The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients' respiratory muscle activation

KyoChul Seo, Park Seung Hwan, KwangYong Park, KyoChul Seo, Park Seung Hwan, KwangYong Park

Abstract

[Purpose] The purpose of this study is to examine the effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients' respiratory muscle activation. [Subjects and Methods] All experimental subjects performed exercises five times per week for four weeks. Thirty chronic stroke patients were randomly assign to an experimental group of 15 patients and a control group of 15 patients. The experimental group underwent exercises consisting of basic exercise treatment for 15 minutes and inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise for 15 minutes and the control group underwent exercises consisting of basic exercise treatment for 15 minutes and auto-med exercise for 15 minutes. The activation levels of respiratory muscles were measured before and after the experiment using MP 150WSW to obtain the results of the experiment. [Results] In the present study, when the pulmonary functions of the experimental group and the control group before and after the experiment were compared, whereas the experimental group showed significant differences in all sections. In the verification of intergroup differences between the experimental group and the control group before and after the experiment. [Conclusion] The respiratory rehabilitation exercise is considered to be capable of inducing positive effects on stroke patients' respiratory muscles through diaphragm breathing exercise and lip puckering breathing exercise.

Keywords: Diaphragm breathing exercise; Pursed-lip respiratory exercise; Strokes.

References

    1. Ferretti G, Girardis M, Moia C, et al. : Effects of prolonged bed rest on cardiovascular oxygen transport during submaximal exercise in humans. Eur J Appl Physiol Occup Physiol, 1998, 78: 398–402.
    1. Heo K: The effect of aerobic exercise training on physical fitness and inflammatory markers in stroke pateints. Unpublished Master’s dissertation, The Graguate School, Seoul National University, 2008.
    1. Skinner JS: Exercise testing and exercise prescription for special cases: theoretical basis and clinical application, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2005, pp 38–53.
    1. Frownfelter D, Dean E: Cardiovascular and pulmonary physical therapy: evidence and practice, 4th ed. Philadelphia: Mosby, 2006, p 704.
    1. Bohannon RW: Recovery and correlates of trunk muscle strength after stroke. Int J Rehabil Res, 1995, 18: 162–167.
    1. Weiner P, Magadle R, Beckerman M, et al. : Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD. Chest, 2003, 124: 1357–1364.
    1. 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: 844–851.
    1. McCool FD, Tzelepis GE: Inspiratory muscle training in the patient with neuromuscular disease. Phys Ther, 1995, 75: 1006–1014.
    1. Mador MJ, Deniz O, Aggarwal A, et al. : Effect of respiratory muscle endurance training in patients with COPD undergoing pulmonary rehabilitation. Chest, 2005, 128: 1216–1224.
    1. Koppers RJ, Vos PJ, Boot CR, et al. : Exercise performance improves in patients with COPD due to respiratory muscle endurance training. Chest, 2006, 129: 886–892.
    1. Trueblood PR: Partial body weight treadmill training in persons with chronic stroke. NeuroRehabilitation, 2001, 16: 141–153.
    1. Dietz B: International PNF basic course book Gwangjoo, 2006.
    1. Seo K, Park SH, Park K: Effects of diaphragm respiration exercise on pulmonary function of male smokers in their twenties. J Phys Ther Sci, 2015, 27: 2313–2315.
    1. Markov G, Spengler CM, Knöpfli-Lenzin C, et al. : Respiratory muscle training increases cycling endurance without affecting cardiovascular responses to exercise. Eur J Appl Physiol, 2001, 85: 233–239.
    1. Seo KC, Lee HM, Kim HA: The effects of combination of inspiratory diaphragm exercise and expiratory pursed-lip breathing exercise on pulmonary functions of stroke patients. J Phys Ther Sci, 2013, 25: 241–244.
    1. Van Houtte S, Vanlandewijck Y, Gosselink R: Respiratory muscle training in persons with spinal cord injury: a systematic review. Respir Med, 2006, 100: 1886–1895.
    1. Kim K, Seo KC: The effect of pulmonary function and chest length in the stroke patients after feedback breathing exercise among position changes. J Spec Educ Rehabil Sci, 2010, 49: 57–74.
    1. Kim HK: The effects of respiratory muscles training by proprioceptive neuromuscular facilitation on improvement of speech production mechanism in children with spastic cerebral palsy. Daegu University Graduate School, 2004.
    1. Han SY: The effect of forward walking and backward walking on quadriceps muscles with treadmill inclination: surface electromyographic analysis. KAUPT, 2005, 12: 63–70.
    1. Soderberg GL, Knutson LM: A guide for use and interpretation of kinesiologic electromyographic data. Phys Ther, 2000, 80: 485–498.
    1. Kim TH: Effects of EMG-triggered neuromusclular electrical stimulation to improve on hand function in patients with chronic hemiplegia. Yensei University Graduate School, 2003.
    1. Cho YH: Analysis of muscle activities, onset time and gait components in elderly people with LBP. Daegu University Graduate School, 2009.
    1. Park RJ, Ju JY, Oh JL: The effect of vital capacity and electromyographic changes by postural control breathing training in spastic cerebral palsy with vocalization disorder. J Speech Hear Disord, 2005, 14: 205–216.
    1. Kim SH: Influence of control training of respiratory muscle on articulation in children with cerebral palsy. Danguk University Graduate School, 2001.
    1. Jo SJ: The effects of the appropriateness of the postural control exercise program on trunk muscle control ability and gross motor function movement for the children with cerebral. Danguk University Graduate School, 2006.
    1. de Andrade AD, Silva TN, Vasconcelos H, et al. : Inspiratory muscular activation during threshold therapy in elderly healthy and patients with COPD. J Electromyogr Kinesiol, 2005, 15: 631–639.
    1. Zupan A, Savrin R, Erjavec T, et al. : Effects of respiratory muscle training and electrical stimulation of abdominal muscles on respiratory capabilities in tetraplegic patients. Spinal Cord, 1997, 35: 540–545.
    1. Jang C: The effects of breathing exercise on forward head posture. Daegu University Graduate School, 2010.
    1. Saleem AF, Sapienza CM, Okun MS: Respiratory muscle strength training: treatment and response duration in a patient with early idiopathic Parkinson’s disease. NeuroRehabilitation, 2005, 20: 323–333.
    1. Kim K, Park RJ, Bae SS: Effect of diaphragmatic breathing exercise on activation of trunk muscle of patients with low back pain. J Korea Soc Phys Ther, 2005, 17: 311–327.

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