중증 COPD 환자에 대한 포괄적인 운동프로그램의 장기 효과 - 단일사례연구

Long-term Effects of Comprehensive Pulmonary Exercise Program in Severe COPD Patient - Single Case Study

Purpose : This study aims to investigate the long-term effects of comprehensive pulmonary exercise program on severe COPD patient. Methods : A 70-year-old patient with a height of 158 cm and a weight of 51 kg who was diagnosed with severe COPD was recruited. The comprehensive pulmonary exercise program was conducted for 36 months;3 days per week;and consisted of aerobic and strength exercises;respiratory muscle training;and breathing pattern reeducation. The measurements included the modified Medical Research Council (mMRC);peak expiratory flow (PEF);maximum inspiratory pressure;maximum expiratory pressure;forced vital capacity (FVC);forced expiratory volume at 1 sec;peak oxygen uptake (VO2peak);6-minute walk distance (6MWD);and COPD assessment test (CAT). Results : The mMRC and CAT showed meaningful decreases following intervention while the PEF;FVC;VO2peak;and 6MWD remarkably increased after intervention. Conclusion : In conclusion;our study results showed that the comprehensive pulmonary exercise program may be helpful to improve dyspnea;sputum expectoration;lung function;functional capacity;and quality of life and prevent respiratory muscle weakness and more narrowing airway in severe COPD patients.