Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Effects of Feedback Respiratory Exercise and Diaphragm Respiratory Exercise on the Pulmonary Functions of Chronic Stroke Patients

  • Received : 2012.06.02
  • Accepted : 2012.09.14
  • Published : 2012.10.31
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Abstract

This study is to examine the effects of a feedback breathing device exercise and diaphragm breathing exercise on pulmonary functions of chronic strokes patients. The selection of 20 subjects was divided equally and placed into a experiment group and a control group and the intervention was applied four times per a week for five weeks. In each session, both groups received rehabilitative exercise treatment for 30 minutes, and a feedback breathing device exercise for 15 minutes. In addition, experimental group conducted a combination of diaphragm breathing exercise for 15 minutes. Prior to and after the experiment, patients' pulmonary functions were measured using a spirometer. The pulmonary function tests included FVC, FEV1, FEV1/FVC, PEF, VC, TV, IC, ERV, IRV. With respect to changes in the pulmonary functions of both groups, the experimental group significantly differed in FVC, FEV1, TV, ERV but did not in PEF, FEV1/FVC, VC, IRV. The control group did not significantly differ in any of the tests. There were significant differences in FEV1, FEV1/FVC, TV, ERV between the two groups, but no significant differences in FVC, PEF, FEV1/FVC, VC, IRV between them after the experiment. The experimental group, which conducted a combination of a feedback breathing device exercise and diaphragm breathing exercise, saw their respiratory ability increase more significantly than the control group. The breathing exercise was found to improve pulmonary function in chronic stroke patients.

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References

  1. Macko RF, Ivey FM, Forrester LW, Daniel H, John DS, Leslie IK, Kenneth HS, Andrew PG. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke. Stroke 2005; 36:2206-11. https://doi.org/10.1161/01.STR.0000181076.91805.89
  2. Ferretti G, Girardis M, Moia C, Antonutto G. Effects of prolonged bed rest on cardiovascular oxygen transport during submaximal exercise in humans. Eur J Appl Physiol Occup Physiol 1998; 78(5): 398-402. https://doi.org/10.1007/s004210050437
  3. Fugl-Meyer AR, Linderholm H, Wilson AF. Restrictive ventilator dysfunction in stroke: its relation to locomotor function. Scand J Rehabil Med Suppl 1983; 9(2): 118-124.
  4. Bohannon RW. Recovery and correlates of trunk muscle strength after stroke. Int J Rehabil Res 1995; 18(2): 162-167. https://doi.org/10.1097/00004356-199506000-00010
  5. Weiner P, magadle R, Beckerman M. Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD. Chest 2003; 124(4): 1357-1364. https://doi.org/10.1378/chest.124.4.1357
  6. Frownfelter D, Dean E. Cardiovascular and pulmonary physical therapy: evidence and practice. 4th ed. Philadelphia, Mosby 2006; 569-593.
  7. Skinner JS. Exercise Testing and Exercise Prescription For Special Cases: Theoretical Basis and Clinical Application(3rd Ed.). Philadelphia: Lippincott Williams & Wilkins 2005; 38-53.
  8. Jones AY, Dean E, Chow CC. Comparison of the oxygen cost of breathing exercise and apontaneous breathing in patients with stable COPD. Phys ther 2003; 83(5): 424-431.
  9. Bianchi R, Gigliotti F, Romagnoli I, Lanini B, Castellani C, Grazzini M, Scano G. Chest wall kinematics and breathlessness during pursed-lip breathing in patients with COPD. Chest 2004; 125(2): 459-465. https://doi.org/10.1378/chest.125.2.459
  10. Ugalde V, Breslin EH, Walsh SA, Bonekat HW, Abresch RT, Carter GT. Pursed lips breathing improves ventilation in myotonic muscular dystrophy. Arch Phys Med Rehabil 2000; 81(4): 472-478. https://doi.org/10.1053/mr.2000.3790
  11. Pryor JA, Prasad SA. Physiotherapy for Respiratory and Cardiac Problems(3rd ed.). Singapore: Churchill Livingstone 2002; 658.
  12. McConnell AK, Romer LM: Respiratory muscle training in healthy humans: resolving the controversy. Int J Sports Med 2004; 25(4): 284-293. https://doi.org/10.1055/s-2004-815827
  13. Spengler CM, Roos M, Laube SM, Boutellier U. Decreased exercise blood lactate concentrations after respiratory endurance training in humans. Eur J Appl Physiol Occup Physiol 1999; 79(4): 299-305. https://doi.org/10.1007/s004210050511
  14. Lee JH. The Effect of Pulmonary Function in the Stroke Patients after Feedback Breathing Exercise. Graguate school Daegu University 2008.
  15. Riolo L, Fisher K. Is there evidence that strength training could help improve muscle function and other outcomes without reinforcing abnormal movement patterns or increasing reflex activity in a man who has had a stroke?. Phys Ther 2003; 83(9): 844-851.
  16. Krebs DE, Scarborough DM, McGibbon CA. Functional vs. strength training in disabled elderly outpatients. Am J Phys Med Rehabil 2007; 86(2): 93-103. https://doi.org/10.1097/PHM.0b013e31802ede64
  17. Trueblood PR. Partial body weight treadmill training in persons with chronic stroke. NeuroRehabilitation 2001; 16(3): 143-153.
  18. Dietz B. International PNF Basic Course Book. Gwangjoo. Korea 2006.
  19. Lanini B, Bianchi R, Romagnoli I, C Claudia, Binazzi B, Gigliotti F, Pizzi A, Grippo A, Scano G. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med 2003; 168(1): 109-113. https://doi.org/10.1164/rccm.200207-745OC
  20. Scherer TA, Spengler CM, Owassapian D, Imhof E, Bouterrier U. Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life. Am J Respir Crit Care Med 2000; 162(5): 1709-1714. https://doi.org/10.1164/ajrccm.162.5.9912026
  21. Sartori R, Barbi E, Poli F, Ronfani L, Marchetti F, Amaddeo A,Ventura A. Respiratory training with a specific device in cystic fibrosis: A prospective study. J Cyst Fibros 2008; 7(4): 313-319. https://doi.org/10.1016/j.jcf.2007.12.003
  22. Liaw MY, Lin MC, Cheng PT, May-Kuen AW, Fuk-Tan T. Resistive inspiratory muscle training: its effectiveness in patients with acute complete cervical cord injury. Arch Phys Med Rehabil 2000; 81(6): 752-756. https://doi.org/10.1016/S0003-9993(00)90106-0
  23. Van Houtte S, Vanlandewijck Y, Gosselink R. Respiratory muscle training in persons with spinal https://doi.org/10.1016/j.rmed.2006.02.029
  24. British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary rehabilitation. Thorax 2001; 56(11), 827-834. https://doi.org/10.1136/thorax.56.11.827