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中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= The relat...

陳柏宇

中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= / 陳柏宇
其他題名:	The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/
其他題名:	The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke
作者:	陳柏宇
出版者:	[高雄市]: [撰者], : 民112,
面頁冊數:	64葉 :圖 ; : 30公分;
附註:	指導教授: 許妙如.
提要註:	背景：中風患者軀幹控制能力與呼吸功能皆受影響，橫膈為主要呼吸肌肉，但同時亦參與軀幹穩定的角色，而中風患者之橫膈肌較健康人為差，進而可能影響肺功能、軀幹控制能力，過去雖有少量研究探討中風患者其橫膈肌之重要性，但為數相當有限。目的：探討軀幹控制能力、呼吸功能、橫膈厚度三者間之相關性。方法：本研究為橫斷式觀察性研究。共納入14 位中風患者，以軀幹損傷量表、軀幹恢復量表評估軀幹控制能力，以肺功能測試、最大吸氣壓與最大吐氣壓評估呼吸功能，以及以超音波評估橫膈厚度。橫膈厚度測試姿勢包含坐姿、被動肩屈曲90度與健側主動肩屈曲90度，雙側橫膈皆施測。結果：軀幹控制能力與呼吸功能方面，軀幹損傷量表之動態次分項與最大吸氣壓呈現中等程度的相關(r= 0.57, p= < 0.05)，軀幹恢復量表總分及次項目則與用力肺活量、第一秒吐氣量與最大自主換氣量呈現中等至高等程度的相關性(r= 0.59~0.86, p < 0.05)。軀幹控制能力與橫膈厚度方面，僅軀幹損傷量表動態次項目與患側橫膈(健側主動肩屈曲90度)呈現中等程度的相關(r= 0.56, p < 0.05)。呼吸與橫膈厚度方面，僅最大吐氣壓與健側與患側之橫膈厚度呈現中等至高等程度的相關性(r= 0.56~0.67, p < 0.05)。結論：本研究發現軀幹控制能力、呼吸功能與橫膈厚度三者間具有一定程度關聯。.
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中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/
陳柏宇

中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/ The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke陳柏宇 - [高雄市]: [撰者], 民112 - 64葉 :圖 ;30公分

指導教授: 許妙如.

碩士論文--高雄醫學大學物理治療學系碩士班.

參考書目：葉.

致謝辭 ---------------------------------------------------------------------------- i

背景：中風患者軀幹控制能力與呼吸功能皆受影響，橫膈為主要呼吸肌肉，但同時亦參與軀幹穩定的角色，而中風患者之橫膈肌較健康人為差，進而可能影響肺功能、軀幹控制能力，過去雖有少量研究探討中風患者其橫膈肌之重要性，但為數相當有限。目的：探討軀幹控制能力、呼吸功能、橫膈厚度三者間之相關性。方法：本研究為橫斷式觀察性研究。共納入14 位中風患者，以軀幹損傷量表、軀幹恢復量表評估軀幹控制能力，以肺功能測試、最大吸氣壓與最大吐氣壓評估呼吸功能，以及以超音波評估橫膈厚度。橫膈厚度測試姿勢包含坐姿、被動肩屈曲90度與健側主動肩屈曲90度，雙側橫膈皆施測。結果：軀幹控制能力與呼吸功能方面，軀幹損傷量表之動態次分項與最大吸氣壓呈現中等程度的相關(r= 0.57, p= < 0.05)，軀幹恢復量表總分及次項目則與用力肺活量、第一秒吐氣量與最大自主換氣量呈現中等至高等程度的相關性(r= 0.59~0.86, p < 0.05)。軀幹控制能力與橫膈厚度方面，僅軀幹損傷量表動態次項目與患側橫膈(健側主動肩屈曲90度)呈現中等程度的相關(r= 0.56, p < 0.05)。呼吸與橫膈厚度方面，僅最大吐氣壓與健側與患側之橫膈厚度呈現中等至高等程度的相關性(r= 0.56~0.67, p < 0.05)。結論：本研究發現軀幹控制能力、呼吸功能與橫膈厚度三者間具有一定程度關聯。.

(平裝)Subjects--Index Terms:

中風

中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/
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100 1 $a 陳柏宇 $3 497977
245 1 0 $a 中風患者軀幹控制能力、呼吸功能與橫膈厚度之相關性= $b The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke/ $c 陳柏宇
246 1 1 $a The relationship between trunk control ability, respiratory function, and diaphragm thickness in patients with stroke
260 # $a [高雄市]: $b [撰者], $c 民112
300 $a 64葉 : $b 圖 ; $c 30公分
500 $a 指導教授: 許妙如.
500 $a 學年度: 111.
502 $a 碩士論文--高雄醫學大學物理治療學系碩士班.
504 $a 參考書目：葉.
505 0 # $a 致謝辭 ---------------------------------------------------------------------------- i
520 3 $a 背景：中風患者軀幹控制能力與呼吸功能皆受影響，橫膈為主要呼吸肌肉，但同時亦參與軀幹穩定的角色，而中風患者之橫膈肌較健康人為差，進而可能影響肺功能、軀幹控制能力，過去雖有少量研究探討中風患者其橫膈肌之重要性，但為數相當有限。目的：探討軀幹控制能力、呼吸功能、橫膈厚度三者間之相關性。方法：本研究為橫斷式觀察性研究。共納入14 位中風患者，以軀幹損傷量表、軀幹恢復量表評估軀幹控制能力，以肺功能測試、最大吸氣壓與最大吐氣壓評估呼吸功能，以及以超音波評估橫膈厚度。橫膈厚度測試姿勢包含坐姿、被動肩屈曲90度與健側主動肩屈曲90度，雙側橫膈皆施測。結果：軀幹控制能力與呼吸功能方面，軀幹損傷量表之動態次分項與最大吸氣壓呈現中等程度的相關(r= 0.57, p= < 0.05)，軀幹恢復量表總分及次項目則與用力肺活量、第一秒吐氣量與最大自主換氣量呈現中等至高等程度的相關性(r= 0.59~0.86, p < 0.05)。軀幹控制能力與橫膈厚度方面，僅軀幹損傷量表動態次項目與患側橫膈(健側主動肩屈曲90度)呈現中等程度的相關(r= 0.56, p < 0.05)。呼吸與橫膈厚度方面，僅最大吐氣壓與健側與患側之橫膈厚度呈現中等至高等程度的相關性(r= 0.56~0.67, p < 0.05)。結論：本研究發現軀幹控制能力、呼吸功能與橫膈厚度三者間具有一定程度關聯。.
520 3 $a Background: Stroke patients often experience impaired trunk control and respiratory function. The diaphragm plays a crucial role as the primary respiratory muscle and also contributes to trunk stability. However, the diaphragm muscle in stroke patients is typically weaker compared to healthy individuals, which may impact lung function and trunk control. Although there have been limited studies investigating the importance of the diaphragm muscle in stroke patients, the existing research is quite scarce. Objective: This study was to explore the correlation between trunk control ability, respiratory function, and diaphragm thickness in stroke patients. Methods: This study is a cross-sectional observational study. Fourteen stroke patients were included, and their trunk control ability was evaluated using the Trunk Impairment Scale (TIS) and Trunk Recovery Scale (TRS). Respiratory function was assessed through pulmonary function tests, maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP). Diaphragm thickness was evaluated using ultrasound imaging. Diaphragm thickness measurements were taken in different positions, including sitting, sitting with passive shoulder flexion of 90 degrees, and sitting with active shoulder flexion of 90 degrees. Both sides of the diaphragm were measured. Results: In terms of trunk control ability and respiratory function, there was a moderate correlation between the dynamic sub-item of the Trunk Impairment Scale and maximum inspiratory pressure (MIP) (r= 0.57, p < 0.05). The total score and sub-items of the Trunk Recovery Scale showed moderate to high correlations with forced vital capacity, forced expiratory volume in one second, and maximum voluntary ventilation (r= 0.59-0.86, p < 0.05). Regarding trunk control ability and diaphragm thickness , there was a moderate correlation between the dynamic sub-item of the Trunk Impairment Scale and the thickness of the affected side diaphragm (sitting with active shoulder flexion of 90 degrees) (r= 0.56, p < 0.05). In terms of respiratory function and diaphragm thickness, there were moderate to high correlations between the MEP with thickness of the unaffected side and the affected side of the diaphragm (r = 0.56-0.67, p < 0.05). Conclusion: This study reveals a certain degree of correlation between respiratory function, diaphragm thickness, and trunk control ability in stroke patients..
563 $a (平裝)
653 # # $a 中風 $a 橫膈 $a 軀幹控制 $a 呼吸功能.
653 # # $a stroke $a diaphragm $a trunk control $a respiratory function.
856 7 # $u https://handle.ncl.edu.tw/11296/c23pkn $z 電子資源 $2 http