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Barbosa M, de Melo CA, Torres R. The effects of adding a six-month Pilates exercise program to three months of traditional community-based pulmonary rehabilitation in individuals with COPD: a prospective cohort study. CANADIAN JOURNAL OF RESPIRATORY THERAPY : CJRT = REVUE CANADIENNE DE LA THERAPIE RESPIRATOIRE : RCTR 2024; 60:68-85. [PMID: 38828206 PMCID: PMC11144029 DOI: 10.29390/001c.117966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 05/21/2024] [Indexed: 06/05/2024]
Abstract
Introduction Pilates exercise may complement traditional pulmonary rehabilitation in individuals with chronic obstructive pulmonary disease (COPD). The objective was to analyze the effects of adding a six-month Pilates exercise program to a three-month pulmonary rehabilitation for individuals with COPD. Methods Thirty-five participants with COPD (GOLD B) were assigned to the intervention (n=14) or control (n=21) group. Both groups received an initial three months of a pulmonary rehabilitation program. The intervention group further underwent six months of pilates. Participants were evaluated at baseline and at three, six, and nine months. Lung function and strength of respiratory muscles were defined as primary outcomes. Secondary outcomes included cardiac, physical function, and exacerbation episodes. Results There were no consistent statistically significant differences between groups for the lung function outcomes (p\<0.05). Maximal inspiratory and expiratory pressure increased significantly at three months in both groups (p\<0.05). It was significantly superior in the intervention group at nine months for maximal inspiratory pressure (p=0.005) and six and nine months for maximal expiratory pressure (p=0.027 and p\<0.001, respectively). Changes in muscle strength (knee extension and handgrip) were comparable between groups (p>0.05), but exercise-induced fatigue and balance were significantly superior in the intervention group at the six- and nine-month follow-ups (p\<0.05). Discussion Pilates exercise programs may be implemented to augment traditional pulmonary rehabilitation with the goal of improving the strength of respiratory muscles. Conclusion Adding a Pilates exercise program to pulmonary rehabilitation resulted in superior strength of respiratory muscles, higher resistance to exercise-induced fatigue, and improved balance.
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Affiliation(s)
- Marisela Barbosa
- PhysiotherapyCentro Hospitalar do Baixo Vouga Aveiro - Unidade Local de Saúde da Região de Aveiro, Aveiro, Portugal
- PhysiotherapyEscola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Oliveira de Azeméis, Portugal
| | - Cristina A. de Melo
- PhysiotherapySchool of Allied Health Technologies, Polytechnic Institute of Porto, Porto, Portugal (retired)
| | - Rui Torres
- PhysiotherapyCESPU, North Polytechnic Institute of Health, Paredes, Portugal
- PhysiotherapyCIR, Center for Rehabilitation Research, Polytechnic Institute of Porto, Porto, Portugal
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Priego-Jiménez S, Torres-Costoso A, Guzmán-Pavón MJ, Lorenzo-García P, Lucerón-Lucas-Torres MI, Álvarez-Bueno C. Efficacy of Different Types of Physical Activity Interventions on Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease (COPD): A Network Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14539. [PMID: 36361418 PMCID: PMC9656092 DOI: 10.3390/ijerph192114539] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 11/01/2022] [Accepted: 11/03/2022] [Indexed: 06/16/2023]
Abstract
AIM A network meta-analysis (NMA) was performed to determine the effects on the exercise capacity, measured by the 6 MWT, of patients with COPD of (i) different physical activity interventions and (ii) supervised or unsupervised programs. METHODS A literature search was carried out from inception to April 2022. Randomized controlled trials of the effectiveness of physical activity on exercise capacity in patients with COPD were included. The risk of bias was assessed using the Cochrane Risk of Bias (RoB 2.0) tool, and the Grading of Recommendations, Assessment, Development, and Evaluation tool (GRADE) was used to assess the quality of the evidence. A pairwise meta-analysis for direct and indirect effects was carried out. RESULTS A total of 41 studies were included in this NMA. The highest effects were for urban training pulmonary rehabilitation (PR) programs (ES, 1.50; 95% CI: 0.46 and 2.55) versus the control group. For supervised and unsupervised PR and home-based PR programs, the highest effects were found for supervised PR (ES, 0.85; 95% CI: 0.46 to 1.23) versus the control group. CONCLUSIONS PR implemented with urban circuit training should be considered the most effective strategy to improve exercise capacity in patients with COPD. Supervision of the programs improves exercise capacity.
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Affiliation(s)
| | - Ana Torres-Costoso
- Health and Social Research Center, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
- Faculty of Physiotherapy and Nursing, University of Castilla La Mancha, 45071 Toledo, Spain
| | - María José Guzmán-Pavón
- Health and Social Research Center, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
- Faculty of Physiotherapy and Nursing, University of Castilla La Mancha, 45071 Toledo, Spain
| | - Patricia Lorenzo-García
- Health and Social Research Center, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
- Faculty of Physiotherapy and Nursing, University of Castilla La Mancha, 45071 Toledo, Spain
| | - María Isabel Lucerón-Lucas-Torres
- Health and Social Research Center, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
- Facultad de Enfermería de Cuenca, Edificio Melchor Cano, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
| | - Celia Álvarez-Bueno
- Health and Social Research Center, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Asunción 2024, Paraguay
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Yentes JM, Liu WY, Zhang K, Markvicka E, Rennard SI. Updated Perspectives on the Role of Biomechanics in COPD: Considerations for the Clinician. Int J Chron Obstruct Pulmon Dis 2022; 17:2653-2675. [PMID: 36274993 PMCID: PMC9585958 DOI: 10.2147/copd.s339195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 09/24/2022] [Indexed: 11/05/2022] Open
Abstract
Patients with chronic obstructive pulmonary disease (COPD) demonstrate extra-pulmonary functional decline such as an increased prevalence of falls. Biomechanics offers insight into functional decline by examining mechanics of abnormal movement patterns. This review discusses biomechanics of functional outcomes, muscle mechanics, and breathing mechanics in patients with COPD as well as future directions and clinical perspectives. Patients with COPD demonstrate changes in their postural sway during quiet standing compared to controls, and these deficits are exacerbated when sensory information (eg, eyes closed) is manipulated. If standing balance is disrupted with a perturbation, patients with COPD are slower to return to baseline and their muscle activity is differential from controls. When walking, patients with COPD appear to adopt a gait pattern that may increase stability (eg, shorter and wider steps, decreased gait speed) in addition to altered gait variability. Biomechanical muscle mechanics (ie, tension, extensibility, elasticity, and irritability) alterations with COPD are not well documented, with relatively few articles investigating these properties. On the other hand, dyssynchronous motion of the abdomen and rib cage while breathing is well documented in patients with COPD. Newer biomechanical technologies have allowed for estimation of regional, compartmental, lung volumes during activity such as exercise, as well as respiratory muscle activation during breathing. Future directions of biomechanical analyses in COPD are trending toward wearable sensors, big data, and cloud computing. Each of these offers unique opportunities as well as challenges. Advanced analytics of sensor data can offer insight into the health of a system by quantifying complexity or fluctuations in patterns of movement, as healthy systems demonstrate flexibility and are thus adaptable to changing conditions. Biomechanics may offer clinical utility in prediction of 30-day readmissions, identifying disease severity, and patient monitoring. Biomechanics is complementary to other assessments, capturing what patients do, as well as their capability.
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Affiliation(s)
- Jennifer M Yentes
- Department of Kinesiology & Sport Management, Texas A&M University, College Station, TX, USA
| | - Wai-Yan Liu
- Department of Orthopaedic Surgery & Trauma, Máxima MC, Eindhoven, the Netherlands
- Department of Orthopaedic Surgery & Trauma, Catharina Hospital, Eindhoven, the Netherlands
| | - Kuan Zhang
- Department of Electrical & Computer Engineering, University of Nebraska at Lincoln, Lincoln, NE, USA
| | - Eric Markvicka
- Department of Electrical & Computer Engineering, University of Nebraska at Lincoln, Lincoln, NE, USA
- Department of Mechanical & Materials Engineering, University of Nebraska at Lincoln, Lincoln, NE, USA
| | - Stephen I Rennard
- Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Nebraska Medical Center, Omaha, NE, USA
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Azab AR, Kamel FH, Basha MA, Alrawaili SM, Aloraini GS, Hassan SM, Ewais NF, Elnaggar RK. Impact of Clinical Pilates Exercise on Pain, Cardiorespiratory Fitness, Functional Ability, and Quality of Life in Children with Polyarticular Juvenile Idiopathic Arthritis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137793. [PMID: 35805451 PMCID: PMC9265800 DOI: 10.3390/ijerph19137793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 06/20/2022] [Accepted: 06/22/2022] [Indexed: 11/30/2022]
Abstract
Objective: This study intended to examine the effects of Pilates exercise on pain, cardiorespiratory fitness, functional ability, and quality of life in children with polyarticular juvenile idiopathic arthritis. Methods: Forty children with polyarticular JIA aged 10−14 years old were randomly allocated into two groups: the control group (n = 20) received conventional physical therapy (CPT), and the experimental group (n = 20) received clinical Pilates exercises combined with CPT. Patients in both groups received their program three times/week for 3 months. Pain, cardiorespiratory fitness, functional ability, and quality of life were assessed through the visual analogue scale, cardiopulmonary exercise test, 6 min walk test, and PedsQL scale, respectively, just before and after treatment. Results: Pain (p = 0.001), cardiorespiratory markers (all p < 0.05), functional ability (p = 0.002), and overall quality of life (p = 0.007) improved significantly in the experimental groups compared to the control group. Conclusion: Incorporating Pilates exercises into CPT is likely more effective for decreasing pain intensity, improving cardiorespiratory fitness, augmenting functional ability, and promoting quality of life in children with JIA than CPT alone.
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Affiliation(s)
- Alshimaa R. Azab
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (S.M.A.); (R.K.E.)
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt
- Correspondence:
| | - FatmaAlzahraa H. Kamel
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt;
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah 51452, Saudi Arabia; (M.A.B.); (S.M.H.)
| | - Maged A. Basha
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah 51452, Saudi Arabia; (M.A.B.); (S.M.H.)
- Department of Physical Therapy, ElSahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo 11697, Egypt
| | - Saud M. Alrawaili
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (S.M.A.); (R.K.E.)
| | - Ghfren S. Aloraini
- Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam University, Al-Kharj 11942, Saudi Arabia;
| | - Sahar M. Hassan
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah 51452, Saudi Arabia; (M.A.B.); (S.M.H.)
- Department of Physical Therapy, Cairo University Hospitals, Cairo University, Cairo 4240310, Egypt
| | - Najlaa F. Ewais
- Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt;
| | - Ragab K. Elnaggar
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (S.M.A.); (R.K.E.)
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt
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Vieira KJV, Carvalho LC, Carvalho Borges JB, José dos Reis C, Iunes DH. The respiratory effects of a Pilates method protocol: Randomized clinical trial. J Bodyw Mov Ther 2022; 32:149-155. [DOI: 10.1016/j.jbmt.2022.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 02/25/2022] [Accepted: 04/16/2022] [Indexed: 11/28/2022]
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Gouveia SSV, de Morais Gouveia GP, Souza LM, da Costa BC, Sousa GHM, Pinho VA, Vasconcelos SS, Dos Santos Souza AT, da Silva Lopes T, Pinheiro LGP. Heart Rate Variability and Respiratory Muscle Strength in Patients With Type II Diabetes Practicing Pilates: A Randomized Clinical Trial. Curr Diabetes Rev 2022; 18:e280921196866. [PMID: 34602038 DOI: 10.2174/1573399817666210928143752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 08/20/2021] [Accepted: 09/01/2021] [Indexed: 11/22/2022]
Abstract
PURPOSE This study aimed to analyze the effect of a Pilates protocol on respiratory muscle strength and heart rate variability (HRV) in patients with type 2 diabetes. METHOD A randomized clinical trial (RBR-2gc2qj) was conducted on a type 2 diabetic target population. Patients practiced the Pilates protocol for 8 weeks, with two visits per week. The variables tested were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and HRV (time and frequency domains). All variables were tested for normal distribution. Using SPSS 21.0, analysis of variance was performed for variables with normal distribution, and the Wilcoxon and Friedman tests were used for variables that did not show a normal distribution, with a 5% significance level. RESULTS Forty-four participants were included in the study (intervention group: 22; control group: 22; mean age: 61.23 ± 8.49 years), most of whom were female (77.3%), married or in a consensual union (59.1%), had complete literacy (31.8%), and had an average body mass index of 26.96 ± 4.35 kg/m2. There were no significant differences in MIP and MEP b efore and after the protocol between the intervention and control groups. Regarding HRV, there were significant differences in autonomic modulation, especially between the moments before and during exercise and between the moments during and after exercise; however, it was not possible to determine which system (sympathetic or parasympathetic) is most involved in these changes. CONCLUSION The exercise protocol based on the Pilates method did not alter respiratory muscle strength but promoted changes in HRV, especially between the moments before and during exercise and during and after exercise.
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Affiliation(s)
- Samara Sousa Vasconcelos Gouveia
- Department of Physiotherapy, Federal University of Delta do Parnaíba, Piauí, Brazil
- Research Group in Evaluative and Therapeutic Physiotherapy - GPFAT
| | - Guilherme Pertinni de Morais Gouveia
- Department of Physiotherapy, Federal University of Delta do Parnaíba, Piauí, Brazil
- Research Group in Evaluative and Therapeutic Physiotherapy - GPFAT
- Postgraduate program in Biomedical Sciences, Brazil
| | | | - Bruno Cunha da Costa
- Department of Physiotherapy, Federal University of Delta do Parnaíba, Piauí, Brazil
| | | | | | | | - Antonia Tainara Dos Santos Souza
- Department of Physiotherapy, Federal University of Delta do Parnaíba, Piauí, Brazil
- Research Group in Evaluative and Therapeutic Physiotherapy - GPFAT
| | - Thamires da Silva Lopes
- Department of Physiotherapy, Federal University of Delta do Parnaíba, Piauí, Brazil
- Research Group in Evaluative and Therapeutic Physiotherapy - GPFAT
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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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Suner-Keklik S, Numanoglu-Akbas A, Cobanoglu G, Kafa N, Guzel NA. An online pilates exercise program is effective on proprioception and core muscle endurance in a randomized controlled trial. Ir J Med Sci 2021; 191:2133-2139. [PMID: 34716884 PMCID: PMC8556804 DOI: 10.1007/s11845-021-02840-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 10/22/2021] [Indexed: 01/13/2023]
Abstract
BACKGROUND Proprioception is important for stability of body segments, postural control, and functionality. However, there are no studies in literature showing effects of online Pilates exercises that create proprioceptive inputs on vertebra on trunk proprioception. AIMS This study aims to reveal effect of online Pilates exercises conducted on trunk proprioception and core muscle endurance in healthy individuals. METHODS We included thirty-three healthy individuals between ages of 18 and 25 in study. Individuals were randomly divided into two groups. There were 17 individuals in Pilates group (PG), and 16 individuals in control group (CG). The PG was given online Pilates exercises by the physiotherapist in groups 3 days a week for 6 weeks, 1 h a day. There was no exercise program recommended for individuals in CG. We evaluated trunk proprioception with an inclinometer, core muscle endurance with three core endurance tests created by McGill, and prone bridge tests. All evaluations completed just before start of study and 2 days after 6-week training. RESULTS Two groups had similar demographic characteristics, and there was no difference between baseline measurements (p > 0.05). While improvement observed in PG in trunk proprioception and all of core muscle endurance tests (p < 0.05), no statistically significant difference reported in CG (p > 0.05). CONCLUSIONS We revealed that online Pilates exercises performed at mat level for 6 weeks in healthy individuals had positive effects on trunk proprioception and core muscle endurance with this study. Contribution of Pilates exercises to development of both muscular endurance and proprioceptive senses, even if performed at a distance, is important.
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Affiliation(s)
- Sinem Suner-Keklik
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sivas Cumhuriyet University, Sivas, Turkey.
| | - Ayse Numanoglu-Akbas
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sivas Cumhuriyet University, Sivas, Turkey
| | - Gamze Cobanoglu
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey
| | - Nihan Kafa
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey
| | - Nevin A Guzel
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey
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Souza C, Krüger RL, Schmit EFD, Wagner Neto ES, Reischak-Oliveira Á, de Sá CKC, Loss JF. Cardiorespiratory Adaptation to Pilates Training. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2021; 92:453-459. [PMID: 32493165 DOI: 10.1080/02701367.2020.1749222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Accepted: 03/22/2020] [Indexed: 06/11/2023]
Abstract
Several authors report health improvements with training based on the Pilates Method; however, no explicit analysis has been performed on cardiorespiratory effects after Method exclusive training. Purpose: The purpose of this study was to evaluate the effects of 15 weeks of Pilates training on cardiorespiratory fitness in young, sedentary women. Method: A total of 13 sedentary women 21-35 years volunteered and signed an informed consent for the observational study of a single group, performing control-test, pre- and post-exercise measurements. The Pilates program was conducted for 15 weeks, with two 50-min sessions per week. Cardiorespiratory responses were assessed using an open circuit ergospirometry system by gas analyzer (MGC, model CPX/D). Results: During the 15-week program, statistically significant advances were observed in maximum oxygen consumption F (1.25; 13.78) = 18.95; p =.001; ω2 =.858 with large effect size (r =.81; p <.001), first ventilatory threshold F (1.19; 13.15) = 20.43; p =.001; ω2 =.034 with large effect size (r =.77; p <.05) and second ventilatory threshold F (1.18; 13.00) = 24.56; p =.001 also presenting a large effect size (r =.85; p <.05). Conclusion: These results indicate that practicing Pilates for 30 × 50 min sessions had a positive influence on cardiorespiratory parameters in healthy sedentary women with low respiratory capacities.
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Feasibility Assessment of Wearable Respiratory Monitors for Ambulatory Inhalation Topography. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062990. [PMID: 33799472 PMCID: PMC8000968 DOI: 10.3390/ijerph18062990] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 03/06/2021] [Accepted: 03/11/2021] [Indexed: 11/21/2022]
Abstract
Background: Natural environment inhalation topography provides useful information for toxicant exposure, risk assessment and cardiopulmonary performance. Commercially available wearable respiratory monitors (WRMs), which are currently used to measure a variety of physiological parameters such as heart rate and breathing frequency, can be leveraged to obtain inhalation topography, yet little work has been done. This paper assesses the feasibility of adapting these WRMs for measuring inhalation topography. Methods: Commercially available WRMs were compiled and assessed for the ability to report chest motion, data analysis software features, ambulatory observation capabilities, participant acceptability, purchasing constraints and affordability. Results: The following WRMs were found: LifeShirt, Equivital EQ02 LifeMonitor, Smartex WWS, Hexoskin Smart Garment, Zephyr BioHarness, Nox T3&A1, BioRadio, SleepSense Inductance Band, and ezRIP & zRIP Durabelt. None of the WRMs satisfied all six assessment criteria in a manner enabling them to be used for inhalation topography without modification and development. Conclusions: The results indicate that there are WRMs with core technologies and characteristics that can be built upon for ambulatory inhalation topography measurement in the NE.
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Breathing therapy and emotional freedom techniques on public speaking anxiety in Turkish nursing students: A randomized controlled study. Explore (NY) 2020; 18:226-233. [PMID: 33309466 DOI: 10.1016/j.explore.2020.11.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 11/09/2020] [Accepted: 11/21/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND AND OBJECTIVE Public speaking is a common challenge that university students have to face. This study aims to determine the effects of Breathing Therapy and Emotional Freedom Techniques (EFT) on public speaking anxiety in Turkish nursing students. METHODS This randomized controlled study included 76 nursing students. Data were collected using the Descriptive Characteristics Form, Subjective Units of Disturbance Scale, The State-Trait Anxiety Inventory, and the Speech Anxiety Scale. RESULTS Before the administration of Breathing Therapy and EFT, the students' median scores from the Subjective Units of Disturbance Scale, the State-Trait Anxiety Inventory, and the Speech Anxiety Scale were similar. However, the median scores of the Subjective Units of Disturbance Scale, the State-Trait Anxiety Inventory, and the Speech Anxiety Scale scores significantly decreased in both of the experimental groups after the interventions (p <0.001). EFT (d = 3.18) was more effective than Breathing Therapy (d = 1.46) in reducing Speech anxiety. CONCLUSION It was found that Breathing Therapy and EFT are effective methods to reduce stress, anxiety, and speaking anxiety.
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Resistance Training as a Countermeasure for Key Non-communicable Diseases in Low-Resource Settings: A Review. Asian J Sports Med 2020. [DOI: 10.5812/asjsm.106588] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
Background: Non-communicable diseases (NCDs) are responsible for 60% of global deaths. Of these NCD-attributable deaths, about 80% are in low- to middle-income countries (LMICs). The role of exercise in major NCDs is evident; however, popular and cost-effective aerobic modes of exercise, such as walking, consistently do not meet minimum intensity guidelines for health improvement. Interestingly, low-cost resistance training (using callisthenics, Pilates, elastic tubing, etc.) has proven equally effective to conventional resistance training using weight machines in improving several health parameters related to NCDs, although their effectiveness in LMICs is not as well documented as in high-income countries (HICs). Objectives: This review aimed to examine low-cost approaches of resistance training to health promotion, NCD risk reduction, and NCD rehabilitation/management to mitigate the epidemic of NCDs in lower-resource settings. Methods: An electronic search was performed on the following databases from inception until December 2019: PubMed/Medline, Sport Discuss, Embase, Science Direct, Current Contents, CISTI Source, Google Scholar, Cochrane Library, Cochrane Database of Systematic Reviews, CINAHL EBM Reviews, and international e-catalogues. Results: Data on resistance training provision cost in low-resource settings indicates that it is not reasonable to use this mode of training in low-resource settings in the same way as it is used in high-resource ones. This review summarized some strategies which can be employed to ensure the delivery of all core resistance training components in low-resource settings. The data suggests that resistance training be adapted for delivery in non-clinical settings in LMICs. Conclusions: Program design variables of resistance training are similar in low- and well-resourced settings. However, only individuals with low-risk will be able to perform exercise without adverse consequences in home-based settings. Health care practitioners in LMICs should take an active role in promoting resistance training when promoting health, reducing NCD risk, and NCD rehabilitation.
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Hasanpour Dehkordi A, Ebrahimi-Dehkordi S, Banitalebi-Dehkordi F, Salehi Tali S, Kheiri S, Soleimani Babadi A. The effect of teach-back training intervention of breathing exercise on the level of dyspnea, six-minutes walking test and FEV1/FVC ratio in patients with chronic obstructive pulmonary disease; a randomized controlled trial. Expert Rev Respir Med 2020; 15:161-169. [PMID: 32921199 DOI: 10.1080/17476348.2020.1822740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) is an irreversible pulmonary obstruction. Respiratory exercise training by a feedback-based model besides the routine managements have been considered to perform. RESEARCH DESIGN AND METHODS Eighty exacerbated COPD patients with informed consent were divided to the control group (n = 40) received the routine approach and the intervention group (n = 40) received a teach-back training method (TBTM) of respiratory exercise including diaphragmatic breathing (DB), pursed-lip breathing (PLB), and effective coughing (EC) plus routine approach. The clinical outcomes were evaluated by measurement of the FEV1/FVC ratio, the Borg scale of dyspnea (BSD), and the 6-minute walking test (6MWT) results at the baseline, just after TBTM, and next 3 months. RESULTS FEV1/FVC ratio has been indicated the significant improvement followed by TBTM compare to the baseline (p < 0.001). Moreover, the BSD scores in 3-month follow-up after TBTM were significantly lower compared to the baseline (6 ± 1.3 vs. 3.8 ± 0.78, p < 0.001). Although a significant difference was reported in 6MWT distance between two groups after 3-month follow-up (p < 0.001), there was no significant difference immediately after the TBTM (p = 0.992) that suggested a long-term effect of educational intervention on physical activity. CONCLUSION Significant enhancement in the clinical variables can demonstrate the efficacy of the TBTM program in reducing COPD patients' symptoms. TRIAL REGISTRATION http//www.irct.ir.Unique identifier: IRCT20181024041449N5.
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Affiliation(s)
- Ali Hasanpour Dehkordi
- Social Determinants of Health Research Center, School of Allied Medical Sciences, Shahrekord University of Medical Sciences , Shahrekord, Iran
| | - Sepehr Ebrahimi-Dehkordi
- Student Research Committee, Shahrekord University of Medical Sciences , Shahrekord, Iran.,Medical Faculty, Shahrekord University of Medical Sciences , Shahrekord, Iran
| | - Fatemeh Banitalebi-Dehkordi
- Nursing Department, School of Nursing & Midwifery, Shahrekord University of Medical Sciences , Shahrekord, Iran
| | - Shahriar Salehi Tali
- Nursing Department, School of Nursing & Midwifery, Shahrekord University of Medical Sciences , Shahrekord, Iran
| | - Soleiman Kheiri
- Modeling in Health Research Center, Shahrekord University of Medical Sciences , Shahrekord, Iran
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Wang L, Zhang F, Lu K, Abdulaziz M, Li C, Zhang C, Chen J, Li Y. Nano-copper enhanced flexible device for simultaneous measurement of human respiratory and electro-cardiac activities. J Nanobiotechnology 2020; 18:82. [PMID: 32471516 PMCID: PMC7257177 DOI: 10.1186/s12951-020-00632-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 05/12/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Dysfunction of human respiratory and electro-cardiac activities could affect the ability of the heart to pump blood and the lungs to inhale oxygen. Thus, a device could simultaneously measure electro-cardiac signal and respiratory pressure could provide vital signs for predicting early warning of cardio-pulmonary function-related chronic diseases such as cardiovascular disease, and respiratory system disease. RESULTS In this study, a flexible device integrated with piezo-resistive sensing element and voltage-sensing element was developed to simultaneously measure human respiration and electro-cardiac signal (including respiratory pressure, respiration frequency, and respiration rhythm; electro-cardio frequency, electro-cardio amplitude, and electro-cardio rhythm). When applied to the measurement of respiratory pressure, the piezo-resistive performance of the device was enhanced by nano-copper modification, which detection limitation of pressure can reduce to 100 Pa and the sensitivity of pressure can achieve to 0.053 ± 0.00079 kPa-1. In addition, the signal-to-noise ratio during bio-electrical measurement was increased to 10.7 ± 1.4, five times better than that of the non-modified device. CONCLUSION This paper presents a flexible device for the simultaneous detection of human respiration and cardiac electrical activity. To avoid interference between the two signals, the layout of the electrode and the strain sensor was optimized by FEA simulation analysis. To improve the piezo-resistive sensitivity and bio-electric capturing capability of the device, a feather-shaped nano-copper was modified onto the surface of carbon fiber. The operation simplicity, compact size, and portability of the device open up new possibilities for multi-parameter monitoring.
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Affiliation(s)
- Li Wang
- Advanced Micro and Nanoinstruments Center (AMNC), School of Mechanical & Automotive Engineering, Qilu University of Technology (Shandong Academy of Sciences), Jinan, 250353, China.
| | - Feng Zhang
- Advanced Micro and Nanoinstruments Center (AMNC), School of Mechanical & Automotive Engineering, Qilu University of Technology (Shandong Academy of Sciences), Jinan, 250353, China
| | - Kechao Lu
- Advanced Micro and Nanoinstruments Center (AMNC), School of Mechanical & Automotive Engineering, Qilu University of Technology (Shandong Academy of Sciences), Jinan, 250353, China
| | - Mohammed Abdulaziz
- Department of Mechanical and Process Engineering, University of Duisburg Essen, Forsthausweg, 247057, Germany
| | - Chao Li
- Experimental Center, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China
| | - Chongyu Zhang
- The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510260, China
| | - Jun Chen
- Advanced Micro and Nanoinstruments Center (AMNC), School of Mechanical & Automotive Engineering, Qilu University of Technology (Shandong Academy of Sciences), Jinan, 250353, China.
| | - Yunlun Li
- Experimental Center, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
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Chen JM, Wang ZY, Chen YJ, Ni J. The Application of Eight-Segment Pulmonary Rehabilitation Exercise in People With Coronavirus Disease 2019. Front Physiol 2020; 11:646. [PMID: 32574241 PMCID: PMC7273974 DOI: 10.3389/fphys.2020.00646] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 05/20/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jian-Min Chen
- Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian, China
| | - Zhi-Yong Wang
- Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian, China
| | - Yang-Jia Chen
- Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian, China
| | - Jun Ni
- Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian, China
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Paccione CE, Jacobsen HB. Motivational Non-directive Resonance Breathing as a Treatment for Chronic Widespread Pain. Front Psychol 2019; 10:1207. [PMID: 31244707 PMCID: PMC6579813 DOI: 10.3389/fpsyg.2019.01207] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 05/07/2019] [Indexed: 12/28/2022] Open
Abstract
Chronic widespread pain (CWP) is one of the most difficult pain conditions to treat due to an unknown etiology and a lack of innovative treatment design and effectiveness. Based upon preliminary findings within the fields of motivational psychology, integrative neuroscience, diaphragmatic breathing, and vagal nerve stimulation, we propose a new treatment intervention, motivational non-directive (ND) resonance breathing, as a means of reducing pain and suffering in patients with CWP. Motivational ND resonance breathing provides patients with a noninvasive means of potentially modulating five psychophysiological mechanisms imperative for endogenously treating pain and increasing overall quality of life.
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Affiliation(s)
- Charles Ethan Paccione
- Department of Pain Management and Research, Oslo University Hospital, University of Oslo, Oslo, Norway
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Santos NTOD, Souza LA, Donzeli MA, Oliveira KCRD, Gasparini ALP, Bertoncello D. Desempenho muscular respiratório após 12 sessões de treinamento utilizando o aparelho Reformer do método Pilates. FISIOTERAPIA E PESQUISA 2019. [DOI: 10.1590/1809-2950/18003226012019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Analisar o desempenho muscular respiratório em praticantes de exercícios utilizando o aparelho Reformer do Método Pilates após um treinamento de 12 sessões. O estudo foi realizado com 24 voluntárias, adultas jovens, saudáveis, não tabagistas e não praticantes de exercício físico regular, divididas em Grupo Controle (GC) e Grupo Treinado (GT). Os dois grupos foram submetidos às avaliações inicial e final para análise do desempenho dos músculos respiratórios por meio da manovacuometria e da eletromiografia do músculo reto abdominal. Utilizou-se o teste de Shapiro-Wilk para verificar a normalidade dos dados. A análise de variância two-way foi empregada para as comparações entre os grupos (GT e GC) e os momentos (inicial e final). Para comparações múltiplas, utilizou-se o teste post-hoc de Scheffé. Os GC e GT foram pareados para idade e IMC e, para verificação de diferenças entre os grupos, utilizou-se o teste t pareado. Considerou-se p<0,05 para significância. Houve diferença significante (p=0,039) entre os valores iniciais (116,6 ± 12,8) e finais (120 ± 12,8) de PImáx no GT, assim como entre os valores iniciais (75,3 ± 12,4) e finais (89,3 ± 13,7) de PEmáx nesse mesmo grupo (p=0,0005). Para a eletromiografia houve diferença significante (p=0,03) entre o momento inicial (42,1 ± 15,8) e final (76,7 ± 37,1) do GT para o músculo reto abdominal esquerdo. Conclui-se que as doze sessões de Pilates utilizando o aparelho Reformer melhoraram o desempenho muscular respiratório, aumentando a força da musculatura inspiratória e expiratória.
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Miranda S, Marques A. Pilates in noncommunicable diseases: A systematic review of its effects. Complement Ther Med 2018; 39:114-130. [PMID: 30012382 DOI: 10.1016/j.ctim.2018.05.018] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 05/31/2018] [Accepted: 05/31/2018] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES Chronic cardiovascular diseases, cancer, chronic respiratory diseases and diabetes are the four major groups of non-communicable diseases (NCDs) and the main cause of mortality worldwide. Pilates has been described as an effective intervention to promote healthy behaviors and physical activity in people with chronic diseases. However, the evidence of its effects in NCDs have not been systematized. We investigated the effects of Pilates in the four major groups of NCDs. DESIGN A systematic review was performed. Searches were conducted on Cochrane Library, EBSCO, PubMed, Science Direct, Scopus and Web of Science databases. Studies were rated with the quality assessment tool for quantitative studies. As a meta-analysis was not possible to conduct, a best-evidence synthesis was used. RESULTS Twelve studies, mostly of moderate quality, were included with 491 participants (78.6% females; age range 13-70 years old) with breast cancer (n = 3), diabetes (n = 3), chronic stroke (2 years post stroke) (n = 2), chronic obstructive pulmonary disease (n = 1), cystic fibrosis (n = 1), heart failure (n = 1) and arterial hypertension (n = 1). The best-evidence synthesis revealed strong evidence for improving exercise tolerance; moderate evidence for improving symptoms, muscle strength and health-related quality of life and limited or conflicting evidence on vital signs, metabolic parameters, body composition, respiratory function, functional status, balance, flexibility and social support. CONCLUSIONS Pilates should be considered for patients with NCDs, as it improves exercise tolerance. Future studies with robust methodologies are still needed to clarify its effectiveness on outcomes with moderate, limited or conflicting evidence and to establish the most suitable intervention protocol.
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Affiliation(s)
- Sara Miranda
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute for Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal.
| | - Alda Marques
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute for Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal.
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19
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Minichiello VJ. Therapeutic Breathing. Integr Med (Encinitas) 2018. [DOI: 10.1016/b978-0-323-35868-2.00092-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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20
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Campos JL, Vancini RL, Rodrigues Zanoni G, Barbosa de Lira CA, Santos Andrade M, Jacon Sarro K. Effects of mat Pilates training and habitual physical activity on thoracoabdominal expansion during quiet and vital capacity breathing in healthy women. J Sports Med Phys Fitness 2017; 59:57-64. [PMID: 29083130 DOI: 10.23736/s0022-4707.17.07908-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Pilates is a body/mind method that requires different types of exercise (balance, endurance, strength, and flexibility) and attention to muscle control, posture, and breathing. The aim of the present study was to investigate the effects of 12 weeks of mat Pilates training and habitual physical activity on thoracoabdominal motion of healthy and physically active women. METHODS Thirty-five women without experience in Pilates exercise, aged between 18 and 35 years, participated in the study (habitual physical activity group: N.=14; and mat Pilates group: N.=21). Three-dimensional kinematic analysis was used to evaluate total and separate thoracoabdominal compartments' expansion (superior and inferior thorax and abdomen), contribution of each compartment to total thoracoabdominal expansion, and coordination between thoracoabdominal compartments. RESULTS After 12 weeks of mat Pilates training, thoracoabdominal expansion during quiet breathing was improved by increasing the expansion of abdomen by about 33% (P=0.01). Moreover, expansion of superior (P=0.04) and inferior thorax (P=0.02) and abdomen (P=0.01) was also improved in Pilates (35%, 33%, and 37%, respectively) compared to the habitual physical activity group, after the experimental protocol. Finally, the habitual physical activity group presented a decrease of 13% in the expansion of abdomen (P=0.002). CONCLUSIONS The results suggest the capability of Mat Pilates in improving the action of respiratory and abdominal muscles during breathing and, thus, its benefits to breathing mechanics.
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Affiliation(s)
- Jeniffer L Campos
- Center of Physical Education and Sports, Federal University of Espírito Santo, Vitória, Brazil
| | - Rodrigo L Vancini
- Center of Physical Education and Sports, Federal University of Espírito Santo, Vitória, Brazil
| | | | | | | | - Karine Jacon Sarro
- Faculty of Physical Education, University of Campinas, Campinas, Brazil -
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21
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Barbosa AC, Martins FM, Silva AF, Coelho AC, Intelangelo L, Vieira ER. Activity of Lower Limb Muscles During Squat With and Without Abdominal Drawing-in and Pilates Breathing. J Strength Cond Res 2017; 31:3018-3023. [PMID: 29068863 DOI: 10.1519/jsc.0000000000001877] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Barbosa, AC, Martins, FM, Silva, AF, Coelho, AC, Intelangelo, L, and Vieira, ER. Activity of lower limb muscles during squat with and without abdominal drawing-in and Pilates breathing. J Strength Cond Res 31(11): 3018-3023, 2017-The purpose of this study was to assess the effects of abdominal drawing-in and Pilates breathing on the activity of lower limb muscles during squats. Adults (n = 13, 22 ± 3 years old) with some Pilates experience performed three 60° squats under each of the following conditions in a random order: (I) normal breathing, (II) drawing-in maneuver with normal breathing, and (III) drawing-in maneuver with Pilates breathing. Peak-normalized surface electromyography of the rectus femoris, biceps femoris, gastrocnemius medialis, and tibialis anterior during the knee flexion and extension phases of squat exercises was analyzed. There were significant differences among the conditions during the knee flexion phase for the rectus femoris (p = 0.001), biceps femoris (p = 0.038), and tibialis anterior (p = 0.001), with increasing activation from conditions I to III. For the gastrocnemius medialis, there were significant differences among the conditions during the knee extension phase (p = 0.023), with increased activity under condition I. The rectus and biceps femoris activity was higher during the extension vs. flexion phase under conditions I and II. The tibialis anterior activity was higher during the flexion compared with the extension phase under all conditions, and the medial gastrocnemius activity was higher during the extension phase under condition I. Doing squats with abdominal drawing-in and Pilates breathing resulted in increased rectus, biceps femoris, and tibialis anterior activity during the flexion phase, increasing movement stability during squat exercises.
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Affiliation(s)
- Alexandre C Barbosa
- 1Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Brazil;2Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil;3Department of Physical Therapy, University Institute of Gran Rosario, Rosario, Argentina; and4Department of Physical Therapy, Florida International University, Miami, Florida
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22
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Atılgan E, Aytar A, Çağlar A, Tığlı AA, Arın G, Yapalı G, Kısacık P, Berberoğlu U, Şener HÖ, Ünal E. The effects of Clinical Pilates exercises on patients with shoulder pain: A randomised clinical trial. J Bodyw Mov Ther 2017; 21:847-851. [PMID: 29037638 DOI: 10.1016/j.jbmt.2017.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 02/15/2017] [Accepted: 02/25/2017] [Indexed: 10/20/2022]
Abstract
AIM The purpose of this study was to determine the effect of Clinical Pilates exercises on patients with shoulder pain. MATERIAL AND METHODS Thirty-three patients, experiencing shoulder pain continuously for at least four weeks were selected as study subjects. The patients were randomly divided into two groups, namely Clinical Pilates exercise (n = 17) group and conventional exercise (n = 16) group. The patients were treated for five days a week, the total treatment being carried out for 10 days. The assessment of pain and disability amongst the patients were done at the baseline and at the end of the treatment sessions, using Visual Analogue Scale (VAS) and Shoulder Pain and Disability Index (SPADI). RESULTS The clinical Pilates exercise group showed a significant improvement in all scores used for assessment (p < 0.05), while the conventional exercise group demonstrated a significant improvement only in the SPADI total score (p < 0.05). A comparison of scores for the VAS, SPADI-Pain and SPADI-Total between the two groups, revealed a significant improvement in the Clinical Pilates exercise group (p < 0.05). CONCLUSION It was demonstrated by the study that Clinical Pilates exercise is an efficient technique for patients experiencing shoulder pain, as it helps reduce pain and disability among them.
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Affiliation(s)
- Esra Atılgan
- Istanbul Medipol University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.
| | - Aydan Aytar
- Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Aslıcan Çağlar
- Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Ayça Aytar Tığlı
- Baskent University Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
| | - Gamze Arın
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Gökmen Yapalı
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Pınar Kısacık
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Utku Berberoğlu
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Hülya Özlem Şener
- Izmir University, School of Health, Department of Physiotherapy and Rehabilitation, Izmir, Turkey.
| | - Edibe Ünal
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
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Cabiddu R, Pantoni CBF, Mendes RG, Trimer R, Catai AM, Borghi-Silva A. Inductive plethysmography potential as a surrogate for ventilatory measurements during rest and moderate physical exercise. Braz J Phys Ther 2017; 20:184-8. [PMID: 26982454 PMCID: PMC4900041 DOI: 10.1590/bjpt-rbf.2014.0147] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Accepted: 10/06/2015] [Indexed: 12/02/2022] Open
Abstract
Background: Portable respiratory inductive plethysmography (RIP) systems have been validated
for ventilatory assessment during resting conditions and during incremental
treadmill exercise. However, in clinical settings and during field-based exercise,
intensity is usually constant and submaximal. A demonstration of the ability of
RIP to detect respiratory measurements accurately during constant intensity
conditions would promote and validate the routine use of portable RIP devices as
an alternative to ergospirometry (ES), the current gold standard technique for
ventilatory measures. Objective: To investigate the agreement between respiratory variables recorded by a portable
RIP device and by ES during rest and constant intensity exercise. Method: Tidal volume (VT), respiratory rate (RR) and minute ventilation
(VE) were concurrently acquired by portable RIP and ES in seven
healthy male volunteers during standing rest position and constant intensity
treadmill exercise. Results: Significant agreement was found between RIP and ES acquisitions during the
standing rest position and constant intensity treadmill exercise for RR and during
the standing rest position for VE. Conclusion: Our results suggest that portable RIP devices might represent a suitable
alternative to ES during rest and during constant submaximal exercise.
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Affiliation(s)
- Ramona Cabiddu
- Laboratório de Fisioterapia Cardiopulmonar, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
| | - Camila B F Pantoni
- Laboratório de Fisioterapia Cardiovascular, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
| | - Renata G Mendes
- Laboratório de Fisioterapia Cardiopulmonar, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
| | - Renata Trimer
- Laboratório de Fisioterapia Cardiopulmonar, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
| | - Aparecida M Catai
- Laboratório de Fisioterapia Cardiovascular, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
| | - Audrey Borghi-Silva
- Laboratório de Fisioterapia Cardiopulmonar, Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil, Universidade Federal de São Carlos, Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP , Brazil
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Ishizuka T, Nishida N, Homma Y, Hirayama T, Ishida Y, Kakizaki F, Konishi M. Instantaneous changes in respiratory function induced by passive pelvic suspension in the supine position in relation to increased diaphragm excursion. J Phys Ther Sci 2017; 29:432-437. [PMID: 28356625 PMCID: PMC5361004 DOI: 10.1589/jpts.29.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2016] [Accepted: 11/24/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to introduce an approach of pelvic suspension (PS) using sling
cords and to obtain evidence for changes in respiratory function of healthy subjects.
[Subjects and Methods] Subjects were 25 healthy men. In the supine position, with hip and
knee joints flexed at 90°, the subjects’ pelvises were suspended with sling belts.
Diaphragm excursion, respiratory function, and respiratory comfort in these postures were
measured using ultrasonography, respirometry, and visual analog scale (VAS), respectively.
[Results] When the pelvis was passively suspended with sling cords, the diaphragm moved
5 mm cranially and diaphragm excursion showed an instantaneous increase compared with the
control. The tidal volume (VT) showed an increase and the
respiration rate (RR) showed a decrease. The extent of diaphragm excursion was correlated
with changes in VT under the control and PS conditions.
Independent measurements of pulmonary function revealed that PS reduced the expiratory
reserve volume, being correlated positively and negatively to increases in vital and
inspiratory capacities, respectively. Furthermore, VAS values for respiratory ease were
greater with PS than with the control. [Conclusion] These results suggest that PS
effectively changed diaphragm excursion and respiratory function, leading to ease of
breathing (i.e., deep and slow respiration).
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Affiliation(s)
- Tatsuya Ishizuka
- Department of Physiology, Graduate School of Medicine, Tokyo Medical University: 6-1-1 Shinjuku, Shinjuku-ku, Tokyo 160-8402, Japan
- Department of Rehabilitation, IMS group I-Tower Clinic, Japan
| | - Naoya Nishida
- Department of Anatomy, Graduate School of Medicine, Tokyo Medical University, Japan
- Department of Rehabilitation, Sonoda Second Hospital, Japan
| | - Yuuki Homma
- Department of Physiology, Graduate School of Medicine, Showa University, Japan
- Department of Rehabilitation, IMS group Clover no Sato IMS Care Kaupili Itabashi, Japan
| | - Tetsuro Hirayama
- Department of Physiology, Graduate School of Medicine, Showa University, Japan
- Department of Rehabilitation, Hiroo Orthopedics, Japan
| | - Yukisato Ishida
- Graduate School of Health Care Sciences, Bunkyo Gakuin University, Japan
| | - Fujiyasu Kakizaki
- Graduate School of Health Care Sciences, Bunkyo Gakuin University, Japan
| | - Masato Konishi
- Department of Physiology, Graduate School of Medicine, Tokyo Medical University: 6-1-1 Shinjuku, Shinjuku-ku, Tokyo 160-8402, Japan
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Chen YC, Hsiao TC. Instantaneous phase difference analysis between thoracic and abdominal movement signals based on complementary ensemble empirical mode decomposition. Biomed Eng Online 2016; 15:112. [PMID: 27716248 PMCID: PMC5053353 DOI: 10.1186/s12938-016-0233-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2016] [Accepted: 09/28/2016] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Thoracoabdominal asynchrony is often adopted to discriminate respiratory diseases in clinics. Conventionally, Lissajous figure analysis is the most frequently used estimation of the phase difference in thoracoabdominal asynchrony. However, the temporal resolution of the produced results is low and the estimation error increases when the signals are not sinusoidal. Other previous studies have reported time-domain procedures with the use of band-pass filters for phase-angle estimation. Nevertheless, the band-pass filters need calibration for phase delay elimination. METHODS To improve the estimation, we propose a novel method (named as instantaneous phase difference) that is based on complementary ensemble empirical mode decomposition for estimating the instantaneous phase relation between measured thoracic wall movement and abdominal wall movement. To validate the proposed method, experiments on simulated time series and human-subject respiratory data with two breathing types (i.e., thoracic breathing and abdominal breathing) were conducted. Latest version of Lissajous figure analysis and automatic phase estimation procedure were compared. RESULTS The simulation results show that the standard deviations of the proposed method were lower than those of two other conventional methods. The proposed method performed more accurately than the two conventional methods. For the human-subject respiratory data, the results of the proposed method are in line with those in the literature, and the correlation analysis result reveals that they were positively correlated with the results generated by the two conventional methods. Furthermore, the standard deviation of the proposed method was also the smallest. CONCLUSIONS To summarize, this study proposes a novel method for estimating instantaneous phase differences. According to the findings from both the simulation and human-subject data, our approach was demonstrated to be effective. The method offers the following advantages: (1) improves the temporal resolution, (2) does not introduce a phase delay, (3) works with non-sinusoidal signals, (4) provides quantitative phase estimation without estimating the embedded frequency of breathing signals, and (5) works without calibrated measurements. The results demonstrate a higher temporal resolution of the phase difference estimation for the evaluation of thoracoabdominal asynchrony.
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Affiliation(s)
- Ya-Chen Chen
- Institute of Computer Science and Engineering, National Chiao Tung University, Hsinchu, 30010 Taiwan
| | - Tzu-Chien Hsiao
- Department of Computer Science, National Chiao Tung University, Hsinchu, 30010 Taiwan
- Institute of Biomedical Engineering, National Chiao Tung University, Hsinchu, 30010 Taiwan
- Biomedical Electronics Translational Research Center and Biomimetic Systems Research Center, National Chiao Tung University, Hsinchu, 30010 Taiwan
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Lopes AJ, de Melo PL. Brazilian studies on pulmonary function in COPD patients: what are the gaps? Int J Chron Obstruct Pulmon Dis 2016; 11:1553-67. [PMID: 27468230 PMCID: PMC4946858 DOI: 10.2147/copd.s54328] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND COPD is a major cause of death and morbidity worldwide, and is characterized by persistent airflow obstruction. The evaluation of obstruction is critically dependent on sensitive methods for lung-function testing. A wide body of knowledge has been accumulated in recent years showing that these methods have been significantly refined and seems promising for detection of early disease. OBJECTIVES This review focuses on research on pulmonary function analysis in COPD performed in Brazil during this century. MATERIALS AND METHODS The literature was searched using a systematic search strategy limited to English language studies that were carried out in Brazil from the year 2000 onward, with study objectives that included a focus on lung function. RESULTS After we applied our inclusion and exclusion criteria, 94 articles addressed our stated objectives. Among the new methods reviewed are the forced-oscillation technique and the nitrogen-washout test, which may provide information on small-airway abnormalities. Studies investigating the respiratory muscles and thoracoabdominal motion are also discussed, as well as studies on automatic clinical decision-support systems and complexity measurements. We also examined important gaps in the present knowledge and suggested future directions for the cited research fields. CONCLUSION There is clear evidence that improvements in lung-function methods allowed us to obtain new pathophysiological information, contributing to improvement in our understanding of COPD. In addition, they may also assist in the diagnosis and prevention of COPD. Further investigations using prospective and longitudinal design may be of interest to elucidate the use of these new methods in the diagnosis and prevention of COPD.
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Affiliation(s)
- Agnaldo José Lopes
- Pulmonary Function Laboratory, State University of Rio de Janeiro; Pulmonary Rehabilitation Laboratory, Augusto Motta University Center
| | - Pedro Lopes de Melo
- Biomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, State University of Rio de Janeiro, Rio de Janeiro, Brazil
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