Effect of diaphragmatic anterior expansion training versus diaphragmatic breathing exercises on ventilatory function on postmenopausal kyphotic women
Keywords:
diaphragmatic anterior expansion training, diaphragmatic breathing exercise, ventilatory function, post menopausal kyphosisAbstract
Purpose: This study was conducted to determine the difference between the effect of anterior diaphragmatic training and diaphragmatic breathing on ventilatory function in post-menopausal kyphotic women. Subjects: Sixty women complaining from post-menopausal kyphosis participated in this study. They were selected randomly from Tanta University Hospital in Tanta. Their ages were ranged from 50 to 60 years old. Their body mass index was ranged from 25-30 kg/m2. Their degree of kyphosis was moderate degree of kyphosis according to block method. They did not receive any medical treatment during the research period. Women with mild and severe degree of kyphosis according to block method, cardiovascular conditions (Those with a known history of uncontrolled hypertension, ischemic attacks, stroke and congestive heart failure), severe pulmonary disease (Restrictive lung disease or obstructive lung disease) and musculoskeletal disorders (Severe osteoporosis or severe osteoarthritis) were excluded from the study. Design: Design of the study was randomized controlled study (Pre and post experimental study). They were divided into two equal groups (A&B). Group A consisted of thirty postmenopausal kyphotic women and treated by diaphragmatic breathing exercises, 3 times per week for 16 weeks.
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References
Fon GT, Pitt MJ and Thies AC Jr. 1980: Thoracic kyphosis: range in normal subjects. AJR Am J Roentgenol; 134: 979-983.
Kado DM. 2009: Rehabilitation of hyperkyphotic posture in the elderly. Eur J Phys Rehabil Med; 45: 583-593.
Lombardi I, Oliveria LM, Mayer AF, Jardim JR and Natour J. 2005: Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int; 16: 1247-1253.
Cunningham FG, Leveno KJ, Bloom L, Hauth JC, Gilstrap III, LC and Wenstrom KD. 2005: Williams Obstetrics. Text book. 22nd edition, McGraw Hill, New York, 208-209. Rehabilitation research and development; 40(5):25.
Jensen D, Webb KA and O’Donnell DE. 2007: Chemical and mechanical adaptations of the respiratory system at rest and during exercise in human pregnancy. Applied Physiology, Nutrition, and Metabolism; 32(6): 1239-1250.
Ordu Gokkaya NK, Koseoglu F and Albayrak N. 2008: Reduced aerobic capacity in patients with severe osteoporosis: a cross sectional study. Eur J Phys Rehabil Med; 44: 141-147.
Kado DM, Huang MH and Karlamangla AS et al, 2013: Factors associated with kyphosis progression in older women: 15 years’ experience in the study of osteoporotic fractures. J Bone Miner Res; 28: 179-187.
Kamel, H. K. (2003). Sarcopenia and aging. Nutrition reviews, 61(5), 157-167.
Roubenoff R, Heymsfield SB and Kehayias JJ et al. 1997: Standardization of nomenclature of body composition in weight loss. Am J Clin Nutr; 66: 192-196.
Talasz H, Kofler M, Kalchschmid E, Pretterklieber M and Lechleitner M. 2010: Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous.
Moen M, Noone M Vassallo B, Lopata R, Nash M, Sum B and Schy S. 2007: Knowledge and performance of pelvic muscle exercises in women. Female Pelvic Medicine & Reconstructive Surgery;13(3): 113-117.
Martin JS, Beck DT, Gurovich AN and Braith RW. 2010: The acute effects of smokeless tobacco on central aortic blood pressure and wave reflection characteristics. Experimental Biology and Medicine; 235(10): 1263-1268.
Huang MH, Barrett-Connor E, Greendale GA and Kado DM. 2006: Hyperkyphotic posture and risk of future osteoporotic fractures: the Rancho Bernardo Study. J Bone Miner Res; 21: 419-423.
Neder JA, Andreoni S, Lerario MC and Nery LE. 1999: Reference values for lung function tests: ii. Maximal respiratory pressures and voluntary ventilation. Braz. J. Med. Biol. Res; (32): 719-727.
Colwell KL and Bhatia R. 2017: Calculated versus measured MVV-surrogate marker of ventilatory CPET. Med. Sci. Sports Exerc. 49: 1987-1992. 10.1249.
Steffen, TM and Hacker TA, et al. 2002: Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical Therapy; 82(2): 128-137.
Kado DM, Prenovost K, and Crandall C. 2007: Narrative review: hyperkyphosis in older persons. Ann Intern Med; 147: 330-38.
Drzal-Grabiec J, Snela S and Rykala J et al, 2013: Changes in the body posture of women occurring with age. BMC Geriatr; 13:108.
Jeong DK. 2016: Comparison analysis of breathing exercise to improve the quality of healthy life. Journal of the Korea Entertainment Industry Association; 10(2): 105-112.
Cho YH. 2019: Effects of crocodile breathing exercise on pain, muscle tone, and muscle stiffness in patients with non-specific low back pain. Korean Society of Physical Medicine;14(2): 117-124.
Mehling WE. 2001: The experience of breath as a therapeutic intervention-psychosomatic forms of breath therapy. A descriptive study about the actual situation of breath therapy in Germany, its relation to medicine, and its application in patients with back pain. Complementary Med Res; 8(6): 359-67.
Kim K, Park RJ and Bae SS. 2005: Effect of diaphragmatic breathing exercise on activation of trunk muscle of patients with low back pain. The Journal of Korean Physical Therapy; 17(3): 311-327.
Stephanie J Enright, Unnithan VB, Heward C, Withnall L, Davies DH. 2006: Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy;86(3):345-54.
Dong SK and Byeong HJ. 2018: Effects of 8 Weeks of Inspiratory Muscle Training on Pulmonary Function and Maximum Inspiratory Pressure and Skill-related Physical Fitness in Women Asian J Kinesiol; 20(1): 27-33.
Kim JS and Shin WS. 2013: The effects of respiratory muscle strengthening training on pulmonary function and gait ability in subacute stroke patients. Journal of the Korean Society of Physical Medicine; 8(4): 489-496.
Weiner P, Azgad Y, Ganam R, Weiner M. 1992: Inspiratory muscle training in patients with bronchial asthma. Chest; 102: 1357-61.
Gopala KA, Alfred JA, Anand R and Ajith M. 2016: Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing European Journal of Molecular & Clinical Medicine ISSN 2515-8260; 7(2): 2020. 1433 1433 Laparoscopic Surgery: A Randomized Controlled Trial, Hindawi Publishing Corporation Minimally Invasive Surgery, Volume, Article ID 1967532, 12 pages.
Budiman GS. 2021: Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients with Chronic Obstructive Pulmonary Disease. Iranian Rehabilitation Journal. 19(1): 69-74.
Ryu SJ. 2009: Pulmonary functions of Elderly inpatients in One Geriatric Hospital in Gwangju area and Efficacy of Pulmonary. Chonnam National University, Master’s thesis; 22(5): 233-237.
Mohamed I Yomna K and Atta A. 2009: Response of ventilatory function to breathing exercise versus breathing exercise with chest mobilization in elderly. bulletin of Egyptian society for physiological science; 29(2).
Salameh A, Hariraja, M. 2015: Effects of back and respiratory muscle exercises on posture and respiratory function in elderly patients with osteoporosis International Journal of Therapy and Rehabilitation. 22(5):233-237.
Min-Sik Y, Hae-Yong L and Yun-Seob L. 2017: Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults, Department of Physical Therapy, Youngsan University: 288 Joonam-ro, Yangsan, Gyeongsangnam-do, Republic of Korea, Phys. Ther. Sci; 29: 85-87.
Gomieiro LTY, Nascimento A, Tanno LK, Agondi R, Kalil J and Giavina-BP. 2011: Respiratory exercise program for elderly individuals with asthma. Clinics; 66(7): 1165-1169.
Gosselink R, Wagenaar R and Rijswijk H, et al. 1995: Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease. Am J RespirCrit Care Med; 151: 1136-1142.
Tucker BM and Jenkins SC. 2019: The effect of breathing exercises with body positioning on regional lung ventilation. Australian Journal of Physiotherapy; 42: 219-227.
Hodges PW and Gandevia SC. 2000: Activation of the human diaphragm during a repetitive postural task. J Physiol; 522: 165-75.
Luca C, Lucio O, Emanuela ZF. Marcello I and Giampietro A. 2013: Effects of different core exercises on respiratory parameters and abdominal strength, Department of Biomedical Sciences for Health, Università degli Studi di Milano: Via G. Colombo 71, Milan, Italy 2) TBM Lab, Dipartimento di Bioingegneria, Politecnico di Milano, Italy.
Arazi, Tajmohammad, Aliasgharpour, Mansooreh, Mohammadi, Sepideh, Mohammadi, Nooredin and Kazemnejad. 2021: Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial. Anoushirvan. 29(2): 146.
Diyu, I. A. N. P., & Satriani, N. L. A. (2022). Menopausal symptoms in women aged 40-65 years in Indonesia. International Journal of Health & Medical Sciences, 5(2), 169-176. https://doi.org/10.21744/ijhms.v5n2.1896
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
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