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タイトル :健常者の頭頸部を含む姿勢変化が呼吸機能に及ぼす影響
別言語のタイトル :Influence of the sitting posture including the position of the head and neck on respiratory function in healthy adults
著者 :金子, 雄太
公開者・出版者 :新潟リハビリテーション大学
刊行年月 :2011
開始ページ :87
終了ページ :125
内容記述 :平成22年度(2010)修士論文
新潟リハビリテーション大学大学院 リハビリテーション研究科 リハビリテーション医療学専攻 摂食・嚥下障害コース
抄録 :Respiratory physical therapy came recently to be employed in the field of dysphagia rehabilitation to prevent or improve such respiratory complications as aspiration pneumonia. On the other hand, eating and swallowing training is performed with combined changes of the head and neck, and the trunk positions. For the purpose to search for the most efficient posture for the best respiratory function, posture-related alterations of respiratory function and cough flow intensity were studied in healthy subjects. Subjects were 27 healthy adults (age, 21±0.8 yr; mean±SD). The subjects were asked to take four postures in random order: (1) reclining 90 degrees + head and neck facing straight forward (90-0 posture), (2) reclining 90 degrees + head and neck tilted 30 degrees in the flexor direction (90-30 posture), (3) reclining 30 degrees + head and neck facing straight forward (30-0 posture), and (4) reclining 30 degrees + head and neck tilted 30 degrees in the flexor direction (30-30 posture). Respiratory function and cough flow intensity were assessed in each posture. Respiratory function parameters included Tidal Volume ( TV ), Inspiratory Reserve Volume ( IRV ), Expiratory Reserve Volume ( ERV ), and Vital Capacity ( VC ). Cough flow intensity parameters included Peak Expiratory Flow ( PEF ) and Peak Cough Flow ( PCF ). There were no significant differences in TV among the four postures. IRV and IC was significantly greater in 30-0 or 30-30 posture than in 90-0 or 90-30 posture (p <0.001. or p <0.01). ERV was significantly greater in 90-0 or 90-30 posture than in 30-0 or 30-30 posture (p <0.001) and, further ERV was significantly greater in 90-0 or 30-0 posture than in 90-30 or 30-30 posture (p<0.05). VC was significantly greater in 90-0 posture than any of other postures and, further VC was significantly greater in 30-0 posture than in 90-30 posture (p< 0.05). PCF was significantly greater in 90.0 posture than in 30-0 or 30-30 posture (p <0.05 or p<0.001) and, further PCF was significantly greater in 90-30 posture than in 30-30 posture (p <0.01). PEF was significantly greater in 90-0 or 30-30 posture than in 90-30 posture (p <0.05 or p<0.01). It developed that 90-0 posture could perform expiration most effectively. In other words, it was shown that 90-0 posture was easiest to discharge an aspiration thing. It was suggested that 90-0 posture was more preferable to any of other postures when I thought on the occasion of dysphagia rehabilitation from a point of the respiration.
資料種別 :Thesis or Dissertation
言語 :jpn
URI :http://hdl.handle.net/10623/37870
出現コレクション:20 修士学位論文

引用の際は次の識別子を使用してください http://hdl.handle.net/10623/37870

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