The Effects of Combined Complex Exercise with Abdominal Drawing-in Maneuver on Expiratory Abdominal Muscles Activation and Forced Pulmonary Function for Post Stroke Patients (복합운동과 복부 끌어당김 조정 훈련의 병행이 뇌졸중 환자의 호기 시 복부근육 활성도 및 노력성 폐기능에 미치는 영향)

윤정현; TaeSoo Kim (김태수); Lee Byung-ki (이병기)

The Effects of Combined Complex Exercise with Abdominal Drawing-in Maneuver on Expiratory Abdominal Muscles Activation and Forced Pulmonary Function for Post Stroke Patients

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2013, 8(4), pp.513-523
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

윤정현 ¹, TaeSoo Kim ², Lee Byung-ki ³

¹보은병원
²고려대학교
³대원대학교

Candidate

ABSTRACT

Purpose：The purpose of this study was to investigate characteristics of the forced pulmonary function test effect and abdominal muscles activation by combined complex exercise with abdominal drawing-in maneuver training of chronic stroke patients. Methods： 14 post stroke patients(10 males and 4 females) involved voluntary this study and we divided two groups into CEG(complex exercise group) and CEAG(complex exercise and abdominal drawing-in maneuver group).(n=7, per goup). Each groups implicated the 2 times, 30minute exercises for 6 weeks a day. The CEAG performed the complex exercise 15 minutes and 15 minutes of abdominal drawing-in maneuver. For data analysis, the mean and standard deviation were estimated; non-parametric independent t-test was carried out.. Results：According to the study, in the combined complex exercise with abdominal drawing-in maneuver group, FVC and activation of transversus abdominis/internal oblique were statistically significant difference compared to the complex exercise group. Conclusion：These results indicate that the combined complex with abdominal drawing-in maneuver was efficient in enhancing abdominal muscles activation and pulmonary function of chronic stroke patients.

KEYWORDS

Abdominal drawing-in maneuver, Transversus abdominis, Internal oblique, Pulmonary function test, Stroke.

Citation status

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

[journal] Annoni JM / 1990 / Respiratory function in chronic hemiplegia / Int Disabil Stud 12(2) : 78~80

[journal] ATS / 2006 / Statement on pulmonary rehabilitation / Am J Respir Crit Care Med 173(12) : 1390~1413

[journal] Beazell JR / 2011 / Changes in lateral abdominal muscle thickness during an abdominal drawing-in maneuver in individuals with and without low back pain / Res Sports Med 19(4) : 271~282

[journal] Chon SC / 2010 / Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults / Physiotherapy 96(2) : 130~136

[thesis] Chon SC / 2011 / Combination With Ankle Dorsiflexion in Strengthening the Transverse Abdominal Muscle in Healthy young Adults and Patients With Low Back Pain / Yonsei University

[book] Davies PM / 1990 / Right in the middle: Selective trunk activity in the treatment of adult hemiplegia / Springer-Verlag Telos

[journal] Duncan PW / 1997 / Health status of individuals with mild stroke / Stroke 28(4)

[journal] De Troyer A / 1984 / Action of the respiratory muscles or how the chest wall moves in upright man / Bull Eur Physiopathol Respir 20(5) : 409~413

[book] Frownfelter D / 2006 / Cardiovascular and pulmonary Physical Therapy-Evidence and Practice / Mosby

[journal] Gosselink R / 2000 / Respiratory muscle weakness and respiratory muscle training in severly disabled multiple sclerosis patient / Arch Phys Med Rehabil 81(6) : 747~751

[thesis] Jang HJ / 2011 / The Effect of Abdominal-Hollowing Exercises on Trunk Muscle Actvity During Curl-up Exercise on Different Support Surface / Inge University

[journal] 주정열 / 2010 / The Effects of Respiratory Muscle Strengthening Exercise on the Respiratory and Phonation Capacity in Spastic Cerebral Palsy Child / 한국운동역학회지 / 한국운동역학회 20(3) : 285~292

[journal] Hodges PW / 2000 / Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm / J Appl Physiol 89(3) : 967~976

[book] Kapandji LA / 1982 / The physiology of the joint / Churchill Livingstone

[book] Kendall FP / 1993 / Muscles: Testing and function / Williams & Wilkins

[thesis] Kim MH / 2012 / The Effects of Respiratory Function, Trunk Control and Functional ADL following Respiratory Strength Trainingin Patients with Stroke / Sahmyook University

[journal] 김창용 / 2011 / The Effect of Integration Between Respiratory Muscle Training and Abdominal Drawing-in Maneuver on Decreased Pulmonary Function in Young Subjects / 한국전문물리치료학회지 / 한국전문물리치료학회 18(4) : 23~30

[book] Kisner C / 2007 / Therapeutic Exercise-Foundations and Techniques / F.A.Davis

[journal] Lanini B / 2003 / Chest wall kinematics in patients with hemiplegia / Am J Respir Crit Care Med 168(1) : 109~113

[journal] Lanini B / 2001 / Perception of dyspnea in patients with neuromuscular disease / Chest 120(2) : 402~408

[journal] 이병기 / 2008 / Effects of Combined Exercises of Walking and Lumber Stabilization on Pulmonary Function and Lumbar Deep Muscles of Patients with Chronic Low Back Pain / Korean Journal of Health Promotion / 대한임상건강증진학회 8(3) : 168~177

[journal] 이병기 / 2012 / The Effect of the Forced Pulmonary Function of young female, by Changes in Lung function Related to Postures and by Transverse Abdominis Activation in Standing Position / 대한물리의학회지 / 대한물리의학회 7(3) : 267~274

[thesis] Lee JH / 2008 / The effect of pulmonary function in the stroke patients after feedback breathing exercise / Daegu Univercity

[thesis] Lee NG / 2009 / Effects of the Abdominal Drawing-in Maneuver on Core and Postural Stability in Adults with Core instability / Yonsei University

[book] Levagie PK / 2001 / Joint structure and function: A comprehensive analysis / FA Davis

[journal] Miniaev VI / 1998 / Comparative analysis of responses of the thoracic and abdominal respiraion components to hypercapnia and muscular work / Ross Fiziol Zh Im IM Sechenova 84(4) : 323~329

[journal] Outermans JC / 2010 / Effects of a high-intensity task-oriented training on gait performance early after stroke : a pilot study / Clin Rehabil 24(11) : 979~987

[journal] Pitts T / 2009 / Impact of expiratory muscle strength training on voluntary cough and swallow function in parkinson disease / Chest 135(5) : 1301~1308

[journal] Richardson CA / 1995 / Muscle control-pain control. What exercise would you prescribe? / Manual Therapy 1(1) : 2~10

[thesis] Shin HJ / 2012 / Effects of Respiratory Training Programs on Respiratory Function and Fatigue of Elderly in a Facility / Yongin University

[journal] Shaw Gl / 1987 / Airway obstruction Due to bilateral vocal cord paralysis as a complication of stroke / South Med J 80(11) : 1432~1433

[journal] Stanton T / 2008 / The Effect of Abdominal Stabilization Contractions on Posteroanterior Spinal Stiffness / SPINE 33(6) : 694~701

[journal] Souza GM / 2001 / Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises / Arch Phys Med Rehabil 82(11) : 1551~1557

KJCKorea
Journal Central

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