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      지상과 수중에서 뇌졸중 환자의 호흡기능 변화 = Changes in the Respiratory Function of Stroke Patients on the Ground and Immersed under Water

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      https://www.riss.kr/link?id=A105989780

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      다국어 초록 (Multilingual Abstract)

      Purpose: The purpose of this study was to investigate whether the respiratory function of patients with stroke was different on the ground and under water. Methods: We recruited 14 adults who had experienced a stroke (12 male, 2 female) for our study....

      Purpose: The purpose of this study was to investigate whether the respiratory function of patients with stroke was different on the ground and under water. Methods: We recruited 14 adults who had experienced a stroke (12 male, 2 female) for our study. We measured forced vital capacity, forced expiratory volume at one second, maximum inspiratory pressure, and maximum expiratory pressure when the participants breathed on the ground and under water. On the ground, the participants were safely supported using a table and chair and were measured in a standing posture. For measuring under water, the participants were immersed in water in a standing position to clavicle height. The participants were measured while standing, and the assistant supported them when they needed help. The collected data were analyzed by a paired t-test. Results: Forced vital capacity and forced expiratory volume at one second were significantly lower in water than on the ground when breathing at maximum. Maximum inspiratory pressure was not significantly different when standing on the ground or in water, but maximum expiratory pressure was significantly higher in water than on the ground. Conclusion: It has been confirmed that the hydrostatic pressure affecting stroke patients immersed in water affects the forced expiratory volume at one second while reducing the forced vital capacity and increasing the maximum expiratory pressure.

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      참고문헌 (Reference)

      1 Chu KS, "Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial1" 85 (85): 870-874, 2004

      2 Fonseca EP, "Therapeutic effect of virtual reality on post-stroke patients: randomized clinical trial" 26 (26): 94-100, 2017

      3 Iatridou G, "The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and meta-analysis" 32 (32): 583-593, 2018

      4 Chan K, "The effect of water-based exercises on balance in persons post-stroke: a randomized controlled trial" 24 (24): 228-235, 2017

      5 Lim SW, "The effect of treadmill training with elastic bands on the chest expansion and pulmonary functions of young adults" 2 (2): 301-307, 2011

      6 Noh DK, "The effect of aquatic therapy on postural balance and muscle strength in stroke survivors—a randomized controlled pilot trial" 22 (22): 966-976, 2008

      7 Gross RD, "The coordination of breathing and swallowing in chronic obstructive pulmonary disease" 179 (179): 559-565, 2009

      8 Fugl-Meyer AR, "Restrictive ventilatory dysfunction in stroke: its relation to locomotor function" 9 : 118-124, 1983

      9 Teixeira-Salmela LF, "Respiratory pressures and thoracoabdominal motion in communitydwelling chronic stroke survivors" 86 (86): 1974-1978, 2005

      10 Pollock RD, "Respiratory muscle strength and training in stroke and neurology: a systematic review" 8 (8): 124-130, 2013

      1 Chu KS, "Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial1" 85 (85): 870-874, 2004

      2 Fonseca EP, "Therapeutic effect of virtual reality on post-stroke patients: randomized clinical trial" 26 (26): 94-100, 2017

      3 Iatridou G, "The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and meta-analysis" 32 (32): 583-593, 2018

      4 Chan K, "The effect of water-based exercises on balance in persons post-stroke: a randomized controlled trial" 24 (24): 228-235, 2017

      5 Lim SW, "The effect of treadmill training with elastic bands on the chest expansion and pulmonary functions of young adults" 2 (2): 301-307, 2011

      6 Noh DK, "The effect of aquatic therapy on postural balance and muscle strength in stroke survivors—a randomized controlled pilot trial" 22 (22): 966-976, 2008

      7 Gross RD, "The coordination of breathing and swallowing in chronic obstructive pulmonary disease" 179 (179): 559-565, 2009

      8 Fugl-Meyer AR, "Restrictive ventilatory dysfunction in stroke: its relation to locomotor function" 9 : 118-124, 1983

      9 Teixeira-Salmela LF, "Respiratory pressures and thoracoabdominal motion in communitydwelling chronic stroke survivors" 86 (86): 1974-1978, 2005

      10 Pollock RD, "Respiratory muscle strength and training in stroke and neurology: a systematic review" 8 (8): 124-130, 2013

      11 Polla B, "Respiratory muscle fibres: specialisation and plasticity" 59 (59): 808-817, 2004

      12 Hammond CAS, "Predicting aspiration in patients with ischemic stroke: comparison of clinical signs and aerodynamic measures of voluntary cough" 135 (135): 769-777, 2009

      13 Kumar S, "Medical complications after stroke" 9 (9): 105-118, 2010

      14 Frangolias DD, "Maximal and ventilatory threshold responses to treadmill and water immersion running" 27 (27): 1007-1013, 1995

      15 Kim JH, "Initial effect of an elastic chest band during inspiratory exercise on chest function improvement in people with limited rib mobility: a randomized controlled pilot trial" 17 (17): 208-213, 2012

      16 Andrade AD, "Influence of different levels of immersion in water on the pulmonary function and respiratory muscle pressure in healthy individuals: observational study" 19 (19): 140-146, 2014

      17 Roth EJ, "Incidence of and risk factors for medical complications during stroke rehabilitation" 32 (32): 523-529, 2001

      18 Zhu Z, "Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial" 30 (30): 587-593, 2016

      19 Yamashina Y, "Forced respiration during the deeper water immersion causes the greater inspiratory muscle fatigue in healthy young men" 28 (28): 412-418, 2016

      20 Veerbeek JM, "Effects of robot-assisted therapy for the upper limb after stroke: a systematic review and metaanalysis" 31 (31): 107-121, 2017

      21 Brack T, "Dyspnea and decreased variability of breathing in patients with restrictive lung disease" 165 (165): 1260-1264, 2002

      22 Jung T, "Comparison of energy expenditure between aquatic and overground treadmill walking in people post‐stroke" 19 (19): 55-64, 2014

      23 Ezeugwu VE, "Comparative lung function performance of stroke survivors and age‐matched and sex‐matched controls" 18 (18): 212-219, 2013

      24 Lanini B, "Chest wall kinematics in patients with hemiplegia" 168 (168): 109-113, 2003

      25 Pitta F, "Characteristics of physical activities in daily life in chronic obstructive pulmonary disease" 171 (171): 972-977, 2005

      26 Becker BE, "Aquatic therapy: scientific foundations and clinical rehabilitation applications" 1 (1): 859-872, 2009

      27 Bach JR, "Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilator-assisted individuals" 74 (74): 170-177, 1993

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