核心-姿势稳定性对慢性阻塞性肺疾病透视膈肌测量和呼吸困难的影响：一项随机单盲临床试验。
Effects of core-postural stabilisation on fluoroscopy diaphragmatic measurement and dyspnea in chronic obstructive pulmonary disease: A randomized single-blinded clinical trial.
机构信息
Department of Rehabilitation Medicine, WonKwang University SanBon Hospital, Gunpo, Korea.
Sports Movement Artificial Robotics Technology (SMART) Institute, Department of Physical Therapy, Yonsei University, Wonju, Korea.
出版信息
Technol Health Care. 2021;29(S1):359-366. doi: 10.3233/THC-218034.
BACKGROUND
While respiratory and core-postural stabilisation has recently gained a widespread acceptance to improve pulmonary function and dyspena, the therapeutic effects of and rationale underlying the use of respiratory and core-postural stabilisation in the management of patients with chronic obstructive pulmonary disease have not been investigated.
OBJECTIVE
This study aimed to compare the effects of abdominal breathing and respiratory and core-postural stabilisation on diaphragmatic movement and pulmonary function.
METHODS
Fourteen patients with moderate chronic obstructive pulmonary disease were randomly assigned to either the respiratory and core-postural stabilisation or abdominal breathing group. All patients underwent fluoroscopy-guided chest X-ray imaging and pulmonary function tests before and after the interventions; the modified Medical Research Council questionnaire was also administered before and after the interventions. Six sessions of either intervention were consistently provided. The obtained data were assessed using independent t-tests and Wilcoxon signed-rank test with a significance threshold of P< 0.05.
RESULTS
Respiratory and core-postural stabilisation was more effective in increasing diaphragmatic movements than abdominal breathing (P< 0.05). Pulmonary function tests revealed more significant differences in the forced vital capacity (FVC(%)predicted) only after respiratory and core-postural stabilisation (P= 0.004). The Medical Research Council questionnaire score was significantly different within the Respiratory and core-postural stabilisation group (P= 0.014).
CONCLUSIONS
Our novel results suggest that the effects of respiratory and core-postural stabilisation breathing on diaphragmatic movement and pulmonary function were superior to those of abdominal breathing in patients with chronic obstructive pulmonary disease.
背景
虽然呼吸和核心-姿势稳定技术最近已被广泛接受，以改善肺功能和呼吸困难，但在慢性阻塞性肺疾病患者的管理中使用呼吸和核心-姿势稳定技术的治疗效果和原理尚未得到研究。
目的
本研究旨在比较腹式呼吸和呼吸-核心-姿势稳定技术对膈肌运动和肺功能的影响。
方法
14 例中度慢性阻塞性肺疾病患者被随机分为呼吸-核心-姿势稳定组或腹式呼吸组。所有患者在干预前后均接受透视引导下的胸部 X 线成像和肺功能检查；干预前后还进行了改良的医学研究委员会问卷评估。两组患者均接受了 6 次干预。采用独立 t 检验和 Wilcoxon 符号秩检验对获得的数据进行评估，显著性水平为 P<0.05。
结果
呼吸-核心-姿势稳定技术比腹式呼吸更有效地增加膈肌运动（P<0.05）。仅在呼吸-核心-姿势稳定技术后，肺功能测试显示用力肺活量（FVC（%预测））的差异更显著（P=0.004）。呼吸-核心-姿势稳定组的改良医学研究委员会问卷评分差异有统计学意义（P=0.014）。
结论
我们的新结果表明，呼吸-核心-姿势稳定技术对膈肌运动和肺功能的影响优于慢性阻塞性肺疾病患者的腹式呼吸。
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