Earticle

초록

영어

This study examined the effectiveness of combining remote physical therapy with task-oriented training to improve hand grip strength, and respiratory function in a patient with duchenne muscular dystrophy (DMD). An 18-year-old male with DMD participated in a 4-week program consisting of weekly clinic-based task-oriented respiratory therapy (balloon-blowing and inspiratory muscle training) and home-based exercises (diaphragmatic pursed-lip breathing, and upper extremity stretching) performed under parental supervision, with daily monitoring of exercise adherence. After the intervention, hand grip strength increased from 1 kg to 2 kg bilaterally, peak cough flow rose from 90 L/min to 96 L/min, and chest circumference showed slight increases at the axilla, xiphoid process, and the midpoint between the xiphoid and navel during both maximal expiration and inspiration, while forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) remained at similar, markedly reduced predicted levels without evidence of obstructive ventilatory impairment. Forearm supinator and pronator strength improved from trace to poor on manual muscle testing, and the visual analog scale score for dyspnea decreased from 5 to 2, with high exercise adherence and no adverse events reported. These findings suggest that combined remote physical therapy and task-oriented training is a feasible, safe, and practical home-based rehabilitation approach for a DMD patient, with potential benefits for maintaining functional status and quality of life.

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1. 연구 대상
2. 중재 방법
3. 측정 도구 및 평가 방법
4. 통계 처리
Ⅲ. 결과
1. 악력(grip strength)
2. 호흡곤란(visual analog scale for dyspnea)
3. 흉곽확장 검사(chest circumference)
4. 폐기능 측정(pulmonary function test) 및 최대기침유속(peak cough flow)
Ⅳ. 고찰
Ⅴ. 결과
인용문헌

키워드

저자

• 전기훈 [ Gi-Hun Jeon | 익산병원 재활치료실 ]
• 강태우 [ Tae-Woo Kang | 우석대학교 보건복지대학 물리치료학과 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]

• 간기

  계간

• pISSN

  2508-6456

• 수록기간

  2011~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617