Cho Sung-Hyoun, Lee Jung-Ho, Jang Sang-Hun
Department of Physical Therapy, Nambu University, Republic of Korea.
Department of Physical Therapy, Kyungdong University, Republic of Korea.
J Phys Ther Sci. 2015 May;27(5):1329-31. doi: 10.1589/jpts.27.1329. Epub 2015 May 26.
[Purpose] In this study, stroke patients who were intubated with tracheostomy tubes performed cervical range of motion exercises, and changes in their pulmonary and coughing functions were examined. [Subjects and Methods] Twelve stroke patients who were intubated with tracheostomy tubes participated in the study. The subjects were randomly assigned to either the control group (n=6), which did not perform cervical range of motion exercises, or the experimental group (n=6), which did perform exercises. [Results] With regards to forced vital capacity, forced expiratory volume at one second, and peak cough flow rate before and after the exercises, the control group did not show any significant differences while the experimental group showed statistically significant increases in all three parameters. [Conclusion] The results indicate that cervical range of motion exercises can effectively improve the pulmonary function and coughing ability of stroke patients intubated with tracheostomy tubes, and that cervical range of motion exercises can help in the removal of tracheostomy tubes.
[目的] 在本研究中,对行气管切开插管的中风患者进行颈部活动度锻炼,并检测其肺部和咳嗽功能的变化。[对象与方法] 12例行气管切开插管的中风患者参与了本研究。受试者被随机分为对照组(n = 6),不进行颈部活动度锻炼;以及实验组(n = 6),进行锻炼。[结果] 关于锻炼前后的用力肺活量、一秒用力呼气量和咳嗽峰值流速,对照组无显著差异,而实验组的这三个参数均有统计学意义的增加。[结论] 结果表明,颈部活动度锻炼可有效改善行气管切开插管的中风患者的肺功能和咳嗽能力,且颈部活动度锻炼有助于气管切开插管的拔除。