Kang Jeong-Il, Jeong Dae-Keun, Choi Hyun
Department of Physical Therapy, Sehan University, Republic of Korea.
Department of Physical Therapy, Mokpo Mirae Hosipital, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(2):500-5. doi: 10.1589/jpts.28.500. Epub 2016 Feb 29.
[Purpose] Fragmentary studies on characteristics of respiratory muscles are being done to increase respiratory capacity by classifying exercises into voluntary respiratory exercise which relieves symptoms and prevents COPD and exercise using breathing exercise equipment. But this study found changes on respiratory pattern through changes on the activity pattern of agonist and synergist respiratory muscles and studied what effect they can have on body function improvement. [Subjects and Methods] Fifteen subjects in experimental group I that respiratory exercise of diaphragm and 15 subjects in experimental group II that feedback respiratory exercise were randomly selected among COPD patients to find the effective intervention method for COPD patients. And intervention program was conducted for 5 weeks, three times a week, once a day and 30 minutes a session. They were measured with BODE index using respiratory muscle activity, pulmonary function, the six-minute walking test, dyspnea criteria and BMI Then the results obtained were compared and analyzed. [Results] There was a significant difference in sternocleidomastoid muscle and scalene muscle and in 6-minute walk and BODE index for body function. Thus the group performing feedback respiratory had more effective results for mild COPD patients. [Conclusion] Therefore, the improvement was significant regarding the activity of respiratory muscles synergists when breathing before doing breathing exercise. Although, it is valuable to reduce too much mobilization of respiratory muscles synergists through the proper intervention it is necessary to study body function regarding improvement of respiratory function for patients with COPD.
[目的] 目前已有一些关于呼吸肌特征的碎片化研究，这些研究通过将运动分类为缓解症状并预防慢性阻塞性肺疾病（COPD）的自主呼吸运动以及使用呼吸运动设备进行的运动，来提高呼吸能力。但本研究通过呼吸肌主动肌和协同肌活动模式的变化发现呼吸模式的改变，并研究这些改变对身体功能改善有何影响。[对象与方法] 从慢性阻塞性肺疾病患者中随机选取15名进行膈肌呼吸运动的实验组I受试者和15名进行反馈呼吸运动的实验组II受试者，以寻找针对慢性阻塞性肺疾病患者的有效干预方法。干预方案持续5周，每周3次，每天1次，每次30分钟。使用呼吸肌活动、肺功能、六分钟步行试验、呼吸困难标准和体重指数通过BODE指数对他们进行测量。然后对获得的结果进行比较和分析。[结果] 胸锁乳突肌和斜角肌以及身体功能的六分钟步行和BODE指数存在显著差异。因此，对于轻度慢性阻塞性肺疾病患者，进行反馈呼吸的组有更有效的结果。[结论] 因此，在进行呼吸运动前呼吸时，呼吸肌协同肌的活动改善显著。虽然，通过适当干预减少呼吸肌协同肌的过度动员很有价值，但有必要研究慢性阻塞性肺疾病患者呼吸功能改善方面的身体功能。
