ICF를 활용한 고유수용성신경근촉진법 호흡근 강화 운동 프로그램이 뇌졸중 환자의 호흡기능, 몸통기능 및 보행 능력에 미치는 영향 : 사례연구
The Effects of a Respiratory Muscle Strengthening Program Using Proprioceptive Neuromuscular Facilitation on Respiratory, Trunk and Gait Function in Stroke Patients Using International Classification of Functioning, Disability and Health : A Single Case-study
Stroke patients often experience reduced respiratory muscle function, which leads to decreased cardiopulmonary capacity and negatively affects gait and trunk stability. This single- subject study aimed to examine the effects of respiratory muscle strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on respiratory function, trunk stability, gait speed, and endurance in a patient with right-sided hemiplegia. Based on the international classification of functioning, disability and health (ICF), a PNF-based respiratory muscle strengthening program was implemented three times per week for four weeks, with each session lasting 50 minutes. Respiratory function was assessed using forced vital capacity (FVC), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP). Gait function was evaluated using the 10 meter walking test (10MWT) and 6-minute walking test (6MWT), and trunk function was measured using the trunk impairment scale (TIS) and a pressure biofeedback device. After the intervention, respiratory function, gait performance, and trunk stability improved, suggesting that PNF-based respiratory muscle strengthening may enhance recovery in individuals with stroke.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 검진 2. 평가 3. 중재 Ⅲ. 결과 1. 보행 기능 변화 2. 호흡 기능 변화 3. 몸통 기능 변화 Ⅳ. 고찰 Ⅴ. 결과 인용문헌