts to compare a group of CLBP patients with another group of healthy adults in their abnormality of breathing pattern, kinesiophobia, and FRP during flexion and extension of the trunk.

대상 데이터

  • The research subjects consisted of a group of 15 chronic low back pain (CLBP) and another group of 15 healthy adults. The ages were 45.
  • The research subjects consisted of a group of 15 healthy person and another group of 15 CLBP patients. The group of patients with CLBP was randomly selected to meet the criteria for selection; healthy person was randomly selected as the subjects with similar age, height, and weight to the group of patients with CLBP selected to eliminate the selection error.

데이터처리

  • The normal distribution of all the data was validated by the K- S (Kolmogorov- Smirnov) test and the general characteristics of the subjects were calculated by descriptive statistics. The intergroup differences in the abnormality of breathing pattern, kinesiophobia and FRP were identified by employing the independent t-test. The level of significance was set at α=.
  • 0. The normal distribution of all the data was validated by the K- S (Kolmogorov- Smirnov) test and the general characteristics of the subjects were calculated by descriptive statistics. The intergroup differences in the abnormality of breathing pattern, kinesiophobia and FRP were identified by employing the independent t-test.
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