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KMID : 1012020210100030328
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Physical Therapy Rehabilitation Science
2021 Volume.10 No. 3 p.328 ~ p.336
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Comparison of Multilevel Growth Models for Respiratory Function in Patients with Tracheostomy and Stroke using Cervical Range of Motion Training
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Kim So-Hyun
Cho Sung-Hyoun
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Abstract
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Objective: The purpose of this study was to investigate the effect of cervical range of motion training on the change in respiratory function growth rate at the group and individual level in stroke patients and stroke patients with tracheostomy tube.
Design: A Multilevel Growth Model
Methods: 8 general stroke patients and 6 stroke patients who had a tracheostomy tube inserted were subjected to cervical range of motion training 3 times a week for 4 weeks. Force vital capacity (FVC), Forced expiratory volume in the first second (FEV1), Forced expiration ratio (FEV1/FVC) and Manual assist peak cough flow (MPCF) were measured. Data were analyzed using descriptive statistics and multilevel analysis with HLM 8.0.
Results: A significant difference was found in the respiratory function analysis growth rate of the entire group (p<0.05), and two groups were added to the research model. The linear growth rate of respiratory function in patients with general stroke increased with the exception of FEV1/FVC (p<0.05). Stroke patients with tracheostomy tube showed a decreasing pattern except for FVC. In particular, MPCF showed a significantly decreased result (p<0.05).
Conclusions: This study found that the maintenance of improved respiratory function in stroke patients with tracheostomy tube decreased over time. However, cervical range of motion training is still a useful method for respiratory function in general stroke patients and stroke patients with tracheostomy tube.
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KEYWORD
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Cervical range of motion, Multilevel Growth Model, Respiratory function, Stroke, Tracheostomy
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