척수손상 환자의 자세 변화 후 시간경과와 복대사용이 폐기능에 미치는 영향

• 영문명: A Study on the Effect of Time Lapse After Position Change and Abdominal Band on Pulmonary Function in the Cervical Cord Injuries
• 발행기관: 한국전문물리치료학회
• 저자명: 이재호(Lee Jae-ho) 박창일(Park Chang-il) 전중선(Chon Joong-sun)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제4권 제3호, 17~33쪽, 전체 17쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 1997.12.31

영문 초록

The objective of this study was to identify pulmonary fuctional variations in relation to postural changes, lapse after changing position, and the use of abdominal band in the cervical cord injured. The subjects of this study were 19 quadriplegic patients who had been admitted to the department of the Rehabilitation Hospital, College of Medicine, Yousei University, from April, 1997 through May 3, 1997. A spiroa nalyzer was used to measure pulmonary function in supine, standing, time after changing position, and recording to the position, application method, and tightness of the abdominal band. The data were analyzed by the repeated one-way ANOVA, and Wilcoxon signed rank test. The findings were as follows: 1. All phase of patient's pulmonary function improved significantly in spine posture in contrast to standing (vital capacity by 0.46ℓand expiratory reserve volume by 0.09ℓ). 2. The longer the time lapsed from supine posture to standing, the patient's expiratory reserve volume, maximum ventilation volume, vital capacity, and forced expiratory volume increased. 3. When the patient lay in supine position, the maximum ventilation volume, vital capacity, and the forced vital capacity increased then the center line of the abdominal band was placed along iliac crest; on the other hand, when the patient was standing, placing the bottom line of the abdominal band along iliac crest increased the maximum ventilation volume, vital capacity, and forced expiratory volume. 4. In placing the abdominal band in the patients, leaving space between the top and bottom lines of the band helped increased in maximum ventilation volume, vital capacity, and forced vital capacity for patient in supine as well as in standing. 5. When placing the abdominal band to patients in supine posture, reducing the length of the band by 2.5% along the patient's waist line increased the patient's vital capacity, while reducing the length by 10% to patients in standing increased the maximum ventilation volume. The abdominal band should be placed in such a was the bottom part of the band should be more tightly fastened while leaving enough room for a hand to be placed in between the body and the band for the top part of the hand. It should also be noted that in a supine position, the bottom line of the band should be placed along the iliac crest, while in standing, the center line should be placed along the iliac crest. The length of the band should also be reduced by 2.5% of the waist line in supine position, and in standing, the length should be reduced by 10%. It should also be noted that the pulmonary function of the patients should be measured at least 10 minutes after one position change.

목차

Abstract

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

인용문헌

키워드

Spinal cord injury Abdominal corset Pulmonary function