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Effects of Rib Cage Joint Mobilization Combined with Diaphragmatic Breathing Exercise on the Pulmonary Function and Chest Circumference in Patients with Stroke

김아연, 송영화, 홍그린, 김다정, 김순희,
소속 상세정보
김아연 ( Kim A-Yeon ) - Yongin University Department of Physical Therapy
송영화 ( Song Young-Wha ) - Dongnam Health University Department of Physical Therapy
홍그린 ( Hong Geu-Rin ) - Yongin University Department of Physical Therapy
김다정 ( Kim Da-Jeong ) - Yongin University Department of Physical Therapy
김순희 ( Kim Soon-Hee ) - Yongin University Department of Physical Therapy

Abstract


Background: Patients with stroke have core muscle weakness and limited rib cage movement, resulting in restrictive lung disease.

Objectives: To examine the comparison of effects of rib cage joint mobilization combined with diaphragmatic breathing exercise and diaphragmatic breathing exercise on the pulmonary function and chest circumference in patients with stroke.

Design: A cluster randomized controlled trial.

Methods: Twenty-four patients were randomly assigned to an experimental group (rib cage joint mobilization combined with diaphragmatic breathing exercise group) and control group (diaphragmatic breathing exercise group). Patients in the experimental group underwent rib cage joint mobilization for 15 min and diaphragmatic breathing exercise for 15 min. The control group underwent diaphragmatic breathing exercise for 30 min. Both groups underwent exercise thrice a week for 4 weeks. The pulmonary function and chest circumference were measured using the MicroLab spirometer and a tape measure, respectively.

Results: After the intervention, the pulmonary function and chest circumference significantly improved in both groups. These improvements were significantly higher in the experimental group than those in the control group.

Conclusion: Rib cage joint mobilization combined with diaphragmatic breathing exercise improves pulmonary function and chest circumference in patients with stroke.

키워드

Diaphragmatic breathing exercise; Rib cage; Joint mobilization; Respiratory function; Stroke

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