척수 손상 환자에서 공기 누적 훈련이 폐 기능에 미치는 효과: 체계적 문헌고찰 및 메타분석

• 영문명: Effects of Air Stacking Training on Pulmonary Function in Patients with Spinal Cord Injury: A Systematic Review and Meta-Analysis
• 발행기관: 대한심장호흡물리치료학회
• 저자명: 심정우(Jung-Woo Shim)
• 간행물 정보: 『대한심장호흡물리치료학회지』제13권 제1호, 43~50쪽, 전체 8쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2025.03.31

국문 초록

Purpose: This study aimed to investigate the effects of air stacking training (AST) on pulmonary function and cough efficiency in patients with spinal cord injury (SCI). Pulmonary function outcomes, including forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and peak cough flow (PCF), were analyzed to evaluate the clinical effectiveness of AST. Methods: A systematic review and meta-analysis were conducted following the PRISMA guidelines. Three randomized controlled trials with 80 participants were included. Data were synthesized using both random-effects and fixed-effects models, and standardized mean differences (SMDs) and mean differences (MDs) were calculated. Heterogeneity was assessed using the I² statistic, and the risk of bias was evaluated using the Cochrane risk-of-bias tool. Results: The results showed no significant differences in all outcomes. For FVC, random-effects analysis revealed an SMD of 0.23 (95% CI, −0.32 to 0.77, p=0.41), and fixed-effects analysis showed an MD of 0.27 (95% CI, −0.08 to 0.62, p=0.13). For FEV1, random-effects analysis revealed an SMD of 0.10 (95% CI, −0.34 to 0.54, p=0.67), and fixed-effects analysis showed an MD of 0.11 (95% CI, −0.33 to 0.55, p=0.63). For PCF, the random-effects analysis showed an SMD of −0.12 (95% CI, −0.56 to 0.32, p=0.58), and the fixed-effects analysis showed an MD of −16.31 (95% CI, −67.09 to 34.47, p=0.53). Heterogeneity was low (I²=0%-33%). Conclusion: Although significant effects were not observed, AST demonstrated potential for improving pulmonary function and cough efficiency in patients with SCI. Further high-quality RCTs with larger samples and longer intervention periods are needed to validate these findings and optimize AST protocols.

목차

Ⅰ. 서 론

Ⅱ. 연구 방법

Ⅲ. 연구결과

Ⅳ. 고 찰

Ⅴ. 결 론

참고문헌

키워드

air stacking training cough efficiency pulmonary function spinal cord injury