학술지
| 발행연도 | 2026/03/31 | ||
|---|---|---|---|
| 권 | 14 | 호 | 1 |
| 페이지 | 21-32(12) | ||
| 제목 | 흉벽 가동화가 만성 폐쇄성 폐질환 환자의 흉벽 확장과 폐 기능에 미치는 영향: 체계적 고찰 | ||
| 저자 | ■김민희1* | ||
| 교신저자 | 김민희 | ||
| 소속 | ■1인제대학교 물리치료학과 | ||
| Abstract | This systematic review aimed to evaluate the effects of chest wall mobilization on chest expansion and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Methods: International electronic databases, including PubMed, Cochrane Library, and Wiley Online Library, were searched for studies published between March 2016 and February 2025. The search was limited to articles published in English. Two reviewers independently screened the studies and extracted the data. The risk of bias was evaluated using the Cochrane Risk of Bias tool 2.0 (RoB 2.0). Owing to the heterogeneity of interventions and outcome measures, a narrative synthesis was conducted instead of a meta-analysis. Results: To examine the effects of chest wall mobilization in patients with COPD, seven randomized controlled trials were reviewed. The interventions included manual therapy, respiratory muscle stretching, and breathing techniques. Most studies reported improvements in chest wall expansion, maximum inspiratory/expiratory pressure, and 6-Min Walking Distance, with some exceeding the minimal clinically important difference. Furthermore, dyspnea improved in some cases, whereas the Forced Expiratory Volume in 1 second/Forced Vital Capacity showed inconsistent results. Conclusion: Chest wall mobilization can be an effective factor in pulmonary rehabilitation in patients with COPD, contributing to improvements in chest wall mobility, respiratory muscle function, and exercise tolerance. However, evidence on its effect on lung capacity measurement function remains limited. In future research, standardized measurement methods and long-term follow-up studies will be warranted to more accurately determine the effects of chest wall expansion. | ||
| 키워드 | chest wall expansion, chest wall mobilization, chronic obstructive pulmonary disease, pulmonary function, respiratory muscle stretching, thorax mobility | ||
| 첨부파일 #1 | 04_源誘쇳씗(21-32).pdf | ||