Background/Objectives: 본 연구의 목적은 복부 브레이싱 운동과 복부 할로잉 운동을 결 합한 요부 안정화 운동프로그램이 20대 정상성인의 폐기능에 미치는 영향과 흡연자와 비흡 연자를 비교하여 그 차이를 알아보고자 하는 데 있다. Methods/Statistical analysis: 이를 위해 20대 정상성인을 대상으로 흡연집단(n=16)과 비 흡연집단(n=16) 두 그룹으로 모집하여 동일한 중재를 실시하였다. Findings: 흡연집단은 집단 내 기간 지남에 따라 폐기능 요인 중 FVC과 FEV1/FVC를 제 외한 FEV1과 PEF가 운동 전보다 유의하게 증가하였다(p<.05). 비흡연집단에서 기간 지남에 따라 폐기능 요인 중 FVC과 PEF를 제외한 FEV1, FEV1/FVC가 운동 전보다 유의하게 증가하 였다(p<.05). Improvements/Applications: 본 연구 결과, 복부 브레이싱 운동과 복부 할로잉 운동을 결 합한 요부 안정화 운동프로그램은 흡연집단과 비흡연집단 두 그룹의 폐기능 향상에 효과가 나타난 것을 알 수 있었다.

본 연구는 만 40-60세 비만 중년여성을 대상으로 10주간 스마트머신 순환운동이 체조성, 폐기능, 혈중지질 및 인슐린 저항성에 미치는 영향을 구명하기 위하여 운동군(n=8), 대조군(n=6)으로 구분하여 실시하였다. 스마트머신 순환운동은 주 3회, 회당 55분으로 유산소 운동의 강도는 스마트머신과 POLAR T31이 연동 되어 스마트머신에 적용되며, 1-4주차는 40-50%HRR, 5-8주차는 50-60%HRR, 9-10주차는 60-70%HRR을 적용하였고, 저항성 운동의 강도는 스마트머신을 이용하여 등속성 운동 기반으로 대상자들의 1-RM test의 데이터 값을 이용하여 1-4주차는 1-RM의 40%, 5-8주차는 1-RM의 60%, 9-10주차는 1-RM의 80%를 적용하여 실시하였다. 그 결과 체중, 체질량지수, 체지방율, 허리-엉덩이둘레비율에서 그룹×시기 간 상호작용 효과가 나타났다. 폐기능의 FVC는 시기 간 주 효과와 사후 그룹 간 유의한 차이가 나타났으며, FVC 및 FEV1은 그룹×시기 간 상호작용 효과가 나타났다. TC 및 TG는 시기 간 주 효과가 나타났으며, TC, TG 및 HDL-C는 그룹×시기 간 상호작용 효과가 나타났다. Insulin, Glucose 및 HOMA-IR은 운동 전·후 시기 간 차이에서 운동군이 유의하게 감소한 것으로 나타났다. 따라서 10주간 스마트머신 순환운동 프로그램이 비만 중년여성의 체조성, 폐기능, 혈중지질 및 인슐린 저항성에 긍정적인 영향을 미쳤으며 이는 중년여성의 비만을 개선하거나 비만을 예방할 수 있는 운동 프로그램이라고 사료된다.

본 연구는 복합운동이 여성노인의 폐기능, 혈중 비타민 D, 칼슘 및 골대사호르몬에 미치는 영향을 구명하기 위해 만 65세 이상 여성노인을 대상으로 운동군(n=13), 대조군(n=17)으로 구분하여 주 3회, 회당 60분의 복합운동을 실시하였다. 유산소 운동 강도는 1-4주는 40-50%HRR(RPE 12-13), 5-8주는 50-60%HRR(RPE 13-14), 9-12주는 60-70%HRR(RPE 14-15)의 강도로 설정하였고 저항 운동 강도는 1-4주는 OMNI-RES(3-4), 5-8주는 OMNI-RES(5-6), 9-12주는 OMNI-RES(7-8)강도로 설정하였다. 그 결과 폐기능 중 FEV1은 그룹×시기 간 상호작용 효과가 나타났고 운동군의 FVC/FEV1이 유의하게 증가하였다. 비타민 D는 그룹×시기 간 상호작용 효과가 나타났고, 운동군과 대조군 모두 유의하게 증가하였다. 칼슘은 그룹×시기 간 상호작용 효과가 나타났으며 대조군이 유의하게 감소하였다. 골대사호르몬 중 칼시토닌과 오스테오칼신은 그룹×시기 간 상호작용 효과가 나타났고, 오스테오칼신은 대조군이 유의하게 감소하였다. 따라서 본 연구의 결과를 통해 12주간의 복합운동이 여성노인의 신체활동을 활발하게 하여 폐 기능을 개선하고 혈중 비타민 D의 결핍을 완화할 수 있다고 생각되지만 칼슘 및 골대사호르몬에서는 유의미한 결과를 나타내지 못하였다.

This study was conducted to examine the effects of Evjenth-Hamberg stretching of the sternocleidomastoid, upper trapezius, and pectoralis major on the lung function of adults with forward neck posture. The subjects were 20 adult students in P university located in Pohang, Korea, whose degree of head forward displacement measured according to NEW YORK state posture test was mild. The subjects were randomly and equally assigned to the Evjenth- Hamberg Stretching group (EHSG, n=10) and the control group (CG, n=10). Their forced vital capacity (FVC), slow vital capacity (SVC), and maximal voluntary ventilation (MVV) were measured before and after the experiment. In within-group comparison, only the EHSG experienced statistically significant improvement in FVC, forced expiratory volume in the first second (FEV1), and peak expiratory flow (PEE) after the experiment, compared to before the experiment (.05<p). In between-group comparison, the PEE of EHSG was statistically significantly higher than CG (.05<p). Regarding SVC, only the EHSG experienced statistically significant improvement in inspiratory vital capacity after the experiment, compared to before the experiment. With regard to MVV, only the EHSG experienced statistically significant improvement in their tidal volume during maximal voluntary ventilation after the experiment compared to before the experiment. Our results indicated that Evjenth- Hamberg stretching was an effective physical therapy intervention to improve the lung function of adults with FHP by correcting their head forward displacement.

The purpose of this study was to examine the effects of combined respiratory physical therapy on respiratory function, spinal curve and spinal mobility for community-dwelling elderlies with restrictive lung diseases. In total, 10 patients participated in an 8-week intervention program of thoracic cage mobilization and breathing exercise in combination. The results of the study are as follows: for respiratory function, the forced expiratory volume in 1 second (FEV1), forced vital capacity(FVC), and FEV1/FVC were significantly improved to .30±0.31ℓ, .46±.42ℓ, and 18.10±11.39%, respectively (p<.05). For spinal curve, the thoracic curve and the lumbar curve were improved significantly to -2.20±1.40° and -1.20±1.14°, respectively (p<.01). For spinal mobility, the thoracic flexion (3.40±2.99°), thoracic extension (3.50±1.43°), lumbar flexion (4.50±4.74°), and lumbar extension(- 1.50±1.84°) were all significantly improved (p<.05). These findings indicate that thoracic cage mobilization and breathing exercise in combination improve the respiratory function, spinal alignment, and spinal mobility in elderly people with restrictive lung diseases,

This study aimed to examine the effects of thoracic cage mobilization on the respiratory function, spinal curve and spinal movement in patients with restrictive lung diseases. The subjects were ten community- dwelling elderly with a restrictive lung diseases when measured using a spirometer(FEV1/FVC≤65%, FVC<80%). They received an intervention over an eight-week period: three times a week and for 30 minutes a day. SPSS for Windows(ver. 19.0) was used to analyze all the collected data. Independent t-tests were used to examine changes before and after the intervention. The study's results showed statistically significant improvement(p<.05) in forced expiratory volume in 1 second(chage rate: .24±.25), thoracic curve(chage rate: -2.50±2.76), lumbar curve(chage rate: -.80±1.32), thoracic flexion(chage rate: 2.10± 1.52), thoracic extension(chage rate: -2.00±1.25), lumbar flexion(chage rate: 2.40±3.13) and lumbar extension(chage rate: -1.30±1.42). The results of this study suggest that the thoracic cage mobilization contribute to improve pulmonary function in patients with restrictive lung disease.

The purpose of this study was to investigate spirometric lung pattern, respiratory function and degree of fatigue by lung function tests and fatigue tests of 39 elderly people in a care facility aged 65 and over. The respiratory function tests were used to the Spirovit SP-1 and fatigue tests were used modified Piper fatigue scale(mPFS). Regarding the respiratory function, the FVC was 1.41±0.36ℓ, the FVC % predicted was 69.10±14.98%, the FEV1 was 1.02±0.31ℓ, the FEV1 % predicted was 63.27±16.05%, the FEV1/FVC was 72.77±13.40%, and the fatigue score was 5.83±1.09. As for the spirometric lung pattern, 19 patients had a restrictive pattern(48.7%), followed by 11 with a mixed pattern(28.2%), 5 with an obstructive pattern( 12.8%), and 4 with a normal pattern(10.3%). Regarding the respiratory function and fatigue by spirometric lung pattern, the FVC and the FVC % predicted of patients with a normal pattern or an obstructive pattern were greater than other groups at a statistically significant level. As for the FEV1, that of patients with a normal pattern was significantly higher than others, and for the FEV1 % predicted, that of patients with a normal pattern or a restrictive pattern was significantly higher(p<.001). Fatigue score by patients with a normal pattern was significantly less than patients of other patterns(p<.001). Therefore, pulmonary physical therapy is considered necessary to improve respiratory function and fatigue degradation of elderly in a facility.