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Ittinirundorn S, Wongsaita N, Somboonviboon D, Tongtako W. EFFECTS OF FARINELLI BREATHING EXERCISE ON RESPIRATORY FUNCTION AND SYMPTOMS IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Tuberc Respir Dis (Seoul) 2021; 85:137-146. [PMID: 34965647 PMCID: PMC8987668 DOI: 10.4046/trd.2021.0109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 12/27/2021] [Indexed: 11/24/2022] Open
Abstract
Background Farinelli breathing (FB) exercise is a typical breathing exercise used by singers. This study aimed to compare effects of FB exercise and diaphragmatic breathing (DB) exercise on respiratory function and symptoms in patients with chronic obstructive pulmonary disease (COPD). Methods Sixteen patients aged 51–80 years with mild or moderate COPD were recruited for this study. They were divided into two groups: DB group (n=8) and FB group (n=8). Both groups received complete breathing exercise training five times per week for 8 weeks. Their respiratory functions, COPD symptoms, cytokine levels, and oxidative stress variables were analyzed during pre- and post-tests. Dependent variables were compared between pre- and post-tests using paired t-tests. An independent t-test was used to compare variables between the groups. Differences were considered significant at p<0.05. Results The maximal expiratory pressure (MEP), maximum oxygen consumption (VO2max), and COPD Assessment Test (CAT) scores changed significantly in the DB group after the 8-week intervention compared to those at pre-test, whereas force vital capacity, forced expiratory volume in the first second, maximum voluntary ventilation, maximal inspiratory pressure (MIP), MEP, VO2max, CAT score, tumor necrosis factor-α, and malondialdehyde level changed significantly in the FB group at post-test compared to those at pre-test. Moreover, both MIP and MEP in the FB group were significantly higher than those in the DB group. Conclusion FB exercise improved respiratory functions and COPD symptoms of patients with COPD. It might be an alternative breathing exercise in pulmonary rehabilitation programs for patients with COPD.
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Affiliation(s)
- Supawit Ittinirundorn
- Exercise Physiology in Special Population Research Group, Chulalongkorn University, Bangkok, Thailand.,Area of Exercise Physiology, Faculty of Sports Science, Chulalongkorn University, Bangkok, Thailand
| | | | - Dujrath Somboonviboon
- Pulmonary and Critical Care Division, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand
| | - Wannaporn Tongtako
- Exercise Physiology in Special Population Research Group, Chulalongkorn University, Bangkok, Thailand.,Area of Exercise Physiology, Faculty of Sports Science, Chulalongkorn University, Bangkok, Thailand
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Ali Ismail AM, Abdelghany AI, Abdelhalim Elfahl AM. Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students. ACTA ACUST UNITED AC 2021; 18:391-396. [DOI: 10.1515/jcim-2020-0050] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Accepted: 08/09/2020] [Indexed: 01/23/2023]
Abstract
Abstract
Objectives
Increased sympathetic stimulation in smokers may be a risk factor for pulmonary and cardiovascular diseases. This study was conducted to assess the immediate effect of interscapular cupping on blood pressure (BP), oxygen (O2) saturation, chest expansion (CE), pulse rate (PR) in sedentary male smoker students.
Methods
Forty sedentary male smoker students– aged 18–25 years -were divided randomly into two equal numbered groups; wet cupping (WC) and dry cupping (DC) groups. Systolic and diastolic BP, upper and lower CE, O2 saturation and PR were measured immediately before and after a single cupping session in both groups.
Results
Both WC and DC types showed improvements in all measurements with a high statistically significant difference (p<0.05).
Conclusions
Interscapular cupping enhanced CE, O2 saturation, BP and PR in sedentary male smoker students.
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Affiliation(s)
- Ali Mohamed Ali Ismail
- Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy , Cairo University , Giza , Egypt
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3
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Bostanci Ö, Mayda H, Yılmaz C, Kabadayı M, Yılmaz AK, Özdal M. Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respir Physiol Neurobiol 2019; 264:28-32. [PMID: 30953791 DOI: 10.1016/j.resp.2019.04.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 03/26/2019] [Accepted: 04/02/2019] [Indexed: 11/18/2022]
Abstract
The aim of the present study is to investigate the effects of inspiratory muscle training (IMT) on pulmonary function and respiratory muscle strength of both healthy smokers and nonsmokers. Forty-two healthy males (16 in the IMT smokers group [IMTS], 16 in the IMT nonsmokers group [IMTN], and 10 in the placebo group) participated in the present study. Using a randomized, double-blind, placebo-controlled design, IMTS and IMTN underwent 4 weeks of 30 breaths twice daily at 50% (+5% increase each week) of maximum inspiratory pressure (MIP), while the placebo group maintained 30 breaths twice daily at 15% MIP using an IMT device. The data were analyzed with repeated measures for one-way analysis of variance, 3 × 2 mixed factor analysis of variance, and least significant difference tests. Respiratory muscle strength (MIP and maximal expiratory pressure [MEP]) and pulmonary functions significantly improved after a 4-week period (between the pre and posttests) in the IMTN and IMTS groups (p < 0.05). The mean difference and percentage differences showed significant alterations in the respiratory muscle strength, forced and slow pulmonary capacities, and pulmonary volume between the IMTN and IMTS groups (p < 0.05). There were significant changes in the expiratory muscle strength (MEP), slow vital capacity (SVC), and forced pulmonary measurements (forced expiratory volume after 1 s and maximal voluntary ventilation) between IMTN and IMTS groups in favor of smokers (p < 0.05). These results show that greater improvements occurred in smokers after IMT. Increased respiratory muscle strength may be the underlying mechanism responsible for this improvement. Additionally, the benefits of IMT were greater in smokers than nonsmokers. This difference between smokers and nonsmokers may potentially be explained by higher influence of exercise on smokers' lung microbiome, resulting in greater reversal of negative effects.
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Affiliation(s)
- Özgür Bostanci
- Sport Science Faculty, Ondokuz Mayıs University, Ondokuz Mayıs University Performance Laboratory, Ondokuz Mayıs University, Yaşar Doğu Sport Science Faculty, 55100, Samsun, Turkey.
| | - Hakan Mayda
- Sport Science Faculty, Ondokuz Mayıs University, Ondokuz Mayıs University Performance Laboratory, Ondokuz Mayıs University, Yaşar Doğu Sport Science Faculty, 55100, Samsun, Turkey.
| | - Coşkun Yılmaz
- Graduate School of Health Sciences, Ondokuz Mayıs University, Ondokuz Mayıs University Performance Laboratory, Ondokuz Mayıs University, Yaşar Doğu Sport Science Faculty, 55100, Samsun, Turkey.
| | - Menderes Kabadayı
- Sport Science Faculty, Ondokuz Mayıs University, Ondokuz Mayıs University Performance Laboratory, Ondokuz Mayıs University, Yaşar Doğu Sport Science Faculty, 55100, Samsun, Turkey.
| | - Ali Kerim Yılmaz
- Graduate School of Health Sciences, Ondokuz Mayıs University, Ondokuz Mayıs University Performance Laboratory, Ondokuz Mayıs University, Yaşar Doğu Sport Science Faculty, 55100, Samsun, Turkey.
| | - Mustafa Özdal
- Physical Education and Sport, Institution: Gaziantep University, Laboratory: Gaziantep University Performance Laboratory, Gaziantep University, Physical Education and Sport Dept., 27310, Gaziantep, Turkey.
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Shen C, Liu F, Yao L, Li Z, Qiu L, Fang S. Effects of MOTOmed movement therapy on the mobility and activities of daily living of stroke patients with hemiplegia: a systematic review and meta-analysis. Clin Rehabil 2018; 32:1569-1580. [PMID: 30088421 DOI: 10.1177/0269215518790782] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE: To estimate the effectiveness of MOTOmed® movement therapy in increasing mobility and activities of daily living in stroke patients with hemiplegia. DESIGN: Systematic review. DATA SOURCES: English- and Chinese-language articles published from the start of database coverage through 20 June 2018 were retrieved from the Embase, Web of Science, PubMed, OVID, Cochrane Central Register of Controlled Trials, Cochrane Systematic Reviews, Wanfang, Chinese National Knowledge Infrastructure, VIP, and Chinese Biomedicine databases. Articles were also retrieved by manual searches of Rehabilitation Medicine and Chinese journals. METHODS: Randomized control trials examining MOTOmed movement therapy interventions for patients with post-stroke hemiplegia were included in this review. The risk of bias assessment tool was utilized in accordance with Cochrane Handbook 5.1.0. All included studies reported mobility effects as primary outcomes. Standardized mean differences or mean differences with the corresponding 95% confidence intervals (CIs) were calculated. Review Manager 5.3 was utilized for meta-analysis. RESULTS: In total, 19 trials involving a total of 1099 patients were included in the analysis. All studies were of moderate quality, based on the Cochrane Handbook for Systematic Reviews of Intervention: Part 2:8.5. MOTOmed movement therapy resulted in a merged mean difference in the Fugl-Meyer Assessment score of 5.51 (95% CI: 4.03 to 6.98). Comparison of groups treated with and without MOTOmed movement therapy yielded the following mean differences: Modified Ashworth Scale, -1.13 (95% CI: -1.37 to -0.89); Berg Balance Scale, 13.66 (95% CI: 10.47-16.85); Functional Ambulation Category Scale, 0.85 (95% CI: 0.68-1.03); 10-m walk test, 10.15 (95% CI: 5.72-14.58); Barthel Index, 14.82 (95% CI: 12.96-16.68); and Modified Barthel Index, 11.49 (95% CI: 8.96-14.03). CONCLUSION: MOTOmed movement therapy combined with standard rehabilitation improves mobility and activities of daily living in stroke patients with hemiplegia.
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Affiliation(s)
- Cuiling Shen
- 1 Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Fang Liu
- 2 Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Liqun Yao
- 2 Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Zhongyuan Li
- 3 Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Li Qiu
- 2 Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Suzhu Fang
- 1 Fujian University of Traditional Chinese Medicine, Fuzhou, China
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Seo K, Cho M. The effects of place running exercises on the pulmonary function of normal adults. J Phys Ther Sci 2017; 29:1490-1493. [PMID: 28931973 PMCID: PMC5599806 DOI: 10.1589/jpts.29.1490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Accepted: 05/31/2017] [Indexed: 12/03/2022] Open
Abstract
[Purpose] The purpose of this study was to determine whether place running exercises
increase the pulmonary function of normal adults. [Subjects and Methods] Thirty normal
adults in their 20s were randomly assigned to an experimental group (n=15) or a control
group (n=15). Over the course of four weeks, the experimental group participated in place
running exercise for 30 minutes five times per week. The control group only participated
in moto-med exercise for 30 minutes five times per week. Subjects were assessed pre- and
post-test by measuring the tidal volume, inspiratory reserve volume, expiratory reserve
volume, and vital capacity. [Results] Our findings show significant improvements to vital
capacity in the experimental group. The experimental group had higher pulmonary function
than the control group. In the investigation of the differences between the intervention
group and the control group before and after the experiment, significant differences were
found for expiratory reserve volume and vital capacity. [Conclusion] Finally, the
experimental group showed a greater improvement in pulmonary function than the control
group, which indicates that place running exercises are effective at increasing the
pulmonary function of normal adults.
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Affiliation(s)
- KyoChul Seo
- Department of Physical Therapy, Korea Nazarene University: 456 Sangyong-dong, Seobuk-gu, Cheonan, Chungnam 331-718, Republic of Korea
| | - MiSuk Cho
- Department of Physical Therapy, Korea Nazarene University: 456 Sangyong-dong, Seobuk-gu, Cheonan, Chungnam 331-718, Republic of Korea
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Seo K. The effects of dance music jump rope exercise on pulmonary function and body mass index after music jump rope exercise in overweight adults in 20's. J Phys Ther Sci 2017; 29:1348-1351. [PMID: 28878460 PMCID: PMC5574342 DOI: 10.1589/jpts.29.1348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 05/09/2017] [Indexed: 11/29/2022] Open
Abstract
[Purpose] The purpose of this study was to examine the effect of a dance music jump rope
exercise on changes Pulmonary Function and body mass index in female overweight subjects
in their 20’s. [Subjects and Methods] The subjects were randomly assigned to the dance
music jump rope exercise group and the stationary cycle exercise group. All subjects have
conducted the exercises three times a week for four weeks. Pulmonary function was
evaluated using a spirometer, and body mass index was evaluated using an InBody 3.0.
[Results] The findings of this study showed significant improvements in the voluntary
capacity and body mass index of the experimental groups. Vital capacity was higher in the
music jump rope exercise group than the stationary cycle exercise group, and body mass
index was lower in the music jump rope exercise group than the stationary cycle exercise
group. [Conclusion] This study showed that the dance music jump rope exercise can be used
to improve vital capacity and body mass index.
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Affiliation(s)
- KyoChul Seo
- Department of Physical Therapy, Korea Nazarene University, Republic of Korea
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7
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Li X, Zeng L, Li X, Chen X, Ke C. Preoperative Halo-Gravity Traction for Severe Thoracic Kyphoscoliosis Patients from Tibet: Radiographic Correction, Pulmonary Function Improvement, Nursing, and Complications. Med Sci Monit 2017; 23:4021-4027. [PMID: 28822231 PMCID: PMC5572782 DOI: 10.12659/msm.905358] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background This study investigated the outcomes of preoperative HGT as an adjunct treatment for severe thoracic kyphoscoliosis, its role in radiographic correction, and pulmonary function improvement, together with nursing strategy and incidence of complications. Material/Methods Eleven patients with a mean age of 18.8 years were retrospectively reviewed. Inclusion criteria were: patients with severe kyphoscoliosis (coronal Cobb angle and kyphosis angle ≥80°); duration of HGT ≥8 weeks; patients undergoing HGT for at least 12 h per day; traction weight no less than 40% of body weight; and patients not receiving physical therapies. All patients underwent respiratory training. Results The major coronal curve scoliosis averaged 114.00±24.43° and was reduced to 80.55±17.98° after HGT. The major kyphosis was 103.91±18.95° and was reduced to 80.55±17.98°. Significantly improved percent-predicted values for FVC was found after HGT (p=0.014), and significantly increased forced expiratory volume in 1 s (FEV1%) was also observed (p<0.001), with significantly improved percent-predicted values for PEF (p=0.003) after HGT. Conclusions Our data reveal that preoperative HGT can be performed safely, and can help achieve excellent curve correction in both the coronal and sagittal planes, together with improved respiratory function and no severe complications in patients with severe thoracic kyphoscoliosis.
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Affiliation(s)
- Xiaojin Li
- Nursing Department, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland)
| | - Liwen Zeng
- Department of Spine Surgery, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland)
| | - Xiaoyin Li
- Department of Interventional Radiology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China (mainland)
| | - Xuexia Chen
- Nursing Department, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland)
| | - Caixia Ke
- Nursing department, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland)
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8
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Seo K, Hwan PS, Park K. The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients' respiratory muscle activation. J Phys Ther Sci 2017; 29:465-469. [PMID: 28356632 PMCID: PMC5361011 DOI: 10.1589/jpts.29.465] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 11/29/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study is to examine the effects of inspiratory diaphragm
breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke
patients’ respiratory muscle activation. [Subjects and Methods] All experimental subjects
performed exercises five times per week for four weeks. Thirty chronic stroke patients
were randomly assign to an experimental group of 15 patients and a control group of 15
patients. The experimental group underwent exercises consisting of basic exercise
treatment for 15 minutes and inspiratory diaphragm breathing exercise and expiratory
pursed-lip breathing exercise for 15 minutes and the control group underwent exercises
consisting of basic exercise treatment for 15 minutes and auto-med exercise for 15
minutes. The activation levels of respiratory muscles were measured before and after the
experiment using MP 150WSW to obtain the results of the experiment. [Results] In the
present study, when the pulmonary functions of the experimental group and the control
group before and after the experiment were compared, whereas the experimental group showed
significant differences in all sections. In the verification of intergroup differences
between the experimental group and the control group before and after the experiment.
[Conclusion] The respiratory rehabilitation exercise is considered to be capable of
inducing positive effects on stroke patients’ respiratory muscles through diaphragm
breathing exercise and lip puckering breathing exercise.
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Affiliation(s)
- KyoChul Seo
- Department of Physical Therapy, Korea Nazarene University, Republic of Korea
| | - Park Seung Hwan
- Department of Medical Engineering, Eulji University, Republic of Korea
| | - KwangYong Park
- Department of Rehabilitation Technology, Korea Nazarene University, Republic of Korea
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Jun HJ, Kim KJ, Nam KW, Kim CH. Effects of breathing exercises on lung capacity and muscle activities of elderly smokers. J Phys Ther Sci 2016; 28:1681-5. [PMID: 27390394 PMCID: PMC4932035 DOI: 10.1589/jpts.28.1681] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Accepted: 02/15/2016] [Indexed: 12/30/2022] Open
Abstract
[Purpose] Elderly smokers have a reduced chest diameter due to weakening of the
respiratory muscles, and this results in decreased ventilation, leading to a vicious
circle. Therefore, the present study investigated the effects of an intervention program
to enhance the pulmonary function and muscle activity of elderly smokers. [Subjects and
Methods] Participants were randomly assigned to one of two experimental groups or a
control (CG) group. The experimental groups performed exercises three times per week for
six weeks, whereas the CG performed no exercises. One of the experimental groups performed
a Feedback Breathing Exercise (FBE) for 15 minutes, and the other repeated three sets of
Balloon-Blowing Exercises (BBE) with sufficient rest of more than one minute between sets.
[Results] In the experimental groups, FVC, FEV1/FVC, PEF and muscle activity of the rectus
abdominis significantly improved after four weeks, but no significant differences were
observed in FEV1 or VC after six weeks. [Conclusion] The results show that FBE and BBE
improved the pulmonary functions of elderly smokers, demonstrating the potential benefits
of the development of various training methods using balloons, and group programs,
including recreational factors, for increasing respiratory muscles strength.
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Affiliation(s)
- Hyun-Ju Jun
- Department of Physical Therapy, Cheongam College, Republic of Korea
| | - Ki-Jong Kim
- Department of Physical Therapy, Cheongam College, Republic of Korea
| | - Ki-Won Nam
- Department of Physical Therapy, Dongshin University, Republic of Korea
| | - Chang-Heon Kim
- Department of Physical Therapy, Design Hospital, Republic of Korea
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Woo SD, Kim TH, Lim JY. The effects of breathing with mainly inspiration or expiration on pulmonary function and chest expansion. J Phys Ther Sci 2016; 28:927-31. [PMID: 27134386 PMCID: PMC4842467 DOI: 10.1589/jpts.28.927] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Accepted: 12/12/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to determine the effects of inspiration- and
expiration-oriented breathing on pulmonary function and chest expansion. [Subjects and
Methods] Twenty healthy male university students were divided randomly into
inspiration-oriented and expiration-oriented breathing groups. Their pulmonary function
and chest size during inspiration or expiration were evaluated and then re-evaluated after
15 minutes of breathing exercise five times a week for four weeks. [Results] The breathing
with mainly inspiration group (BMIG) showed significant differences in chest size during
inspiration (CSI), chest expansion values (CEVs), forced vital capacity (FVC), forced
expiratory volume in one second (FEV1), and peak expiratory flow (PEF) after
four weeks. The breathing with mainly expiration group (BMEG) showed significant
differences in all measured variables except CSI. Comparison of the groups after exercise
showed that the BMEG demonstrated differences from the BMIG in chest size during
expiration (CSE), CEV, and PEF. Comparison of the changes in variables after exercise
showed that the BMEG demonstrated significantly different changes in CSE, CEV,
FEV1/FVC, and PEF. The BMIG showed a significantly different change in FVC.
[Conclusion] Although both groups demonstrated improvements in pulmonary function and
chest expansion, inter-group differences were observed. Therefore, inspiration- or
expiration-oriented breathing may be recommended differently according to the desired
outcome.
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Affiliation(s)
- Seong-Dae Woo
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University: 15 Jillyang, Gyeongsan-si, Gyeongsangbuk-do 712-714, Republic of Korea
| | - Tae-Ho Kim
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University: 15 Jillyang, Gyeongsan-si, Gyeongsangbuk-do 712-714, Republic of Korea
| | - Jin-Yong Lim
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University: 15 Jillyang, Gyeongsan-si, Gyeongsangbuk-do 712-714, Republic of Korea
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Al-Eisa E, Alghadir AH, Gabr SA, Iqbal ZA. Exercise intervention as a protective modulator against metabolic disorders in cigarette smokers. J Phys Ther Sci 2016; 28:983-91. [PMID: 27134398 PMCID: PMC4842479 DOI: 10.1589/jpts.28.983] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Accepted: 12/12/2015] [Indexed: 01/08/2023] Open
Abstract
[Purpose] assess the impact of exercise intensity on desire to smoke, serum cotinine,
stress hormones, total antioxidant capacity, and oxidative free radicals as potential
markers of cardiopulmonary metabolic disorders were measured.in cigarette smokers.
[Subjects and Methods] The participants (150 randomly selected healthy men, aged
18–55 years) were classified into 4 smoking groups: control (non-smokers; N= 30); mild (N
= 33); moderate (N = 42), and heavy (N = 45). The participants were assigned to either
moderate (8 weeks) or short-term (20–45 min) exercise training. The desire to smoke, Mood
and Physical Symptoms Scale, and Subjective Exercise Experiences Scale scores, cotinine,
stress hormones (cortisol and testosterone), free radicals (malondialdehyde, nitric
oxide), and total antioxidant capacity were evaluated. [Results] Significant increases in
serum cotinine, cortisol, testosterone, nitric oxide, and malondialdehyde levels and a
reduction in total antioxidant capacity activity were observed in all smoker groups; heavy
smokers showed a higher change in metabolites. In all smoker groups, both short and
moderate- intensity exercises significantly reduce cotinine, cortisol, testosterone, and
malondialdehyde and increased nitric oxide levels and total antioxidant capacity activity;
further, the desire to smoke, Mood and Physical Symptoms Scale, and Subjective Exercise
Experiences Scale scores were reduced. This supports the ability of exercise to increase
nitric oxide bioavailability, enhance of blood vessels function and ultimately decrease
the incidence of cardiopulmonary disorders. [Conclusion] Exercise interventions with
varying intensities may be used as nicotine replacement therapy or protective aids against
smoking-related cardiopulmonary disorders.
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Affiliation(s)
- Einas Al-Eisa
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Saudi Arabia
| | - Ahmad H Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Saudi Arabia
| | - Sami A Gabr
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Saudi Arabia; Department of Anatomy, Faculty of Medicine, Mansoura University, Egypt
| | - Zaheen A Iqbal
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Saudi Arabia
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