Comparison of Abdominal Muscle Thickness Between the Nonparetic and Paretic Side During Quiet Breathing in Patients With Chronic Stroke

만성 뇌졸중 환자에서 편안한 호흡 시 건측과 마비측으로 복근 두께 비교

  • Lee, Young-Jung (Dept. of Physical Therapy, Bundang Jesaeng Hospital, Daejin Medical Center) ;
  • Lee, Gyu-Wan (Dept. of Physical Therapy, Gang-nam Severance Hospital, Yonsei University Health System) ;
  • Yi, Chung-Hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University) ;
  • Cynn, Heon-Seock (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University)
  • 이영정 (분당제생병원 물리치료실) ;
  • 이규완 (강남세브란스병원 물리치료실) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과, 보건환경대학원 인간공학치료학과) ;
  • 신헌석 (연세대학교 보건과학대학 물리치료학과, 보건환경대학원 인간공학치료학과)
  • Received : 2011.07.04
  • Accepted : 2011.08.16
  • Published : 2011.09.17

Abstract

Abdominal muscle plays a crucial role in postural control and respiration control. However, thickness of abdominal muscle in the paretic side of a hemiplegic patient has not been reported in previous studies. The purpose of this research was to compare lateral abdominal muscle thickness between the nonparetic and paretic side in patients with chronic stroke using rehabilitative ultrasound imaging. Twenty two patients with chronic stroke participated in this study. Absolute thickness of transversus abdominis (TrA), internal oblique (IO) and external oblique (EO) was measured at the end of inspiration and expiration during quiet breathing, and relative thickness was calculated (thickness of each muscle as a percentage of total muscle thickness). Ultrasound imaging was recorded three times and the average value was determined for statistical analysis. Differences in absolute and relative lateral abdominal muscle thickness between the nonparetic and paretic side were assessed with paired t-tests. Absolute muscle thickness of the paretic side TrA was thinner than that of the nonparetic side at the end of inspiration and expiration during quiet breathing. Relative muscle thickness of the paretic side TrA was thinner than the paretic side only at the end of expiration during quiet breathing (p>.05). Therefore, it is necessary to strength TrA in patients with chronic stroke during physical therapy intervention. Further study is needed whether physical therapy intervension will induce TrA thickness in patients with chronic stroke in prospective study design.

Keywords

References

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