Park Shin-Jun, Kim Soon-Hee, Min Kyung-Ok
Department of Physical Therapy, Gangdong College, Republic of Korea.
Department of Physical Therapy, Yongin University: 134 Yongin Daehakro, Chuhingu, Yonginshi, Kyunggido 449-714, Republic of Korea.
J Phys Ther Sci. 2017 Nov;29(11):1960-1963. doi: 10.1589/jpts.29.1960. Epub 2017 Nov 24.
[Purpose] The main purpose of this study was to identify the impact of rib cage joint mobilization and chest wall stretch on respiratory muscle tone and stiffness and chest expansion in stroke patients and to compare the effects of both interventions. [Subjects and Methods] Subjects were randomly assigned to a rib cage joint mobilization group (n=15) or a chest wall stretch group (n=15). Respiratory muscle tone and stiffness were measured using a myotonometer, and the chest expansion was gauged using a measuring tape. [Results] A significant difference was found on comparing the respiratory muscle tone and stiffness on the affected and sound side before intervention. Although both groups showed an increase in respiratory muscle tone and stiffness after intervention, no significant difference was found. A significant increase in chest expansion was observed; however, no significant difference was observed in the variations between the groups. [Conclusion] This study suggests that rib cage joint mobilization and chest wall stretch exercises can be used to increase chest expansion potential and respiratory muscle tone in patients with chronic stroke.
[目的] 本研究的主要目的是确定胸廓关节松动术和胸壁拉伸对中风患者呼吸肌张力和僵硬度以及胸廓扩张的影响，并比较这两种干预措施的效果。[对象与方法] 将受试者随机分为胸廓关节松动术组（n = 15）或胸壁拉伸组（n = 15）。使用肌张力计测量呼吸肌的张力和僵硬度，并用卷尺测量胸廓扩张度。[结果] 干预前，患侧与健侧呼吸肌的张力和僵硬度相比存在显著差异。尽管两组在干预后呼吸肌的张力和僵硬度均有所增加，但未发现显著差异。观察到胸廓扩张有显著增加；然而，两组之间的变化未观察到显著差异。[结论] 本研究表明，胸廓关节松动术和胸壁拉伸运动可用于增加慢性中风患者的胸廓扩张潜力和呼吸肌张力。
