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Dae-Geun Jeong, Jong-Hyuk Yoon, Sam-Ho Park,
year 11, Issue 1 (Spring 2023)
Abstract

Background. This study aimed to provide patients with chronic obstructive pulmonary disease (COPD) with an intervention based on whole-body vibration training (WBVT), examine pulmonary function and electroencephalograms (EEGs) to improve the physical capacity of these patients, and suggest an efficient approach to managing these patients in practice.
Methods. A clinical sample of 22 patients with severe COPD was randomly assigned to either Experimental Group I (n=12), which performed squat exercises in combination with WBVT, or Experimental Group II (n=10), which served squat exercises alone. The intervention programs were administered over four weeks, with ten repetitions per set, three sets per session, one session per day, and three days per week.
Results. In Experimental Group I, within-group changes pre-and post-intervention were significant for the alpha waves in Fp1, Fp2, F3, and F4, whereas no within-group changes in pulmonary function, EEG, or 6-minute walk test (6MWT) performance were observed in Experimental Group II. Significant between-group differences were observed in the alpha waves in Fp1, Fp2, and F4 (P<0.05).
Conclusion. Exercise combined with WBVT was a safe and effective strategy to counteract the loss of musculoskeletal function in patients with COPD. Additional research is needed to develop protocols for the combination of WBVT and pulmonary function intervention programs.

Dae-Keun Jeong, Jun-Su Park, Sam-Ho Park,
year 11, Issue 2 (Summer Supplementary 2023)
Abstract

Background. While the increased interest in exercise programs combined with whole-body vibration training (WBVT) and those using blood flow restriction (BFR) has prompted various ongoing studies, most of these studies are fragmentary.
Objectives. The study aims to investigate the effect of WBVT with BFR on lower limb muscle activity and hemodynamic variables to maintain muscle strength and prevent degenerative loss of skeletal muscle.
Methods. Twenty-one undergraduate students were randomized into Group I (n=10), performing a squat exercise with WBVT, and Group II, (n=11), performing a squat exercise with WBVT with BFR at the 140-mmHg pressure level. The intervention was applied twice daily and 4 times weekly for 6 weeks. Both groups took the anthropometric, body mass, and lower limb muscle activity measurements before and after the intervention.
Results. In the within-group comparison before and after the intervention, significant differences in rectus femoris muscle (RFM), biceps femoris muscle (BFM), and gastrocnemius muscle activities were found for Groups I (p<0.05) and II (p<0.05). The between-group comparison found significant differences in RFM and BFM activities (p<0.05). There were no significant differences in hemodynamic variables both within and between groups.
Conclusions. The WBVT with BFR increased the RFM and BFM activities for lower limbs, while no variation in hemodynamic parameters was detected. The intervention is thus an effective strategy that can be applied in practice. Based on the findings, the scope of the intervention should be extended to include non-healthy individuals. Further studies of the multidimensional approach should also be conducted with additional variables to provide supporting evidence for the discussion of hemodynamic responses.

Seung-Yun Baek, Jeong-Il Kang,
year 12, Issue 0 (Spring Supplementary 2024)
Abstract

Background. This study aimed to examine the effects of complex respiratory exercise therapy on diaphragmatic thickness and the auxiliary respiratory muscle activity of stroke patients.
Objectives. The study aims to investigate the effect of complex breathing exercises on diaphragm thickness and respiratory muscle activity on the paretic and nonparetic sides of stroke patients and provide basic clinical data.
Methods. A clinical sample of 30 patients with Stroke was randomly assigned to either the Experimental Group (n=15), which underwent complex respiratory exercises, or the Control Group (n=15), which served neurodevelopmental treatment alone. The intervention comprised four 40-minute sessions per week for six weeks, followed by a post-test after the six weeks. And compare intra-group variations, a paired t-test was employed, while ANCOVA was used for inter-group variations.
Results. Concerning intra-group changes, in the case of the experimental group, significant differences appeared in the diaphragm thickness and all muscles on the paretic and nonparetic sides (p<0.01) (p<0.001). In the case of the control group, significant increases in muscle activity appeared only in the rectus abdominis muscle and the external oblique abdominal muscle on the paretic and nonparetic sides (p<0.05) (p<0.01). Concerning differences between the groups, there were significant differences in the thickness of the diaphragm on the paretic and nonparetic sides, the muscle activity of only the sternocleidomastoid muscle on the paretic side, and the sternocleidomastoid muscle, the rectus abdominis muscle, and the external oblique abdominal muscle on the nonparetic side (p<0.05) (p<0.01) (p<0.001).
Conclusion. Complex breathing exercises were found to increase the thickness of the diaphragm and improve the respiratory muscles safely and effectively in stroke patients. Therefore, it is thought that complex breathing exercises can be used as an effective intervention method to improve breathing in stroke patients. Therefore, more diverse studies using complex breathing exercises are needed.


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