뒤시엔느 근 이영양증 환자에서 기능 수준과 측정 자세에 따른 최대호기유량, 1초간노력성호기량 및 최대기침유량의 변화

• 영문명: Changes in Peak Expiratory Flow, Forced Expiratory Volume in 1 Second and Peak Cough Flow Related to Functional Level and Measurement Position in Patients With Duchenne Muscular Dystrophy
• 발행기관: 한국전문물리치료학회
• 저자명: 김기송(Ki-song Kim) 신헌석(Heon-seock Cynn)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제16권 제3호, 1~8쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2009.09.30

영문 초록

It is important to find the effective position for cough and sputum clearance in respiratory physical therapy. The purpose of this study was to compare the changes in peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1), and peak cough flow (PCF) related to functional level and measurement position in patients with Duchenne muscular dystrophy. Twenty one subjects were classified into three functional levels, and measurements was undertaken in three different measurement positions (upright sitting, 45˚ reclining and supine). Vitalograph PEF/FEV DIARY was used to measure PEF and FEV1, and Ferraris Pocket Peak was used to measure PCF. Mixed two-way analysis of variance and Bonferroni post-hoc test were used for statistical analysis. The results of the study were as follows: 1) Significant main effects for measurement position were found. 2) PEF was the highest in upright sitting, followed by 45˚ reclining, and supine in order. 3) FEV1 in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 4) PCF in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 5) No significant main effects for functional level were found in PEF, FEV1, and PCF. 6) No significant functional level by measurement position interactions were found in PEF, FEV1, and PCF. Therefore, it is concluded that upright sitting and 45˚ degree reclining positions are recommended for effective cough and sputum clearance.

목차

Abstract

I. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

V. 결론

인용문헌

키워드

Duchenne muscular dystrophy Forced expiratory volume in 1 second Peak cough flow Peak expiratory flow