Cross-over Comparison between Respiratory Muscle Stretch Gymnastics and Inspiratory Muscle Training

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概要

• 論文の詳細を見る

• Objectives To compare the effect of respiratory muscle stretch gymnastics (RMSG), proposed as a possible additional form of rehabilitation for patients with chronic obstructive pulmonary disease (COPD), with that of inspiratory muscle training (IMT).Patients Twelve naive outpatients with COPD at a university hospital.Method The patients performed IMT (2 sessions of 10 minutes of training at 30% of PImax, daily) for 4 weeks and RMSG (3 sessions of 5 RMSG patterns 4 times each, daily) for 4 weeks, in randomized order, with a 4-week washout period between the two interventions.Measurements and Results PImax increased with IMT (mean 66.1 to 79.1 cmH2O), but not with RMSG (mean 66.0 to 69.4 cmH2O). RMSG and IMT similarly increased maximum chest wall expansion. FRC was significantly decreased by 158 ml with RMSG, but not with IMT. There were no significant changes in VC, FEV1, or PEF nor in arterial blood gases with either form of rehabilitation. Six-minute walking distance was more significantly increased with RMSG (mean 383 to 430 m), than with IMT (mean 386 to 412 m).Conclusions RMSG may have clinically significant benefits, which may be somewhat different from the benefits of IMT, in patients with COPD.(Internal Medicine 41: 805-812, 2002)

• 社団法人 日本内科学会の論文
• 2002-10-01

著者

• ADACHI Mitsuru

  First Department of Internal Medicine, Showa University School of Medicine

• Shibuya Masato

  Second Dept. Of Physiol. Showa Univ. School Of Med.

• Adachi Mitsuru

  First Dept. Of Int. Med. Showa Univ. School Of Med.

• MINOGUCHI Hideko

  First Dept. of Int. Med., Showa Univ. School of Med.

• MIYAGAWA Tetsuo

  Dept. of Phy. Therapeutics, Showa Univ. Col. of Med. Sci.

• KOKUBU Fumio

  First Dept. of Int. Med., Showa Univ. School of Med.

• YAMADA Minehiko

  Dept. of Resp. Med., Showa Univ. Fujigaoka Hosp.

• TANAKA Hirotaka

  Student, Showa Univ. School of Med.

• ALTOSE Murray

  Case Western Reserve Univ., School of Med. and VA Med. Center

• HOMMA Ikuo

  Second Dept. of Physiol., Showa Univ. School of Med.

• Homma Ikuo

  Second Department Of Physiology Showa University School Of Medicine

• Homma Ikuo

  Second Dept. Of Physiol. Showa Univ. School Of Med.

• Kokubu Fumio

  First Department Of Internal Medicine And Clinical Pathology Showa University School Of Medicine

• Kokubu Fumio

  First Dept. Of Int. Med. Showa Univ. School Of Med.

• Altose Murray

  Case Western Reserve Univ. School Of Med. And Va Med. Center

• Adachi Mitsuru

  First Dep. Of Internal Medicine Showa Univ. School Of Medicine

• YAMADA Minehiko

  the Second Department of Physiology, Showa University School of Medicine

• Miyagawa Tetsuo

  Dept. Of Phy. Therapeutics Showa Univ. Col. Of Med. Sci.

• Tanaka Hirotaka

  Student Showa Univ. School Of Med.

• Yamada Minehiko

  Dept. Of Resp. Med. Showa Univ. Fujigaoka Hosp.

• Minoguchi Hideko

  First Dept. Of Int. Med. Showa Univ. School Of Med.

• Shibuya Masato

  Second Department Of Physiology Showa University School Of Medicine

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