[논문]Effect of Inspiratory Muscle Training with Elastic Taping on Forced vital capacity and Sway Area in Stroke Patients

Park, Shin Jun

doi:10.18857/jkpt.2020.32.2.121

Effect of Inspiratory Muscle Training with Elastic Taping on Forced vital capacity and Sway Area in Stroke Patients 원문보기

Journal of Korean Physical Therapy : JKPT = 대한물리치료학회지, v.32 no.2, 2020년, pp.121 - 125

Park, Shin Jun (Department of Physical Therapy, Gangdong University)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to evaluate the forced vital capacity and sway area of respiratory muscles taping with threshold inspiratory muscles training for 1 week. Methods: Nineteen stroke patients were divided into two groups: experimental group (respiratory muscles taping with threshold inspiratory muscles training, n=10) and control group (threshold inspiratory muscles training, n=9). Forced vital capacity tests were performed using a spirometer. The instrument records the forced vital capacity (FVC). COP excursion test was performed using Zebris. The instrument records the sway area. All tests were measured before and after intervention. Results: The experimental group and control group showed significant increase in FVC (p<0.05). The sway area showed a significant decrease only in the experimental group (p0.05). Conclusion: Threshold inspiratory muscles training is an effective intervention for improving FVC. Threshold inspiratory muscles training with respiratory taping is an effective intervention for improving FVC and sway area. Threshold inspiratory muscles training with respiratory taping can improve balance ability.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

¹³ Therefore, it is necessary to confirm whether threshold IMT with taping affects the standing balance ability. The purpose of this study was to evaluate the effect of simultaneous threshold IMT and respiratory taping on the sway area and forced vital capacity in stroke patients.
The purpose of this study was to investigate the effect of threshold IMT with respiratory taping on forced vital capacity (FVC) and sway area in patients with stroke after a week. There was a significant increase in FVC in both experimental group and control group.

제안 방법

All subjects in this study performed Threshold IMT (Philips Respironics, USA) in the room and space besides the treatment schedule. Maximal inspiratory pressure (MIP) was measured by MicroRPM (Care Fusion, UK) for initial intensity setting.
Since taping is the most effective period 24 hours after attachment, taping was changed once a day.¹⁵ All subjects were subjects receiving neuro-development treatment, gait and mat exercise, and occupational therapy.
The subject was ready to take measurements in a sitting position. Before the measurements, the evaluator showed a demonstration, detailing how to breathe the mouthpiece as much as possible, and how to exhale as much as possible for 6 seconds. The evaluator encouraged the use of as much air as possible and the pouring of air for 6 seconds, and used the highest of the three measurements
Forced vital capacity tests were performed using a spirometer (MicroLab spirometer ML3500 MK6, UK). The instrument records the forced vital capacity (FVC) on the instrument’s LCD panel when the measurement is performed.
¹⁷ After taping, it was instructed to remove it if it feels discomfort by itching or skin pulling. In this study, the study group received a threshold IMT after attaching the respiratory muscle taping.
Standing balance test was performed using Zebris (FDM-S, Medical GmbH, Germany). The instrument records the sway area, path length, and average velocity in the personal notebook when the measurement is performed.
0. The general characteristics of the subjects, the sway area, and the pulmonary function were calculated using descriptive statistics. The difference in FVC and sway area before and after the intervention was analyzed by Wilcoxon’s signed-ranks test, and the difference between the study groups was Mann-Whitney U test Respectively.
The intervention period was 1 day, 5 days a week, 1 hour (30 minutes in the morning and 30 minutes in the afternoon). Since taping is the most effective period 24 hours after attachment, taping was changed once a day.
¹⁶ Training was performed in 3 sets of 15 repetitions. The researchers trained each participant and guardian with training guidelines and methods until proper training performance was achieved, and observed the training performance by supervising and supervising daily for one week.

대상 데이터

After the initial evaluation, 20 subjects were divided into experimental group (threshold IMT with respiratory taping, n =10) and control group (only threshold IMT, n =10). However, one patient was excluded due to discharge from the control group during the study, so the total of 19 subjects were statistically analyzed in 10 experimental group and 9 control group (Table 1).
After the initial evaluation, 20 subjects were divided into experimental group (threshold IMT with respiratory taping, n =10) and control group (only threshold IMT, n =10). However, one patient was excluded due to discharge from the control group during the study, so the total of 19 subjects were statistically analyzed in 10 experimental group and 9 control group (Table 1).
, ltd, Japan). The tape used in this study consisted of four I-tape. First, two I tapes were used.
This study was conducted on 20 stroke patients in A rehabilitation hospital in Gyeonggi do. All subjects were those who had been diagnosed with stroke for more than 6 months, and had no specific respiratory complications, orthopedic disorders in the chest, or no skin disease.

데이터처리

The difference in FVC and sway area before and after the intervention was analyzed by Wilcoxon’s signed-ranks test, and the difference between the study groups was Mann-Whitney U test Respectively.

성능/효과

This study was carried out one week earlier than the period of the previous study, and there was a significant clinical significance since both of the groups that performed the hold IMT showed a significant increase in pulmonary function.

후속연구

In addition, there is opposition study that health people do not have effect on single application of respiratory muscle taping.²⁰ Therefore, in future studies, it would be necessary to confirm the effect of removing taping on the respiratory muscle of stroke patients and the difference in the single application.

참고문헌 (23)

Jung KJ, Park JY, Hwang DW et al. Ultrasonographic diaphragmatic motion analysis and its correlation with pulmonary function in hemiplegic stroke patients. Ann Rehabil Med. 2014;38(1):29-37.

상세보기
Wang JS, Cho KH, Park SJ. The immediate effect of diaphragm taping with breathing exercise on muscle tone and stiffness of respiratory muscles and SpO2 in stroke patient. J Phys Ther Sci. 2017;29(6):970-3.

상세보기
Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-8.

상세보기
Pinheiro MB, Polese JC, Faria CD et al. Inspiratory muscular weakness is most evident in chronic stroke survivors with lower walking speeds. Eur J Phys Rehabil Med. 2014;50(3):301-7.

상세보기
Park SJ. The effects of rib cage joint mobilization and threshold inspiratory muscle training applying respiratory function and respiratory activation of stroke patients. The graduate school of yong-in university, Master Thesis. 2016.
Britto RR, Rezende NR, Marinho KC et al. Inspiratory muscular training in chronic stroke survivors: a randomized controlled trial. Arch Phys Med Rehabil. 2011;92(2):184-90.

상세보기
Choi EJ, Chun JH, Hong JG. Effects of a 6-weeks inspiratory training on upper and lower quarter dynamic balance, and inspiratory muscle strength. The Korean journal of physical education. 2017;56(2):339-47.
Jaraczewska E, Long C. $kinesio^{(R)}$ taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006; 13(3):31-42.

상세보기
Park SJ, Kim SH, Min KO. Effects of Joint Mobilization and Respiratory Muscle Taping on Pulmonary Function and Chest Expansion Ability in Patients with Chronic Stroke. IAPTR. 2017;8(3):1229-34.
Xiao Y, Luo M, Wang J et al. Inspiratory muscle training for the recovery of function after stroke. Cochrane Database Syst Rev. 2012;(5):1-19.
Fayed IH, Badawy MS, Mansour WT et al. Comparative Study of Ventilatory Function in Relation to Trunk Control between Acute and Chronic Stroke Patients. Group. 2015;50(8.76):41-57.
Park SJ, Jo KH. The effects trunk correction taping on trunk muscle activity and stability, upper extremity function in stroke patients. J Digit Converg. 2017;15(2):411-9.

원문보기 상세보기
Janssens L1, McConnell AK, Pijnenburg M et al. Inspiratory muscle training affects proprioceptive use and low back pain. Med Sci Sports Exerc. 2015;47(1):12-9.

상세보기
Pau M, Mandaresu S, Leban B et al. Short-term effects of backpack carriage on plantar pressure and gait in schoolchildren. J Electromyogr Kinesiol. 2015;25(2):406-12.

상세보기
Jung SR, Lee SU, Choi HY. The Effects of Inspiratory Kinesio Taping for Achievement of Respiratory Activity and Pulmonary Function. Journal of sport and Leisure Studies. 2012;48(2):849-57.
Fry DK, Pfalzer LA, Chokshi AR et al. Randomized control trial of effects of a 10-week inspiratory muscle training program on measures of pulmonary function in persons with multiple sclerosis. J Neurol Phys Ther. 2007;31(4):162-72.

상세보기
Langendoen J, Sertel K. Kinesiology Taping. Robert Rose Inc, 2014;136-7.
Lee MS, Kim MC, Ahn CJ. Impact of Concurrent Inspiratory Muscle Training and Tape on Inspiratory Muscle Strength, Endurance and Pulmonary Function. Journal of The Korean Society of Integrative Medicine. 2014;2(3):65-73.

원문보기 상세보기
Choi CS, Oh DW. The effects of intensive chest mobility exercise on increasing pulmonary function and gait in stroke patients. Inst Spec Educ Rehabitation Sci. 2012;51(2):221-39.
Zubeyir S, Nilufer K, Burcu C et al. The effect of kinesiology taping on respiratory muscle strength. J Phys Ther Sci. 2012;24(3):241-4.
Simssek TT, Turkucuogglu B, Cokal N et al. The effects of $kinesio^{(R)}$ taping on sitting posture,functional independence and gross motor function in children with cerebral palsy. Disabil Rehabil. 2011;33(21-22):2058-63.

상세보기
Helmy H, Emara T, Mously SE et al. Impact of trunk control on balance and functional abilities in chronic stroke patients. Egypt J Neurol Psychiat Neurosurg. 2014;51(3):327-31.
Akuthota V, Ferreiro A, Moore T et al. Core stability exercise principles. Current sports medicine reports. 2008;7(1):39-44.

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증