대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제6권4호
  • /
  • Pages.407-414
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  • 2011
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

뒤시엔느 근이영양증 환자에게 기계적 기침보조기법 적용의 임상적 의의

Clinical Implication of Mechanical Insufflation-Exsufflation Method in Patients with Duchenne muscular dystrophy

  • 김명권 (대구대학교 대학원 재활과학과 물리치료전공) ;
  • 지상구 (을지대학병원 물리치료실)
  • Kim, Myung-Kwon (Major in Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Ji, Sang-Gu (Department of Physical Therapy, Eulji University Hospital)
  • 투고 : 2011.08.27
  • 심사 : 2011.10.30
  • 발행 : 2011.11.30
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초록

Purpose : The aim of this study was to clarify the lung capacity, maximal insufflation capacity, and peak cough flow when a mechanical insufflation-exsufflation(MIE) method was used to increase Duchenne muscular dystrophy patients' lung function. Methods : The subjects of the study were 21 patients with Duchenne muscular dystrophy. They were randomly selected from patients within the boundaries of the selection criteria, and divided into two groups; The subject group(n=11) used the mechanical insufflation-exsufflation method with traditional therapeutic exercise. The control group(n=10) used only traditional therapeutic exercise. Results :The results indicated that maximal insufflation capacity, unassisted peak cough flow and assisted peak cough flow significantly increased in the subject group(p<.05). By contrast, in the control group, the results didn't indicate the significant differences from the variable. There were significant differences in maximal insufflation capacity and assisted peak cough flow between the subject group and the control group before and after the application of the mechanical insufflation-exsufflation method. Conclusion : A mechanical insufflation-exsufflation method has positive effects on the improvements of cough functions and that of pulmonary functions such as lung volume, lung elasticity in patients with Duchenne muscular dystrophy.

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참고문헌

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