Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Effect of Integration Between Respiratory Muscle Training and Abdominal Drawing-in Maneuver on Decreased Pulmonary Function in Young Subjects

  • Kim, Chang-Yong (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Choi, Jong-Duk (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Byun, Dong-Wook (Dept. of Physical Therapy, Yuseong Wellness Hospital) ;
  • Kim, Jin-Seok (Dept. of Physical Therapy, Dusan Oriental Hospital of Daejeon University) ;
  • Lee, Ji-Yeol (Dept. of Physical Therapy, Cheongju Oriental Hospital of Daejeon University)
  • Received : 2011.09.28
  • Accepted : 2011.11.02
  • Published : 2011.11.19
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Abstract

The aim of this study was to investigate the effects of respiratory muscle training (RMT) with abdominal drawing-in maneuver (ADIM) on pulmonary function. Twenty-two subjects with restrictive breathing participated in this study. All the subjects were randomly assigned to three groups (7 subjects in RMT group, 7 subjects in RMT with ADIM group, 8 subjects in control group). The first group performed the RMT by using incentive respiratory spirometer (IRS). The second group performed the RMT by using IRS and the ADIM by using a Stabilizer. The exercises were conducted over four days. The pulmonary function was evaluated using the spirometer to measure the force exploratory volume in 1 second ($FEV_1$) and forced vital capacity (FVC). Measurements were conducted on the first day and the last day. A paired-t test was used for pre-post changes and the change rates in FVC and $FEV_1$ among each group were investigated by a one-way ANOVA. The findings of the the study were as follows: 1) There were significant differences of FVC and $FEV_1$ between pre and post in the two training groups (p<.05) 2) There was no significant difference of the change ratio the FVC and $FEV_1$ between the RMT group and RMT with ADIM group. Therefore, it is concluded that respiratory muscle and ADIM training, combined with two methods of treatment would suggest positive evidence for improving pulmonary function.

Keywords

References

  1. Bach JR, Smith WH, Michaels J, et al. Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilatior assisted individuals. Arch Phys Med Rehabil. 1993;74(2);170-177.
  2. Bartelink DL. The role of intra-abdominal pressure in relieving the pressure on the lumbar vertebral discs. J Bone Joint Surg Br. 1957;39-B(4):718-725.
  3. Bartlett RH, Brennan ML, Gazaamiga AB, et al. Studies on pathogenesis and prevention of postoperative pulmonary complications. Surg Gynecol Obstet. 1973;137(6):925-933.
  4. Becklake MR. Concepts of normality applied to measurement of lung function. Am J Med. 1986;80(6);1158-1163. https://doi.org/10.1016/0002-9343(86)90678-9
  5. Cairns MC, Harrison K, Wright C. Pressure biofeedback: A useful tool in the quantification of abdominal muscular dysfunction? Phys Ther. 2000;86(3):127-138.
  6. Cresswell AG, Grundstrom H, Thorstensson A. Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand. 1992;144(4):409-418. https://doi.org/10.1111/j.1748-1716.1992.tb09314.x
  7. Cresswell AG, Oddsson L., Thorstensson A. The influence of sudden perurbations on trunk muscles activity and intra-abdominal pressure while standing. Exp Brain Res. 1994;98(2):336-341.
  8. De Troyer A, Estenne M. Functional anatomy of the respiratory muscle. Clin Chest Med. 1988;9(2):175-193.
  9. Estenne M, Knoop C, Vanvaerenbergh J, et al. The effect of pectoralis muscle training in tetraplgic patients. Am Rev Respir Dis. 1989;139(5):1218-1222. https://doi.org/10.1164/ajrccm/139.5.1218
  10. Grillner S, Nilsson J, Thorstensson A. Intraabdominal pressure changes during natural movements in man. Acta Physiol Scand. 1978;103(3):275-283. https://doi.org/10.1111/j.1748-1716.1978.tb06215.x
  11. Hall LC, Tarala RA, Hall JL. A case-control study of postoperative pulmonary complications after laparoscopic and open cholecystections after laparoscopic and open cholecystectomy. J Lapaloendosc Surg. 1996;6(2):87-92. https://doi.org/10.1089/lps.1996.6.87
  12. Hanayama K, Ishikawa Y, Bach JR. Amyotrophic lateral sclerosis. Successful treatment of mucous plugging by mechanical insufflation-exsufflation. Am J Phy Med Rehabil. 1997;76(4):338-339. https://doi.org/10.1097/00002060-199707000-00017
  13. Harber P, SooHoo K, Tashkin DP. Is the MVV:$FEV_1$ ratio useful for assessing spirometer validity? Chest. 1985;88(1):52-57. https://doi.org/10.1378/chest.88.1.52
  14. Hodges PW, Gadevia SC. Change in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol. 2000;89(3):967-976.
  15. Houge A. Physiotherapy in Respiratory Care. 3rd ed. Cheltenham, Nelson Thornes, 2001.
  16. Jardins TD. Cardiopulmonary Anatomy and Physiology: Essentials for respiratory care. 4th ed. Albany, Delmar Cengage learning. 2002.
  17. Jeon YJ, Oh DW, Kim KM, et al. Comparison of the effect of inhalation and exhalation breathing exercises on pulmonary function of patients with cervical cord injury. Physical Therapy Korea. 2010;17(1);9-16.
  18. Kagaya H, Takahashi H, Sugawara K, et al. Effective home-based pulmonary rehabilitation in patients with restrictive lung diseases. Tohoku J Exp Med. 2009;218(3):215-219. https://doi.org/10.1620/tjem.218.215
  19. Kim J, Davenport P, Sapienza C. Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr. 2008;48(3):361-366.
  20. Kim K, Kim BG, Kim SJ, et al. Introduction to randomized controlled trial. Arch Phys Med Rehabil. 2010;91(6):857-861. https://doi.org/10.1016/j.apmr.2010.02.012
  21. Suzuki S, Juzuki J, Okubo T. Expiratory muscle fatigue in normal subject. J Appl Physiol. 1991;70(6):2632-2639. https://doi.org/10.1152/jappl.1991.70.6.2632
  22. Westwood K, Griffin M, Roberts K. Incentive spirometer decreases respiratory complications following major Cardiopulmonary Physical Therapy. Seoul, Terabooks, 2009;110-125.
  23. Kim KS, Kwon OY, Yi CH. Effect of abdominal drawing-in maneuver on peak expiratory flow, forved expiratory volume in 1 second and pain during forced expiratory pulmonary functions test in patients with chronic low back pain. Physical Therapy Korea. 2009;16(1):10-17.
  24. Kim YS, Ahn AA, SK, et al. Peak Expiratory Flow in Normal Healthy Korean Subjects Measured by Mini-Wright Peak Flow Meter. Tuberculosis and Respiratory Diseases. 2001;50(3):320-333. https://doi.org/10.4046/trd.2001.50.3.320
  25. Kreitzer SM, Saunders Na, Tyler HR, et al. Respiratory muscle function in amyotrophic lateral sclerosis. Am Rev Respir Dis. 1978;117(3):437-447.
  26. Richardson, CA, Hodges, PW, Hides, J. Therapeutic Exercises for Lumbopelvic Stabilization, 2nd ed. Churchill Livingstone, Edinburgh, 2004.
  27. Roth EJ, Nussbaum SB, Berkowitz M, et al. Pulmonary function testing in spinal cord injury: Correlation with vital capacity. Paraplegia. 1995;33(8):454-457. https://doi.org/10.1038/sc.1995.99
  28. Roth EJ, Stenson KW, Powley S, et al. Expiratory muscle training in spinal cvord injury: A abdominal surgery. Surgeon. 2007;5(6):339-342. https://doi.org/10.1016/S1479-666X(07)80086-2