흡기근 저항 운동과 심부 목 근육 운동의 병행이 20대 비특이적 만성 목 통증 환자의 통증 및 호흡기능에 미치는 영향

김영우,이재엽,조민석,심현,전지현 한국체육학회 2024 한국체육학회지 Vol.63 No.4

본 연구는 비특이적 만성 목 통증(Chronic Non-specific Neck Pain, CNNP)을 겪는 20대 대상자에게 4주 동안의 흡기근 저항 운동(Inspiratory Muscle Training, IMT)과 심부 목 근육 운동(Deep Neck Muscle Exercise, DNME)의 병행 적용이 목 통증과 호흡 기능에 미치는영향을 규명하는 데 목적이 있다. 연구 대상자는 CNNP를 겪는 20대이며 운동군(n=10)과 통제군(n=10)에 무작위로 배정하였다. 운동군은 흡기근 저항 운동과 심부 목 근육 운동을 병행 실시하였으며 흡기근 저항 운동의 경우 주 5회 하루 2번 30회씩 실시하였고심부 목 근육 운동은 주 3회 하루 1번 보조자에 의해 진행되었다. 통제군은 심부 목 근육 운동만 참여하였다. 목 통증과 호흡 기능은NDI, VAS, 통증 역치/역치 저항성 흡기근 측정장비를 이용한 흡기 근력, 흡기 유속 그리고 흉곽 둘레를 측정하였다. 자료처리는SPSS WIN 28.0을 이용하여 Shapiro-Wilk test/Independent t-test/Paired t-test/2-way Repeated Measures ANOVA를 실시하였다. 그 결과첫째, 목 통증 변인에서 운동군의 주관적 통증을 측정한 NDI(p<.01), VAS(p<.001)와 통증 역치를 측정한 Upper Trapezius(p<.05), SCM(p<.05)이 유의하게 개선되었다. 둘째, 호흡 기능 변인에서 운동군의 IMS(p<.01), PIF(p<.05), Circumference Expiratory(p<.05)가유의하게 개선되었다. 이러한 결과는 흡기근 저항 운동을 통한 가로막(횡격막, Diaphragm)의 기능 향상이 목 주변 호흡 보조근의과도한 사용을 완화시켰고 심부 목 근육 운동을 통한 근력과 근지구력이 개선되어 나타난 것이라 생각된다. 본 연구 결과를 통해흡기근 저항 운동과 심부 목 근육 운동의 병행이 20대 CNNP 환자의 목 통증 감소와 흡기 근력 개선을 위한 재활 운동 방법으로써효과적으로 활용될 수 있을 것으로 사료된다. The study is designed to look into the effects of a 4-week inspiratory muscle training, which goes with deep neck muscle exercise, on chronic non-specific neck pain (CNNP) patients in their 20s. Neck pain reduction and respiratory function improvement are the two main focuses of the study. Twenty subjects with CNNP were divided randomly into a training group (N=10) and a control group (N=10). While deep neck muscle exercises were adopted for both groups, the training group get additional inspiratory muscle training. Deep neck muscle exercise was given three times a week by a researcher, inspiratory muscle training done twice a day/five times a week. Such variables as NDI (Neck Disability Index), VAS and Algometer were measured for neck pain, as well as inspiratory muscle strength (IMS), peak inspiratory flow (PIF) and chest circumference for respiratory function. The data collected were analyzed with the SPSS WIN 28.0 for Shapiro-Wilk test / Independent t-test / Paired t-test / 2-way Repeated Measures ANOVA. There was a significant increase in NDI (p<.01), VAS (p<.001), Upper Trapezius (p<.05) and SCM (p<.05) in the training group, the last two variables concerning Algometer. With regard to respiratory function, IMS (p<.01), PIF (p<.05) and Circumference Expiratory (p<.05) increased significantly in the training group. These seems to be the result of the inspiratory muscle training which improves the function of diaphragm as the improvement keeps accessory muscles from being overused. In addition, deep neck muscle exercise seems to help enhance muscle strength and endurance. From the outcomes of the study, inspiratory muscle training and deep neck muscle exercise can provide a good option for patients with CNNP in their 20s when planning rehabilitation exercises.

The Effect of Inspiratory Muscle Training on Respiratory Function in Stroke Patient

Jung, Nam Jin,Ju, Jung Yeol,Choi, Seok Ju,Shin, Hyung Soo,Shin, Hee Joon International Academy of Physical Therapy Research 2015 Journal of International Academy of Physical Ther Vol.6 No.1

The purpose of this study was to find out an inspiratory muscles training program's therapeutic effects on stroke patients' respiratory function. For the purpose, this study targeted 20 stroke patients being hospitalized in K hospital in Daegu, and diveded the patients into the both groups of Inspiratory muscle training(IMT) group and control group, randomization. The 10 patients in the IMT group was applied the inspiratory muscles training. The control group was composed of other 10 patients. IMT group was given a inspiratory muscle training program for 30 minutes per times, 5 times a week for 6 weeks. The investigator measured the patients' respiratory function compared changes in the function and ability before and after the IMT. The results of this study are as follows. Investigating the inspiratory muscle training group's lung functions, there appeared some significant differences in the tests the FVC(Forced vital capacity), FEV1(Forced expired volume in one second) before and after the training(p<.05), but the control group had no significant in the same tests before and after(p<.05). The differences in the both groups after depending the inspiratory muscles training were significantly found in the tests of FVC, FEV1, FEV1/FVC(p<.05). The maximum inspiratory pressure showed some significant differences in the inspiratory muscle training group(p<.05), but didn't show any significant difference in the control group(p>.05). Conclusionally, it will be judged that the inspiratory muscles training program will improve stroke patients' respiratory function, and it is considered that will move up stroke patients' gait and body function.

The Effect of Inspiratory Muscle Training on Respiratory Function in Stroke Patient

Nam Jin Jung,Jung Yeol Ju,Seok Ju Choi,Hyung Soo Shin,Hee Joon Shin 국제물리치료학회 2015 Journal of International Academy of Physical Ther Vol.6 No.1

The purpose of this study was to find out an inspiratory muscles training program’s therapeutic effects on stroke patients’respiratory function. For the purpose, this study targeted 20 stroke patients being hospitalized in K hospital in Daegu, and diveded the patients into the both groups of Inspiratory muscle training(IMT) group and control group, randomization. The 10 patients in the IMT group was applied the inspiratory muscles training. The control group was composed of other 10 patients. IMT group was given a inspiratory muscle training program for 30 minutes per times, 5 times a week for 6 weeks. The investigator measured the patients’respiratory function compared changes in the function and ability before and after the IMT. The results of this study are as follows. Investigating the inspiratory muscle training group’s lung functions, there appeared some significant differences in the tests the FVC(Forced vital capacity), FEV1(Forced expired volume in one second) before and after the training(p<.05), but the control group had no significant in the same tests before and after(p<.05). The differences in the both groups after depending the inspiratory muscles training were significantly found in the tests of FVC, FEV1, FEV1/FVC(p<.05). The maximum inspiratory pressure showed some significant differences in the inspiratory muscle training group(p<.05), but didn't show any significant difference in the control group(p>.05). Conclusionally, it will be judged that the inspiratory muscles training program will improve stroke patients’respiratory function, and it is considered that will move up stroke patients’gait and body function.

호흡근훈련 유무에 따른 안정화 운동이 건강한 성인의 호흡 기능과 자세 동요에 미치는 영향

서혜리,안덕현,김미현,고민주,오재섭 대한통합의학회 2023 대한통합의학회지 Vol.11 No.3

Purpose : Stabilization exercise and respiratory muscle training are used to train trunk muscles that affect postural control and respiratory function. However, there have been no studies that combine stabilization exercise and respiratory muscle training. The purpose of this study is to investigate effects of stabilization exercise with and without respiratory muscle training on respiratory function and postural sway. Methods : Fifteen healthy adults were recruited for this experiment. All the subjects performed stabilization exercise with and without respiratory muscle training. For stabilization exercise with respiratory muscle training, the subjects sat on a gym ball wearing a stretch sensor. The subjects inspire maximally as long as possible during lifting one foot off the ground, alternately for 30 seconds. The stretch sensor was placed on both anterior superior iliac spine (ASIS), and the stretch sensor was used to monitor inspiration. For stabilization exercise without respiratory muscle training, the subjects sat on a gym ball and lifted one foot off the ground, without respiratory muscle training. Kinovea program used to investigate postural sway tracking during exercise. The maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were measured using a spirometer to investigate changes of respiratory muscle strength before and after exercise. A paired t-test was used to determine significant differences postural sway tracking, MIP, and MEP between stabilization exercise with and without respiratory muscle training. Results : There were significantly lower a distance of postural sway tracking during stabilization exercise with respiratory muscle training, compared with stabilization exercise without respiratory muscle training (p<.05). The MIP and MEP were significantly increased after stabilization exercise with respiratory muscle training compared with before stabilization exercise with respiratory muscle trianing (p<.05). Conclusion : The results of this study suggest that stabilization exercise with repiratory muscle training would be recommended to improve postural control and respiratory muscle strength.

젊은 여성에서 유산소 훈련과 들숨근 훈련이 근지구력과 폐기능에 미치는 효과

형인혁,김재현 대한신경치료학회 2015 신경치료 Vol.19 No.3

Purpose The purpose of this study was to compare the effect of aerobic training and inspiratory muscle training on muscle endurance and pulmonary function. Methods This study was conducted with 20 young women(mean age 19.5 years). Participant’s mean height was 161.4cm, and their mean weight was 57.7kg. During ten days, the experimental group(n=10) performed the aerobic training(40min) with inspiratory muscle training(20min) a day, and control group performed only aerobic training(40min) a day. Using a spirometer, forced vital capacity(FVC), Forced expiratory volume in one second(FEV1), and Maximum voluntary ventilation(MVV) were measured for pulmonary functions and using a timer, lab times of 800-meter sprints were measured for muscle endurance after training. Results There were no statistically significant differences the variation of muscle endurance and pulmonary functions between groups(p>.05), but improved statistically significant differences muscle endurance and pulmonary functions within experimental and control groups(p<.05). Conclusion Although there were improved the pulmonary functions and muscle endurance after aerobic training with inspiratory muscle training during ten days, no significant differences only aerobic training group. Therefore, we need to allow more times for improvement of the effectualness in inspiratory muscle trainings

저항성 들숨근 훈련이 뇌졸중 환자의 호흡기능에 미치는 영향

이소윤,한진태,Lee, So Yun,Han, Jin Tae 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.3

Background: The purpose of this study was to investigated the effects of threshold resistance inspiratory muscle training on respiratory function in chronic stroke patients. Design: Randomized Controlled Trial Methods: Eighteen patient with stroke were randomly assigned to the experimental group (n=9) and control group (n=9) all testing and training. The experimental group underwent threshold resistance inspiratory muscle training with resistance adjusted of maximal inspiratory pressure, 60 breathing a day and general physical therapy 30 minutes a day, 5 times a week for 4 weeks. The control group was taken general respiratory muscle training and general physical therapy for 4 weeks in the same way. Respiratory function, walking ability were evaluated before and after the intervention. Statistical significance of the results were evaluated by ANCOVA between control group and experimental group after intervention. Results: There was a significant increase in FVC and FEV1 in the experimental group in pulmonary function tests (p<0.05). There was a significant difference with the maximum inspiratory pressure and the maximum inspiratory flow rate between experimental and control group (p<0.05). There was no significant difference with the maximum inspiratory capacity between experimental and control group (p>0.05) but the maximum inspiratory capacity of experimental group some increased than that of control group. Conclusion: These finding gave some indications that the threshold resistance inspiratory training may benefit on pulmonary function in people with stroke, and it is feasible to be included in rehabilitation interventions with this population.

들숨근 저항운동이 젊은 성인 여성의 가로막 움직임과 호흡기능에 미치는 즉각적인 효과

전혜원 ( Hye-weon Jeon ),심재훈 ( Jae-hoon Shim ),강선영 ( Sun-young Kang ) 대한물리의학회 2018 대한물리의학회지 Vol.13 No.1

PURPOSE: The purpose of this study was to investigate the immediate effects of inspiratory muscle training on diaphragm movement and pulmonary function in healthy women. METHODS: The subjects of the study were 27 young women between ages 19 and 22 years who had no history of orthopedic damage for the last 6 months. The 27 participants were randomly selected and spontaneously participated and consented to the purpose of the study. This study measured diaphragm movement and pulmonary function under two different conditions, before and after inspiratory muscle training. Ultrasonography is appropriate for measuring diaphragm movement, and Pony Fx is appropriate to measure pulmonary function such as forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), FEV₁/FVC ratio, and peak expiratory flow (PEF) before and after inspiratory muscle training. Paired t-test with a significant level of .05 was used for statistical analysis. RESULTS: As a result, diaphragm movement significantly increases 1.45cm from before inspiratory muscle training (p<.05). Also, FVC, FEV₁, and FEP significantly increase 11.25%, 6.96%, and 8.18%, respectively, from before inspiratory muscle training (p<.05). CONCLUSION: The diaphragm movement and pulmonary function of the healthy women in this study were in stantly affected by inspiratory muscle training. From these results, we need to confirm effects of inspiratory muscle training on clinical patients such as pulmonary disease.

만성폐쇄성 폐질환 환자를 위한 흡기근 근육훈련의 효과에 대한 체계적 문헌 고찰

김진섭(Jin-Seop Kim) 대한심장호흡물리치료학회 2021 대한심장호흡물리치료학회지 Vol.9 No.2

urpose : This study aimed to investigate the effects of inspiratory muscle training on pulmonary function, respiratory muscle strength, exercise capacity, dyspnea, and health-related quality of life in patients with COPD. Methods : The MEDLINE and PEDro databases were searched from September 1, 2019, to September 30, 2021. Three studies were included, with a total 41 subjects. The intervention methods consisted of inspiratory muscle training. Results : Results showed that, compared with the control group, inspiratory muscle training had a significant effect on maximum inspiratory pressures. However, there was no improvement in exercise capacity. Conclusion : Only inspiratory muscle training improved inspiratory muscle strength and pulmonary function. Both the pulmonary rehabilitation plus inspiratory muscle training group and the pulmonary rehabilitation group were compared but no significant difference was found in exercise capacity in patients with COPD.

8주간 흡기근육훈련과 태권도 수련이 흡연중년남성의 체력, CRP, 폐기능 및 등속성근기능에 미치는 영향

안영진 ( Yung-jin An ),이기성 ( Ki-sung Lee ),김태우 ( Tae-woo Kim ),손현지 ( Hyun-ji Son ),양진호 ( Jin-ho Yang ),김수연 ( Soo-yeon Kim ),장창현 ( Chang-hyun Jang ) 한국운동생리학회(구 한국운동과학회) 2017 운동과학 Vol.26 No.3

PURPOSE: The purpose of this study was to compare and analyze the effects of Taekwondo training including 8-week inspiratory muscle training on physical fitness, CRP, pulmonary function and isokinetic muscle function of middle-aged male smokers. METHODS: 21 middle-aged male smokers were divided into 3 groups: inspiratory muscle training+Taekwondo training group (n=7), Taekwondo training group (n=7) and control group (n=7). Measurement variables were physical fitness (Body composition, muscular strength, muscular endurance, flexibility, cardiorespiratory function, balance), CRP, pulmonary function (FVC, FEV1, FEV1/FVC), and isokinetic muscle function (peak torque %BW, average power %BW). The repeated measure ANOVA was conducted to analyze the differences and interactions between groups and periods. In the case of any difference, t-test was conducted to perform post hoc test between pre and post treatment and the contrast was conducted to perform post hoc test between groups. One-way analysis of variance (ANOVA) was used between groups, and repeated measures t-test was used between groups. All significance levels were verified at .05. RESULTS: As a result, the combined exercise group also showed statistically significant changes in the physical fitness (Body composition, muscular strength, muscular endurance, flexibility, cardiorespiratory function), pulmonary function (FEV1, FEV1/FVC), and isokinetic muscle function (peak torque %BW). CONCLUSIONS: Consequently, it shows that 8 weeks Taekwondo training including inspiratory muscle training made a positive effect on fat content, muscular strength, muscular endurance, cardio respiratory fitness, R-extension in peak torque %BW in middle-aged male smokers.

시각적 피드백을 이용한 호흡운동이 들숨보조근의 근활성도에 미치는 영향

이재석(Jae-Seok Lee),강태욱(Tae-Wook Kang) 대한심장호흡물리치료학회 2020 대한심장호흡물리치료학회지 Vol.8 No.1

Purpose : The purpose of this study was to examine the effect of using a Diaphragmatic Pressure Belt (DiP belt). As resistance intensity increases during inspiratory muscle training (IMT), the DiP belt provides diaphragm contraction force as visual feedback on the accessory inspiratory muscles. Methods : A total of 30 subjects (18 men and 12 women) were included in this study. The Maximum Inspiratory Pressure (MIP) was measured using a digital MIP device, and accessory inspiratory muscles were measured using surface electromyography. At 0% and 40% of the MIP, changes in muscle activity of the accessory inspiratory muscles were measured with the DiP belt with IMT (DiPIMT) method and the General Diaphragmatic Breathing with IMT (GDBIMT) method. Results : When the intensity of IMT was increased from 0% to 40%, the DiPIMT method significantly reduced the muscle activity of the sternocleidomastoid muscle (SCM), while the GDBIMT method showed no significant difference. Scalene muscle activity (SCA) decreased in both methods, but not significantly. In the case of the SCM, DiPIMT was significantly lower in muscle activity than GDBIMT at 40% intensity but showed no significant difference at 0% intensity. In the case of SCA, DiPIMT had significantly lower muscle activity than GDBIMT for both intensities (0% and 40%) and was significantly lower with changes in intensity. Conclusion : IMT using a DiP belt is a useful breathing exercise method that lowers the recruitment of accessory inspiratory muscles and allows an appropriate load on the diaphragm muscle.