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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(1):80-85.
Change in Forced Vital Capacity with Postures according to Neuromuscular Disease.
Yoo, Tae Won , Kang, Seong Woong , Moon, Jae Ho , Kim, Hyung Jung , Cho, Dong Hee , Park, Jung Hyun
1Department of Rehabilitation Medicine, Rehabilitation Institute of Muscular Disease, Yonsei University College of Medicine. swoong@yumc.yonsei.ac.kr
2Department of Internal Medicine, Yonsei University College of Medicine.
3Department of Rehabilitation Medicine, Gyeongsan Geriatric Hospital.
신경근육계 질환 종류에 따른 자세와 노력성 폐활량과의 상관관계
유태원, 강성웅, 문재호, 김형중1, 조동희, 박중현2
연세대학교 의과대학 재활의학교실, 근육병재활연구소 및 1내과학교실, 2경산노인병원 재활의학과
To evaluate the difference in forced vital capacity (FVC) between sitting and supine position in patients with amyotrophic lateral sclerosis (ALS), cervical spinal cord injury (SCI) and Duchenne muscular dystrophy (DMD).
FVC was measured in sitting and supine position for 32 patients with DMD, 32 patients with cervical SCI and for 28 patients with ALS. The highest value in three or more attempts in each position was chosen.
FVCs measured in cervical SCI and ALS patients in the sitting and supine position were 1612.8⁑291.0 ml, 1393.2⁑286.7 ml and 2054.7⁑545.8 ml, 1104.3⁑425.4 ml respectively. Cervical SCI patients showed significantlyhigher value in the supine position (p<0.05). And ALS patients showed significantly higher value in the sitting position (p<0.05). FVCs measured in DMD patients were 1311.6⁑260.7 ml and 1213.8⁑378.9 ml respectively. There was no statistically significant difference between the measurements in both positions.
Difference in postural change of FVC was observed in patients with different types of neuromuscular disorders. Such difference in FVC suggest that postural change of FVC should be considered in management of neuromuscular disease with respiratory muscle weakness. (J Korean Acad Rehab Med 2006; 30: 80-85)
Key Words: Amyotrophic lateral sclerosis, Cervical spinal cord injury, Duchenne muscular dystrophy, Forced vital capacity, Postural change


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