Wang Joong-San, Cho Kyun-Hee, Park Shin-Jun
Department of Physical Therapy, Howon University, Republic of Korea.
Department of Physical Therapy, Yongin University, Republic of Korea.
J Phys Ther Sci. 2017 Jun;29(6):970-973. doi: 10.1589/jpts.29.970. Epub 2017 Jun 7.
[Purpose] This study aimed to examine the immediate effects of diaphragm taping with breathing exercise on the tone and stiffness in the respiratory muscles of patient with stroke. [Subjects and Methods] A total of 28 subjects, 14 in the diaphragm taping with breathing exercise group and 14 in the breathing exercise group, were administered respective intervention methods. Subsequently, the muscle tone and stiffness in upper trapezius, scalene, external oblique abdominal and ractus abdominis muscle of both the respiratory muscles were measured. [Results] The comparison of respiratory muscles on the affected and non-affected sides in stroke patients showed statistically significant declines in the muscle tone and stiffness of all measured muscles but not in the stiffness of the external oblique abdominal muscle and rectus abdominis muscles. After intervention, the diaphragm taping with breathing exercise group exhibited statistically significant increases in the muscle tone of all measured muscles and in the stiffness of the upper trapezius and scalene muscles, and statistically significant declines in the saturation of peripheral oxygen. However, the breathing exercise group showed statistically significant increases only in the muscle tone of the upper trapezius and external oblique abdominal muscles. [Conclusion] This study demonstrated that diaphragm taping with breathing exercise had positive effects of immediately increasing the muscles tone and stiffness in the respiratory muscles.
[目的] 本研究旨在探讨膈肌贴扎结合呼吸训练对脑卒中患者呼吸肌肌张力和僵硬程度的即时影响。[对象与方法] 选取28名受试者，膈肌贴扎结合呼吸训练组14名，呼吸训练组14名，分别采用相应的干预方法。随后，测量双侧呼吸肌中上斜方肌、斜角肌、腹外斜肌和腹直肌的肌张力和僵硬程度。[结果] 脑卒中患者患侧与非患侧呼吸肌比较，除腹外斜肌和腹直肌僵硬程度外，所有测量肌肉的肌张力和僵硬程度均有统计学意义的下降。干预后，膈肌贴扎结合呼吸训练组所有测量肌肉的肌张力以及上斜方肌和斜角肌的僵硬程度均有统计学意义的增加，外周血氧饱和度有统计学意义的下降。然而，呼吸训练组仅上斜方肌和腹外斜肌的肌张力有统计学意义的增加。[结论] 本研究表明，膈肌贴扎结合呼吸训练对即时增加呼吸肌的肌张力和僵硬程度有积极作用。
