Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients

Shin-Jun Park, Ju-Hwan Lee, Kyung-Ok Min, Shin-Jun Park, Ju-Hwan Lee, Kyung-Ok Min

Abstract

[Purpose] The main purpose of this study was to compare the effects of core stabilization and chest mobilization exercises on pulmonary function and chest expansion in chronic stroke patients. [Subjects and Methods] Thirty stroke patients were randomly divided into two groups: a core stabilization exercise group (n=15) and a chest mobilization exercise group (n=15). Each exercise was performed 3 times per week for 30 minutes for 4 weeks, and pulmonary function and chest expansion when breathing were measured for both groups. [Results] There were significant increases in both forced vital capacity and forced expiratory volume in 1 second before and after intervention. Core stabilization exercise resulted in a significant increase in peak expiratory flow, and significant increases in upper and lower chest expansion were detected with chest mobilization exercise. However, no significant difference was revealed between the two groups. [Conclusion] This study suggested that both exercises were effective in some aspects of pulmonary function while core stabilization can help increase peak expiratory flow and chest mobilization can assist with chest expansion.

Keywords: Chest mobilization exercise; Core stabilization exercise; Pulmonary function.

References

    1. MacKay-Lyons MJ, Howlett J: Exercise capacity and cardiovascular adaptations to aerobic training early after stroke. Top Stroke Rehabil, 2005, 12: 31–44.
    1. Park SJ: The effects of rib cage joint mobilization and threshold inspiratory muscle training applying respiratory function and respiratory activation of stroke patients, Yong-in University Graduate School of Rehabilitation and Welfare, a Master’s degree, 2016.
    1. Oh DS, Park SE: The effect of lumbar stabilization exercise on the pulmonary function of stroke patients. J Phys Ther Sci, 2016, 28: 1896–1900.
    1. Fugl-Meyer AR, Linderholm H, Wilson AF: Restrictive ventilatory dysfunction in stroke: its relation to locomotor function. Scand J Rehabil Med Suppl, 1983, 9: 118–124.
    1. Song GB, Park EC: Effects of chest resistance exercise and chest expansion exercise on stroke patients’ respiratory function and trunk control ability. J Phys Ther Sci, 2015, 27: 1655–1658.
    1. McGill SM, Karpowicz A: Exercises for spine stabilization: motion/motor patterns, stability progressions, and clinical technique. Arch Phys Med Rehabil, 2009, 90: 118–126.
    1. Key J: ‘The core’: understanding it, and retraining its dysfunction. J Bodyw Mov Ther, 2013, 17: 541–559.
    1. Colby LA, Kisner C: Therapeutic exercise: foundations and techniques. FA Davis Company, 2007.
    1. Choi SJ, Oh DW: The effects of intensive chest mobility exercise on increasing pulmonary function and gait in stroke patients. J Spec Educ Rhabilitation Sci, 2012, 51: 221–239.
    1. Lima IS, Florêncio de Moura Filho O, Cunha FV, et al. : Chest and neck mobilization effects on spirometric responses in healthy subjects. J Manipulative Physiol Ther, 2011, 34: 622–626.
    1. Bockenhauer SE, Chen H, Julliard KN, et al. : Measuring thoracic excursion: reliability of the cloth tape measure technique. J Am Osteopath Assoc, 2007, 107: 191–196.
    1. Quanjer PH, Lebowitz MD, Gregg I, et al. : Peak expiratory flow: conclusions and recommendations of a Working Party of the European Respiratory Society. Eur Respir J Suppl, 1997, 24: 2S–8S.
    1. Minoguchi H, Shibuya M, Miyagawa T, et al. : Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training. Intern Med, 2002, 41: 805–812.
    1. Kim EY, Kim YJ, Lee SB: The effect of exercise to deep abdominal muscle and thoracic mobility on pulmonary function. Korea Academy of Orthopedic Manual Physical Therapy, 2014, 20: 21–26.

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir