목적 : 본 연구에서는 휠체어럭비 활동에 참여하고 있는 경수손상 환자들과 휠체어럭비 활동에 참여하고 있지 않은 경수손상 환자들을 대상으로 시간사용과 삶의 질을 비교하고자 하였다. 연구방법 : 연구대상자는 총 24명이었고, 이중 휠체어럭비 활동에 참여하고 있는 경수손상환자는 11명이었다. 시 간사용량과 삶의 질을 조사하기 위해 Occupational Questionnaire, 한국판 세계보건기구 삶의 질 척도-단축형을 각각 사용하였다. 결과 : 작업영역별 시간 사용량을 비교한 결과 휠체어럭비 참여군의 여가 시간사용량이 높았고, 전체 작업수행 중요 도와 흥미도, 삶의 질이 높았다(p<.05). 연구대상자들의 일과 여가활동의 수행도, 중요도, 흥미도가 높을수록 시간 사용량도 높았다(p<.05). 결론 : 본 연구의 결과를 통해 경수손상 환자들을 위한 작업치료 중재에 효율적인 시간사용이 포함되어야 하고, 작 업수행 영역의 다양화를 위해 휠체어럭비 활동에 대한 소개와 작업치료에 활용하는 것이 필요함을 제안하였다.

This study aimed to compare 2 protocols recommended to patients with chronic cervical cord injury: each protocol included breathing exercises (inhalation-oriented or exhalation-oriented) and facilitation maneuver for the accessory respiratory muscles. Seventeen patients with chronic cervical cord injury volunteered to participate in this study, and we randomized these patients into 2 groups: the inhalation-oriented breathing exercise group (IOBEG) and exhalation-oriented breathing exercise group (EOBEG), consisting of 8 and 9 patients, respectively. Patients in the IOBEG performed inspiratory exercises using intermittent positive pressure breathing devices, while those in the EOBEG performed expiratory exercises using incentive spirometry. All exercises were performed by the subjects twice a day for 4 weeks, with each session lasting an average of 20 min. The outcomes were assessed on the basis of the pre- and post-treatment values of vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC. In the IOBEG, no significant differences were observed between the pre- and post-treatment values of any of the measured variables (p>.05); however, in the EOBEG, significant improvement was noted in the VC, FVC, FEV1 measured (p<.05) after the treatment. In addition, the rates of change in the values of VC, FVC, and FEV1 differed significantly between the 2 groups (p<.05). These findings suggest that the EOBEs can enhance respiratory function and are clinically feasible in patients with chronic cervical cord injury. Further studies will be undertaken to evaluate the clinical application of these findings.