Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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The core stabilization effect of respiratory muscle training to promote the health of the elderly

노인 건강 증진을 위한 호흡근 트레이닝의 코어 안정화 효과

  • Kim, Ji-Sun (Department of Sport Industry Major, Jungwon University)
  • 김지선 (중원대학교 스포츠산업전공)
  • Received : 2020.06.03
  • Accepted : 2020.06.22
  • Published : 2020.06.30
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Abstract

This study reviews studies on the core stabilization of respiratory muscle training for the elderly health. Previous research data and presenting basic literature data suggest that respiratory activation is an important mechanism for core strengthening via exercise interventions for the elderly. The review found that first, the mechanism of improving the respiratory muscles weakened by aging to address the loss of core function due to old age sarcopenia among the elderly results entails promoting the autonomic nervous system by focusing on the respiratory muscle activation pattern, the core muscle sensation mobilized for body centering. Second, nerve roots, intraperitoneal pressure, and deep muscles in the trunk of the body can be promoted while controlling respiratory stimulation with cognitive feedback. Effortful inspiration increases the activation of respiratory assistive muscles and effortless exhalation can improve the core muscle mobilization by involving abdominal muscles. Third, through respiratory muscle training, the elderly can increase their awareness of spinal centering and improve the ability to control the deep core muscles that must be mobilized for core stabilization. In conclusion, respiratory muscle training to increase the utilization of the trunk muscles seems to be a useful core stabilization exercise for the elderly with chronic tension and joint degeneration.

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References

  1. Statistics Korea. "Prospective population and household estimates", Pupulation status and prospect of Korea 2019. 2019; Retrieved from: http://kostat.go.kr/portal/korea/kor_nw/1/2/6/index.board?bmode=read&aSeq=377226.
  2. W. Nogueira, P. Gentil, S. N. P. Mello, R. J. Oliveira, A. J. Bezerra, M. Bottaro, "Effects of power training on muscle thickness of older men". Int J Sports Med, Vol. 30, No. 3 pp. 200-204, (2009). https://doi.org/10.1055/s-0028-1104584
  3. S. G. Baek, H. J. Choi, "The Effect of 12 Weeks Complexed Lower Body Muscle-Strengthening Exercise Program on Fall Risk in Elderly women", Journal of Information Technology Applications & Management, Vol. 13, No. 10 pp. 533-539, (2015).
  4. H. B. Lee, Y. W. Kim, "A Study on the Influence of Combined Training of Dance Sports and Resistance Exercise on Motor Abilities and Sarcopenia Indicators in Old Women", The Journal of Korean Dance, Vol. 35, No. 4 pp. 321-339, (2017). https://doi.org/10.15726/jkd.2017.35.4.013
  5. Y. C. Byun, D. H. Lee, H. S. Yoo, "Effect of Chronic Dance Sports Activity on Ego-resilience, Subjective Happiness and Balance in Elderly Women", Korean Society of Sports Psychology, Vol. 25, No. 1 pp. 39-50, (2014).
  6. Y. M. Ko, C. H. Lim, "The Effects of Combined Exercise Program on Physical Fitness and Related Hormone in Elderly Women", Korean Society of Physical Medicine, Vol. 10, No. 1 pp. 53-61, (2015). https://doi.org/10.13066/kspm.2015.10.1.53
  7. G. Aaron. "Clinical Guideline Manual for Spine". Birmingham, AL: Healthsouth, (1996).
  8. K. H. Kim, S. C. Lee. "Dynamic Stability Effect of Applicable Core and Neuromuscular Training for 12 Weeks". Korean Journal of Sport Biomechanics, Vol. 20, No. 1 pp. 101-108, (2010). https://doi.org/10.5103/KJSB.2010.20.1.101
  9. S. H. Choi, J. H. Lim, H. Y. Cho, I. B. Kim, M. K. Kim, H. Y. Lee. "The effects of trunk stabilization exercise using swiss ball and core stabilization exercise on balance and gait in elderly women". Journal of the Korean Society of Physical Medicine, Vol. 7, No. 1 pp. 49-58, (2012). https://doi.org/10.13066/kspm.2012.7.1.049
  10. W. Y. Park. "Effect of core exercise with swiss ball on sarcopenia index in agriculture older women". Journal of the Korean Applied Science and Technology, Vol. 36, No. 4 pp. 1349-1357, (2019).
  11. M. H. Lee. "Effects of the Neck Stabilizing Exercise Combined with the Respiratory Reeducation Exercise on Breathing Function in Patients with Stroke", Department of Rehabilitation Science of Graduate School of Daegu University, (2014).
  12. K. C. Seo, "The Effect of Pulmonary Function and Respiratory Muscle Activity in the Stroke Patients after Complex Breathing Exercise", Department of Rehabilitation Science of Graduate School of Daegu University, (2012).
  13. M. R. Jo, N. S. Kim, J. H. Jung. "The effects of respiratory muscle training on respiratory function, respiratory muscle strength, and cough capacity in stroke patients". Korean Society of Physical Medicine, Vol. 9, No. 4 pp. 399-405, (2014). https://doi.org/10.13066/kspm.2014.9.4.399
  14. S. C. Lee, S. H. Sin, J. Y. Jung, S. B. Oh, S. H. Kim, B. H. Kim, K. H. Son. "The Effects of Balloon Blow-ups and Upper Abdominal Exercise on Respiratory Rehabilitation". The journal of Korean academy of physical therapy science, Vol. 18, No. 3 pp. 17-24, (2011).
  15. E. Westerdahl, A. Wittrin, M. Kanahols, M. Gunnarsson, Y. Nilsagard. "Deep breathing exercises with positive expiratory pressure in patients with multiple sclerosis-a randomized controlled trial". The clinical respiratory journal. Vol. 10, No. 6 pp. 698-706, (2016). https://doi.org/10.1111/crj.12272
  16. M. Perri. "Rehabilitation of breathing pattern disorders. Rehabilitation of the spine: A practitioner's manual. 2nd ed". Philadelphia, Lippincott Williams&Wilkins, (2007).
  17. L. Chaitow. "Clinical Application of Neuromuscular Techniques. Vol.1-The upper Body. 2nd ed". London, Churchill Livingstone, (2000).
  18. J. P. Janssens, J. C. Pache, L. P. Nicod. "Physiological changes in respiratory function associated with ageing". The European respiratory journal, Vol. 13, No. 1 pp. 197-206, (1999). https://doi.org/10.1183/09031936.99.14614549
  19. A. Ratnovsky, D. Elad, P. Halpern. "Mechanics of respiratory muscles". Respiratory physiology & neurobiology, Vol. 163, No. 1-3 pp. 82-89. (2008). https://doi.org/10.1016/j.resp.2008.04.019
  20. A. E. Holland, C. J. Hill, A. Y. Jones, C. F. McDonald. "Breathing exercises for chronic obstructive pulmonary disease". Cochrane Database Syst Rev, Vol. 10, CD008250. doi:10.1002/14651858.CD008250.pub2, (2012).
  21. S. S. Bae, G. T. Kim, K. H. Kim, M. S. Kim, S. S. Kim, S. H. Kim, "Treatment of Nerves, muscles, joint Proprioceptive neuromuscular Facilitation". Seoul: Daihak Publishing Company, (2009).
  22. K. Kim, R. J. Park, S. S. Bae, "Effect of diaphragmatic breathing exercise on Activation of trunk muscle of patients with low back pain". Journal of Korean society of physical therapy, Vol. 17, No. 3 pp. 311-327, (2005).
  23. K. C. Seo, "The effect of pulmonary function in the stroke patients after feedback breathing exercise among position changes". Unpublished Doctorial Dissertation. Daegu university, (2009).
  24. J. H. Lee, "The Effect of Pulmonary Function in the Stroke Patients after feedback breathing exercise". Unpublished Doctorial Dissertation. Daegu university, (2008).
  25. T. W. Yoo, "Postural change of forced vital capacity in patients with neuromuscular disease". Unpublished Doctorial Dissertation. Yonsei unviersity, (2005).
  26. J. H. Kim, "The Effect of Improved Pulmonary Function in the Stroke Patients after Respiratory Physical Therapy". Unpublished Doctorial Dissertation. Daegu university, (2000).
  27. S. S. Adler, D. Beckers, M. Buck. "PNF in practice: an illustrated guide", Springer, (2007).
  28. S. J. Enright, V. B. Unnithan. "Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial". Physical therapy, Vol. 91, No. 6 pp. 894-905, (2011). https://doi.org/10.2522/ptj.20090413
  29. W. J. Kraemer, K. Adams, E. Cafarelli, G. A. Dudley, C. Dooly, M. S. Feigenbaum, S. J. Fleck, B. Franklin, A. C. Fry, J. R. Hoffman, R. U. Newton, J. Potteiger, M. H. Stone, N. A. Ratamess, T. T. McBride. "American College of Sports Medicine position stand progressive models in resistance training for healthy adults". Medicine and Science in Sports and Exercise, Vol. 34 pp. 364-380, (2002). https://doi.org/10.1097/00005768-200202000-00027
  30. J. H. Shim, D. W. Oh, G. W. Lee. "The Effects of Thoracic Flexibility Exercise on Vital Capacity and Chest Expansion in Patients With Idiopathic Scoliosis". Physical Therapy Korea, Vol. 9, No. 2 pp. 145-156, (2002).
  31. W. Josenhans, C. Wang, G. Josenhans, J. Woodbury. "Diaphragmatic contribution to ventilation in patients with ankylosing spondylitis". Respiration, Vol. 28, No. 4 pp. 331-346, (1971). https://doi.org/10.1159/000192822
  32. H. Minoguchi, M. Shibuya, T. Miyagawa, F. Kokubu, M. Yamada, H. D. Tanaka, M. Aliose, M. Adachi, I. Homma. "Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training", Internal medicine, Vol. 41, No. 10 pp. 805-812. (2002). https://doi.org/10.2169/internalmedicine.41.805
  33. A. Ratnovsky, D. Elad, P. Halpern. "Mechanics of respiratory muscles". Respiratory physiology & neurobiology, Vol. 163, No. 1 pp. 82-89, (2008). https://doi.org/10.1016/j.resp.2008.04.019
  34. C. Kisner, L. A. Colby. "Therapeutic exercise: Foundations and techniques". Philadelphia : F. A. Davis, c. (2012).
  35. D. S. Bocalini, L. S, Lima, S. de Andrade, A. Madureira, R. L. Rica, R. N. dos Santos, A. J. Serra, Jr J. A. Silva, D. R. Rodriguez, Jr A. F. Figueira, Jr F. L. Pontes. "Effects of circuit-based exercise programs on the body composition of elderly obese women". Clinical Interventions in Aging, Vol. 7 pp. 551-556, (2012).
  36. J. Gudlaugsson, T. Aspelund, V. Gudnason, A. S. Olafsdottir, P. V. Jonsson, S. A. Arngrimsson, E. Johannsson. "The effects of 6 months' multimodal training on functional performance, strength, endurance, and body mass index of older individuals. Are the benefits of training similar among women and men?". Laeknabladid, Vol 99, No. 7-8 pp. 331-337, (2017).
  37. W. Nogueira, P. Gentil, S. N. P. Mello, R. J. Oliveira, A. J. Bezerra, M. Bottaro, "Effects of power training on muscle thickness of older men". Int J Sports Med, Vol. 30, No. 3 pp. 200-204, (2009). https://doi.org/10.1055/s-0028-1104584
  38. A. Y. Bijlsma, C. G. Meskers, R. G. Westendorp, A. B. Maier. "Chronology of age-related disease definitions: osteoporosis and sarcopenia". Ageing Res Rev. Vol. 11, No. 2 pp. 320-324, (2012). https://doi.org/10.1016/j.arr.2012.01.001
  39. P. C. LaStayo, G. A. Ewy, D. D. Pierotti, R. K. Johns, S. Lindstedt. "The positive effects of negative work: Increased muscle strength and decreased fall risk in a frail elderly population". The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol. 58, No. 5 pp. 419-424, (2003). https://doi.org/10.1093/gerona/58.5.M419
  40. R. W. Bohannon. "Sit-to-stand test for measuring performance of lower extremity muscles". Perceptual and Motor Skills, Vol. 80, No. 1 pp. 163-166, (1995). https://doi.org/10.2466/pms.1995.80.1.163
  41. J. Bae, S. I. Cho. "Effects of community-based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people". Journal of Korean Academy of Nursing, Vol. 44, No. 6 pp. 697-707, (2014). https://doi.org/10.4040/jkan.2014.44.6.697
  42. K. Anderson, D. G. Behm. "The impact of instability resistance training on balance and stability". Sports Medicine, Vol. 35, No. 1 pp. 43-53, (2005). https://doi.org/10.2165/00007256-200535010-00004
  43. J. Borghuis, A. L. Hof, K. A. Lemmink. "The importance of sensory-motor control in providing core stability". Sports Medicine, Vol. 38, No. 11 pp. 893-916, (2008) https://doi.org/10.2165/00007256-200838110-00002
  44. F. P. Kendall, F. P. McCreary, P. G. Provance. "Muscles: testing and function with posture and pain". Baltimore. (2005).
  45. M. Haart, A. C. Geurts, S. C. Huidekoper. "Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study". Archives of Physical Medicine and Rehabilitation, Vol. 85 pp. 886-895, (2004). https://doi.org/10.1016/j.apmr.2003.05.012
  46. S. F. Tyson, M. Hanley, J. Chillala, A. Selley, R. C. Tallis. "Balance disability after stroke". Physical Therapy, Vol. 86, No. 1 pp. 30-38, (2006). https://doi.org/10.1093/ptj/86.1.30
  47. P. W. Hodges, C. A. Richardson. "Contraction of the abdominal muscles associated with movement of the lower limb". Physical Terapy, Vol. 77, No. 2 pp. 132-142, (1997).
  48. O. Cooper. "Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain". British journal of rheumatology, Vol. 31, pp. 389-394, (2001). https://doi.org/10.1093/rheumatology/31.6.389
  49. S. B. Brotzman, R. C. Manske. "Clinical Orthopaedic Rehabilitation: An Evidence-Based Approach. 3rd ed". Philadelphia: Elsevier Mosby. (2011).
  50. P. Brill, G. S. Couzens. "The core program: Fifteen minutes a day that can change your life". New York, Bantam. (2008).
  51. P, Kolar, J. Sulc, M. Kyncl, J. Sanda, O. Cakrt, R. Andel, K. Kumagai, A. Kobesova. "Postural function of the diaphragm in persons with and without chronic low back pain". The Journal of orthopaedic and sports physical therapy, Vol. 42, No. 4 pp. 352-362., (2012). https://doi.org/10.2519/jospt.2012.3830
  52. C. Frank, A. Kobesova, P. Kolar. "Clinical commentary dynamic neuromuscular stabilization & sports rehabilitation". Int J Sports Phys Ther, Vol. 8, No. 1 pp. 62-73, (2013).
  53. D. Zacharias, K. Eleni, S. Nikolaos, O. Jacqueline. "Pulmonary function of patients with chronic neck pain: a spirometry study". Respiratory care. (2013).
  54. D. E. Peterson, K. R. Blankenship, J. B. Robb, M. J. Walker, J. M. Bryan. "Investigation of the validity and reliability of four objective techniques for measuring forward shoulder posture". The Journal of orthopaedic and sports physical therapy, Vol. 25, No. 1 pp. 34-42, (1997). https://doi.org/10.2519/jospt.1997.25.1.34
  55. P. S. Lee. "Theoretical Bases and Technical Application of Breathing Therapy in Stress Management". Journal of Korean Academy of Nursing, Vol. 29, No. 6 pp. 1304-1313, (1999). https://doi.org/10.4040/jkan.1999.29.6.1304
  56. R. L. Hughes. "Does abdominal breathing affect regional gas exchange?". Chest. Vol. 76, No. 3 pp. 288-293, (1979). https://doi.org/10.1378/chest.76.3.288
  57. J. N. Byun, M. A. Kim, I. L. Choi, M. H. Lee, I. S. Surh, S. H. Chung. "Psychoneuroimmunological Effects of a Korean Traditional Health Culture, Dahnjeon Abdominal Breathing Session". Korean Journal of Stress Research, Vol. 4, No. 1 pp. 41-56, (1996).
  58. A. Owsley. "An Introduction to Clinical Pilates". International Journal of Athletic Therapy & Training, Vol. 10, No. 4 pp. 19-25, (2005).
  59. H. Obayashi, Y. Urabe, Y. Yamanaka, R. Okuma. "Effects of respiratory-muscle exercise on spinal curvature". Journal of sport rehabilitation, Vol. 21, No. 1 pp. 63-68, (2012). https://doi.org/10.1123/jsr.21.1.63
  60. K. Kim, R. J. Park, S. S. Bae. "Effect of diaphragmatic breathing exercise on Activation of trunk muscle of patients with Low back pain". The journal of Korean society of physical therapy, Vol. 17, No. 3 pp. 311-327, (2005).
  61. C. Ki. "Effects of Forced Breathing Exercise on the Trunk Functions of Chronic Low Back Pain Patients". Department of Physical Therapy Sports Orthopedic Physiotherapy of Graduate School of Daegu University, (2013).
  62. T. H. Lee, "The effects on balance, abdominal and back strength, and lung function of ballet dancer by the breath training". Department of Physical Education of Graduate School of Keimyung University, (2006).