배근 강화운동이 뇌졸중 환자의 배근력 및 호흡기능에 미치는 영향 = The Effects of Abdominal Muscle Strengthening Exercise on Abdominal Muscle Strength and Respiratory Function in Stroke Patients

다국어 초록 (Multilingual Abstract)

Purpose : The purpose of this study was to investigate the effect of abdominal muscle strengthening exercise on abdominal muscle strength and respiratory function in stroke patients.
Methods : The subjects were 14 stroke patients (10 males, 4 females) hospitalized at W rehabilitation hospital in Busan City and randomly assigned to 7 exercise groups and 7 control groups. Exercise was performed in combination with an upper and lower extremity pattern of proprioceptive neuromuscular facilitation. Measurements of abdominal muscle strength and respiratory function were made before intervention and 4 weeks after intervention. Abdominal muscle strength was assessed using a digital manual dynamometer, and respiratory function was assessed by spirometry. The collected data were analyzed with a paired t-test and independent t-test and the significance level was set as α=.05.
Results : The results showed that applying abdominal muscle strengthening exercise to stroke patients showed a significant increase in abdominal muscle strength and a significant difference between groups (p<.05). Maximal-effort expiratory spirogram (MES) readings were significantly increased in forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), in the exercise group, and there were a significant differences between the groups in terms of FEV1 (p<.05). Slow vital capacity (SVC) was significantly increased in vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), and expiratory capacity (EC), and there were significant differences between the groups in VC, TV, expiratory reserve volume (ERV), EC, and inspiratory capacity (IC) (p<.05).
Conclusion : Abdominal muscle strengthening exercise was effective in the abdominal muscle strength of stroke patients, and it was confirmed to have a positive effect on the enhancement of respiratory function. Therefore, it seems that exercise programs for stroke patients with respiratory weakness should include abdominal muscle strengthening exercises.

국문 초록 (Abstract)

Purpose: 본 연구는 뇌졸중 환자에게 적용한 배근강화운동이 배근력과 호흡기능에 미치는 영향에 대하여 알아보고자 하였다
Methods: 연구대상자는 부산시 소재 W 재활병원에 뇌졸중으로 진단받고 입원치료 중인 뇌졸중 환자 14명(남성 10명, 여성 4명)을 대상으로 배근강화 운동군 7명, 대조군 7명으로 무작위 배치하였다. 배근강화 운동은 PNF의 상지와 하지 패턴을 결합한 운동을 실시하였으며, 배근력과 호흡기능의 측정은 중재 전, 중재 4주 후에 측정하였다. 배근력을 측정하기 위해 디지털 근력 측정계를 사용하였고, 호흡기능을 측정하기 위해 폐 기능 검사를 실시하였다. 자료분석은 SPSS 22.0ver를 사용하여 분석하였으며, 운동군과 대조군의 차이를 확인하기 위해 대응표본 t-test를 실시하였고, 그룹 간 비교를 위해 공분산분석을 실시하였다. 유의수준은 α=0.05로 설정하였다.
Result: 뇌졸중 환자에게 배근강화운동을 적용한 결과 배근력, 노력성 폐활량, 1초 최대 날숨량, 폐활량, 평상시 1회 호흡량, 들숨 예비용적, 날숨용량에서 중재 후 유의하게 증가하였다.
Conclusion: 배근강화운동은 뇌졸중 환자의 배근육 강화에 효과적이었으며, 호흡기능의 증진에도 긍정적인 효과가 있음을 확인 할 수 있었다. 따라서 호흡기능이 약화된 뇌졸중 환자의 운동프로그램에 배근강화운동이 포함되어야 할 것으로 사료된다.

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