Clinical Implication of Mechanical Insufflation-Exsufflation Method in Patients with Duchenne muscular dystrophy (뒤시엔느 근이영양증 환자에게 기계적 기침보조기법 적용의 임상적 의의)

Kim Meung Kwon (김명권); 지상구

Clinical Implication of Mechanical Insufflation-Exsufflation Method in Patients with Duchenne muscular dystrophy

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2011, 6(4), pp.407-414
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Kim Meung Kwon ¹, 지상구 ²

¹대구대학교
²을지대학병원

Candidate

ABSTRACT

Purpose：The aim of this study was to clarify the lung capacity, maximal insufflation capacity, and peak cough flow when a mechanical insufflation-exsufflation(MIE) method was used to increase Duchenne muscular dystrophy patients' lung function. Methods：The subjects of the study were 21 patients with Duchenne muscular dystrophy. They were randomly selected from patients within the boundaries of the selection criteria, and divided into two groups; The subject group(n=11) used the mechanical insufflation-exsufflation method with traditional therapeutic exercise. The control group(n=10) used only traditional therapeutic exercise. Results：The results indicated that maximal insufflation capacity, unassisted peak cough flow and assisted peak cough flow significantly increased in the subject group(p<.05). By contrast, in the control group, the results didn't indicate the significant differences from the variable. There were significant differences in maximal insufflation capacity and assisted peak cough flow between the subject group and the control group before and after the application of the mechanical insufflation-exsufflation method. Conclusion：A mechanical insufflation-exsufflation method has positive effects on the improvements of cough functions and that of pulmonary functions such as lung volume, lung elasticity in patients with Duchenne muscular dystrophy.

KEYWORDS

no data found.

Citation status

* References for papers published after 2023 are currently being built.

[journal] 강성웅 / 2007 / Clinical Implication of Air Stacking Exercise in Patients with Neuromuscular Diseases / Annals of Rehabilitation Medicine / 대한재활의학회 31(3) : 346~350

[journal] 백종훈 / 2009 / Pneumothorax Associated with Noninvasive Intermittent Positive Pressure Ventilation in Duchenne Muscular Dystrophy − A case report − / Annals of Rehabilitation Medicine / 대한재활의학회 33(6) : 735~738

[book] 이충휘 / 2009 / 심호흡계 물리치료학 / 탑메디오피아 : 154~

[thesis] 황병용 / 2002 / 고유수용성 운동조절 프로그램이 만성 뇌졸중 환자의 균형과 보행에 미치는 효과 / 박사 / 계명대학교 보건대학원

[journal] Bach JR / 2007 / Lung inflation by glossopharyngeal breathing and “Air Stacking” in Duchenne muscular dystrophy / Am J Phys Med Rehabil 86(4) : 295~300

[journal] Bach JR / 1996 / Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure. A different approach to weaning / Chest 110(6) : 1566~1571

[journal] Bach JR / 1994 / Update and perspective on noninvasive respiratory muscle aids: part 2. The expiratory aids / Cjhest 105(5) : 1538~1544

[journal] Bach JR / 1993 / Airway secretion clearances by mechanical exsufflation for post-poliomyelitis ventilator-assisted individuals / Arch Phys Med Rehabil 74(2) : 170~177

[journal] Ball PA / 2001 / Critical care of spinal cord injury / Spine 26(24S) : S27~S30

[journal] Brito MF / 2009 / Air stacking and chest compression increase peak cough flow in patients with Duchenne muscular dystrophy / J Bras Pneumol 35(10) : 973~979

[journal] Chatwin M / 2003 / Cough augmentation with mechanical insufflation/exsufflation in patients with neuromuscular weakness / Eur Respir J 21(3) : 502~508

[journal] Chatwin M / 2009 / The addition of mechanical insufflation/exsufflation shortens airway-clearance sessions in neuromuscular patients with chest infection / Respiratory Care 54(11) : 1473~1479

[journal] De Bruin PF / 2001 / Inspiratory flow reserve in boys with Duchenne muscular dystrophy / Pediatr Pulmonol 31(6) : 451~457

[journal] Finder JD / 2004 / Respiratory care of the patient with Duchenne muscular dystrophy: ATS consensus statement / Am J Respir Crit Care Med 170(4) : 456~465

[journal] Irwin RS / 1998 / Managing cough as a defense mechanism and as a symptom. A consensus panel report of the American College of Chest Physicians / Chest 114(2 Suppl Managing) : 133S~181S

[journal] Kang SW / 2000 / Maximum insufflation capacity / Chest 118(1) : 61~65

[journal] Lechtzin N / 2006 / Supramaximal inflation improves lung compliance in subjects with amyotrophic lateral sclerosis / Chest 129(5) : 1322~1329

[journal] Suarez AA / 2002 / Peak flow and peak cough flow in the evaluation of expiratory muscle weakness and bulbar impairment in patients with neuromuscular disease / Am J Phys Med Rehabil 81(7) : 506~511

[journal] Tzeng AC / 2000 / Prevention of pulmonary morbidity for patients with neuromuscular disease / Chest 118(5) : 1390~1396

[journal] Wild LB / 2005 / Pulmonary function tests in asthmatic children and adolescents: comparison between a microspirometer and a conventional spirometer / J Bras Pneumol 31(2) : 97~102

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45