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http://dx.doi.org/10.13066/kspm.2016.11.4.1

Effects of Abdominal Breathing and Thoracic Expansion Exercises on Head Position and Shoulder Posture in Patients with Rotator Cuff Injury  

Ha, Na-Ra (Graduate School of Public Health Science, Eulji University)
Shin, Hyeong-Min (Department of Physical Therapy, Sejong General Hospital)
Kim, Myung-Chul (Department of Physical Therapy, Eulji University)
Oh, Hyeon-Ju (Department of Physical Therapy, Taegu Science University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.11, no.4, 2016 , pp. 1-9 More about this Journal
Abstract
PURPOSE: The aim of this study was to examine the effects of abdominal breathing and thoracic expansion exercises on craniovertebral and cranial rotation angles in patients with rotator cuff injury. METHODS: This study enrolled 19 patients with rotator cuff injury, and ten and nine of the patients were randomly placed in abdominal breathing and thoracic expansion exercise groups, respectively. After pain treatment in each group, breathing exercise was conducted thrice a week for four weeks. The patients were recorded by using a digital camera and Image J (version 1.46, National Institutes of Health, USA), an angle measurement program, was used to analyze changes in the craniovertebral angle, cranial rotation angle, and sagittal shoulder posture. RESULTS: Statistically significant differences in the craniovertebral angle were found in both the abdominal breathing and thoracic expansion exercise groups (p<.05). A significant difference in cranial rotation angle was found in the thoracic expansion exercise group only (p<.05). No statistically significant differences in sagittal shoulder posture were found in both groups (p>.05). CONCLUSION: Although abdominal breathing and thoracic expansion exercises did not effectively change sagittal shoulder posture, the exercises were effective in improving craniovertebral and cranial rotation angles. Therefore, abdominal breathing and thoracic expansion exercises are suggested as effective exercise programs for forward head posture.
Keywords
Abdominal breathing exercise; Thoracic expansion exercise; Craniovertebral angle; Cranial rotation angle; Sagittal shoulder posture;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Adler-Storthz K, Kendall C, Kennedy RC, et al. Biotin-avidin-amplified enzyme immunoassay for detection of herpes simplex virus antigen in clinical specimens. J Clin Microbiol. 1983;18(6):1329-34.
2 Allingham C. The shoulder complex. Melboume. Churchill Livingstone. 1995.
3 An SE, Kim BS. The effect of rehabilitation exercise programs on recoverability of muscle functions following the arthroscopy surgery performed on rotator cuff tear. The Korean Journal of Sport. 2013;11(1):301-9.
4 Berlowitz D, Tamplin J. Respiratory muscle training for cervical spinal cord injury. Cochrane Database of Syst Rev. 2013.
5 Bertoft ES. Painful shoulder disorders from a physiotherapeutic View: areview of literature. Critical Reviews in Physical and Rehabilitation Medicine. 1999;11(3&4):50.   DOI
6 Bullock MP, Foster NE, Wright CC. Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion. Manual Therapy. 2005;10(1):28-37.   DOI
7 Chansirinukor W, Wilson D, Grimmer K, et al. Effects of backpacks on students: measurement of cervical and shoulder posture. Aust J Physiother. 2001;47(2):110-6.   DOI
8 Correa EC, Berzin F. Mouth breathing syndrome: cervical muscles recruitment during nasal inspiration before and after respiratory and postural exercises on swissball. International journal of pediatric otorhinolaryngology. 2008;72(9):1335-43.   DOI
9 Cuccia AM, Carola C. The measurement of craniocervical posture: a simple method to evaluate head position. Int J Pediatr Otorhinolaryngol. 2009;73(12):1732-6.   DOI
10 Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clin Rehabil. 2012;26(4):351-61.   DOI
11 Greenfield B, Catlin PA, Coats PW, et al. Posture in patients with shoulder overuse injuries and healthy individuals. J Orthop Sports Phys Ther. 1995;21(5):287-95.   DOI
12 Jang C. The effects of breathing exercise on forward head posture. Doctor's Degree. Daegu University. 2010.
13 Grimmer-Somers K, Milanese S, Louw Q. Measurement of cervical posture in the sagittal plane. J Manipulative Physiol Ther. 2008;31(7):509-17.   DOI
14 Horton SJ, Johnson GM, Skinner MA. Changes in head and neck posture using an office chair with and without lumbar roll support. Spine. 2010;35(12):E542-8.   DOI
15 Janda V. Muscle and motor control in cervicogenic disorders: assessment and management. New York. Churchill Livingstone. 1994.
16 Ki C. Effects of forced breathing exercise on the trunk functions of chronic lowback pain patients. Master's Degree. Daegu University. 2013.
17 Kim JS, Shin WS. The effects of respiratory muscle strengthening training on pulmonary function and gait ability in subacute stroke patients. J Korean soc phys med. 2013;8(4):489-96.   DOI
18 Kim K, Park RJ, Bae SS. Effect of diaphragmatic breathing exercise on activation of trunk muscle of patients with low back pain. J Korean soc phys med. 2005;17(3):311-27.
19 Kisner C, Colby LA. Therapeutic exercise: foundation and techniques. Philadelphia. FA Davis. 2002.
20 Kim KH. The effect of horse-riding simulator exercise and kendall exercise on the forward head posture. Master's Degree. Daegu University. 2013.
21 Ludewig PM, Cook TM. Alternations in shoulder kinetics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91.
22 Obayashi H, Urabe Y, Yamanaka Y, et al. Effects of respiratory-muscle exercise on spinal curvature. J sport rehabilitation. 2012;21(1):63-8.   DOI
23 Mole D, Favard L. Excentered scapulohumeral osteoarthritis. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(6):37-94.
24 Neiva PD, Kirkwood RN, Godinho R. Orientation and position of head posture, scapula and thoracic spine in mouth-breathing children. Int J Pediatr Otorhinolaryngol. 2009;73(2):227-36.   DOI
25 Neri BR, Chan KW, Kwon YW. Management of massive and irreparable rotator cuff tears. J Shoulder Elbow Surg. 2009;18(5):808-18.   DOI
26 Pahwa P. Evaluvation of standardized backpack weight and its effect on shoulder and neck posture. Indian Journal of Physiotherapy & Occupational Therapy. 2013;7(1):176-84.
27 Petrovic M, Reiter M, Zipko H, et al. Effects of inspiratory muscle training on dynamic hyperinflation in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2012;7:797-805.
28 Seo KC, Kim HA, Yim SY. The Effects of pulmonary function in the stroke patients after thoracic expension Exercise. J Korean soc phys med. 2012;7(2):157-64.   DOI
29 Shim JO, Chang SB. Effects of abdominal breathing on preterm labor anxiety. Korean J Women Health Nurs. 2006;12(2):106-14.
30 Shivananda, Sasidhar V, Syed Yakub, et al. Analysis of cervical and shoulder posture in school children using backpack experimental study. International Journal of Physiotherapy and Research. 2013;1(2):36-41.
31 Van dixhoorn J, Duivenvoorden HJ, Staal HA, et al. Physical training and relaxation therapy in cardiac rehabilitation assessed through a composite criterion for training outcome. Am Heart J. 1989;118(3):545-52.   DOI
32 Shon MJ. The effect of postural training through action observation on forward head Posture and rounded shoulder posture. Master's Degree. Hanseo University. 2012.
33 Sutbeyaz ST, Koseoglu F, Inan L, et al. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clin Rehabil. 2010;24(3):240-50.   DOI
34 Tomich GM, Franca DC, Diorio AC, et al. Breathing pattern, thoracoabdominal motion and muscular activity during three breathing exercises. Braz J Med Biol Res. 2007;40(10):1409-17.   DOI
35 Yamaguti WP, Claudino RC, Neto AP, et al. Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Arch Phys Med Rehabil. 2012;93(4):571-7.   DOI
36 Youn JH. The influence of mckenzie approach on head.shoulder posture of the patients with chronic neck pain. Doctor's Degree. Korean National Sport University. 1998.
37 Zacharias D, Eleni K, Nikolaos S, et al. Pulmonary function of patients with chronic neck pain: a spirometry study. Respir Care. 2013.