지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 29 - 37 (9page)
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초록· 키워드
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Objective To evaluate diaphragmatic motion via M-mode ultrasonography and to correlate it with pulmonary function in stroke patients.Methods This was a preliminary study comprised of ten stroke patients and sixteen healthy volunteers. The M-mode ultrasonographic probe was positioned in the subcostal anterior region of the abdomen for transverse scanning of the diaphragm during quiet breathing, voluntary sniffing, and deep breathing. We analyzed diaphragmatic motion and the relationship between diaphragmatic motion and pulmonary function.Results All stroke patients had restrictive pulmonary dysfunction. Compared to that exhibited by control subjects, stroke patients exhibited a significant unilateral reduction in motion on the hemiplegic side, primarily during volitional breathing. Diaphragmatic excursion in right-hemiplegic patients was reduced on both sides compared to that in control subjects. However, diaphragmatic excursion was reduced only on the left side and increased on the right side in left-hemiplegic patients compared to that in control subjects. Left diaphragmatic motion during deep breathing correlated positively with forced vital capacity (rho=0.86, p=0.007) and forced expiratory volume in 1 second (rho=0.79, p=0.021).Conclusion Reductions in diaphragmatic motion and pulmonary function can occur in stroke patients. Thus, this should be assessed prior to the initiation of rehabilitation therapy, and M-mode ultrasonography can be used for this purpose. It is a non-invasive method providing quantitative information that is correlated with pulmonary function.
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참고문헌 (26)
참고문헌 신청
Ali K / 2007 / Day-night differences in oxygen saturation and the frequency of desaturations in the first 24 hours in patients with acute stroke / J Stroke Cerebrovasc Dis 1
American Thoracic Society / 2002 / ATS/ERS statement on respiratory muscle testing / Am J Respir Crit Care Med 166 : 518 ~ 624
Aminoff MJ / 1971 / Spinal integration of segmental, cortical and breathing inputs to thoracic respiratory motoneurones / J Physiol 215 : 557 ~ 575
Ayoub J / 1997 / Diaphragm kinetics coupled with spirometry:M-mode ultrasonographic and fluoroscopic study: preliminary results / J Radiol 78 : 563 ~ 568
Bassetti C / 1999 / Sleep apnea in acute cerebrovascular diseases: final report on 128 patients / Sleep 22 : 217 ~ 223
American Thoracic Society / 2002 / ATS/ERS statement on respiratory muscle testing / Am J Respir Crit Care Med 166 : 518 ~ 624
Aminoff MJ / 1971 / Spinal integration of segmental, cortical and breathing inputs to thoracic respiratory motoneurones / J Physiol 215 : 557 ~ 575
Ayoub J / 1997 / Diaphragm kinetics coupled with spirometry:M-mode ultrasonographic and fluoroscopic study: preliminary results / J Radiol 78 : 563 ~ 568
Bassetti C / 1999 / Sleep apnea in acute cerebrovascular diseases: final report on 128 patients / Sleep 22 : 217 ~ 223
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