Mechanical Insufflation-Exsufflation 적용이 뇌졸중 환자의 호흡기능 변화에 관한 단일사례연구

Mechanical Insufflation-Exsufflation Applied to Change the Pulmonary Function of Stroke Patient : A Case Report

Purpose : The purpose of this study was to investigate the change of coughing ability and pulmonary function after Mechanical In-Exsufflation(MI-E) for stroke patients. Method : This study was a case study of adult stroke patients who were diagnosed with stroke. Intervention was performed 30 minutes a day for 5 times a week for 4 weeks. In addition, MI-E was applied for 20 minutes per day for 3 weeks for 4 weeks. Results : The Peak Cough Flow(PCF) increased from 170 L / min to 175 L / min compared with before intervention. FVC was increased to 1.53L after intervention, 7.1% higher than before intervention, and FEV 1 was 1.35 L after intervention, which was 18.5% higher than before intervention. MEP increased 1 cmH 2 O from 45 cmH 2 O to 46 cmH 2 O, and 2 cmH 2 O increased from 13 cmH 2 O to 15 cmH 2 O. Conclusion : MI-E showed an increase in PCF, FVC, and FEV 1 in stroke patients. Therefore, the case of this study should be a reference for respiratory rehabilitation therapy for the removal of sputum from stroke patients in the future.