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KMID : 0357220150270040258
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Journal of Korean Society Physical Therapy
2015 Volume.27 No. 4 p.258 ~ p.263
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Effects of Deep Abdominal Muscle Strengthening Exercises on Pulmonary Function and the Ability to Balance in Stroke Patients
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Kang Jeong-Il
Kim Beom-Ryong
Park Seung-Kyu
Yang Dae-Jung
Jeong Dae-Keun
Kim Je-Ho
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Abstract
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Purpose: This study investigated effects of deep abdominal muscle strengthening exercises on pulmonary function and the ability to balance in stroke patients and was conducted to propose an exercise program for improving cardiovascular function.
Methods: Study subjects were 20 patients with hemiplegia due to stroke, who were divided into the deep abdominal muscle strengthening exercise group (experimental group), 10, and the control group, 10. Pulmonary function tests measured FVC and FEV1, dynamic balance ability was measured using TUG. Static and dynamic balance ability was measured using BBS. The experimental group performed exercises during a period of 6 weeks, 5 times a week for 40 minutes, whereas the control group did not participate in regular exercise. The difference before and after the exercise was compared using paired t-test, difference in exercise before and after between groups was ANCOVA and level of significance was set at α=0.05.
Results: The changes in FVC and FEV1 within the group showed a significant difference only in the experimental group (p<0.001) (p<0.01), between-group difference was statistically significant only in FVC and FEV1 changes in the experimental group (p<0.001). The TUG changes within the group showed a significant difference in the experimental group and control group (p<0.001) (p<0.05), while BBS changes showed a significant difference only in the experimental group. Between-group difference was statistically significant only in TUG and BBS changes in the experimental group. The experimental group showed a more effective significant difference than the control group (p<0.001).
Conclusion: Can exercise involving a deep abdominal muscle strengthening program be applied in patients with stroke with difficulty in control of trunk and decreased breathing ability?
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KEYWORD
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Balance, Deep abdominal muscle strengthening exercises, Pulmonary function, Stroke
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