Effect of upper extremity proprioceptive neuromuscular facilitation combined with elastic resistance bands on respiratory muscle strength: a randomized controlled trial

Guilherme P T Areas, Audrey Borghi-Silva, Arianne N Lobato, Alessandra A Silva, Renato C Freire Jr, Fernando Z S Areas, Guilherme P T Areas, Audrey Borghi-Silva, Arianne N Lobato, Alessandra A Silva, Renato C Freire Jr, Fernando Z S Areas

Abstract

Background: Elastic resistance bands (ERB) combined with proprioceptive neuromuscular facilitation (PNF) are often used in resistance muscle training programs, which have potential effects on peripheral muscle strength. However, the effects of the combination of ERB and PNF on respiratory muscle strength warrant further investigation.

Objectives: The assessment of the effects of PNF combined with ERB on respiratory muscle strength.

Method: Twenty healthy, right-handed females were included. Subjects were randomized to either the resistance training program group (TG, n=10) or the control group (CG, n=10). Maximal expiratory pressure (MEP) and inspiratory pressure (MIP) were measured before and after four weeks of an upper extremity resistance training program. The training protocol consisted of upper extremity PNF combined with ERB, with resistance selected from 1 repetition maximum protocol.

Results: PNF combined with ERB showed significant increases in MIP and MEP (p<0.05). In addition, there were significant differences between the TG and CG regarding ∆MIP (p=0.01) and ∆MEP (p=0.04).

Conclusions: PNF combined with ERB can have a positive impact on respiratory muscle strength. These results may be useful with respect to cardiopulmonary chronic diseases that are associated with reduced respiratory muscle strength.

Figures

Figure 1
Figure 1
A) Values of ΔMIP. B) ΔMEP for the CG (n=05) and the TG (n=08). Data are expressed as mean±SE. *p=0.01/effects size=1.22; **p=0.04/effects size=1.61.

References

    1. Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update. Circulation. 2007;116(5):572–584.
    1. Kofotolis N, Vrabas IS, Vamvakoudis E, Papanikolaou A, Mandroukas K. Proprioceptive neuromusclar facilitation training induced alterations in muscle fibre type and cross sectional area. Br J Sports Med. 2005;39(3):1–4.
    1. Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011;14(1):4–9.
    1. Braith RW, Beck DT. Resistance exercise: training adaptations and developing a safe exercise prescription. Heart Fail Rev. 2008;13(1):69–79.
    1. Hajghanbari B, Yamabayashi C, Buna T, Coelho JD, Freedman K, Morton TA, et al. Effects of respiratory muscle training on performance in athletes: a systematic review with meta-analyses. J Strength Cond Res. 2013;27(6):1643–1663.
    1. Kilding AE, Brown S, McConnell AK. Inspiratory muscle training improves 100 and 200 m swimming performance. Eur J Appl Physiol. 2010;108(3):505–511.
    1. Ramires-Sarmiento A, Orozco-Levi M, Guell R, Barreiro E, Hernandez N, Mota S, et al. Inspiratory muscle training in patients with chronic obstructive pulmonary disease: structural adaptation and physiologic outcomes. Am J Respir Crit Care Med. 2002;166(11):1491–1497.
    1. Gosselink R, De Vos J, Van den Heuvel SP, Segers J, Decramer M, Kwakkel G. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J. 2011;37(2):416–425.
    1. Moreno MA, Silva E, Gonçalves M. O efeito das técnicas de facilitação neuromuscular proprioceptivo-método Kabat- nas pressões respiratórias máximas. Fisioter Mov. 2005;18(2):53–61.
    1. Voss DE, Ionta MK, Myers B. Facilitação neuromuscular proprioceptiva. São Paulo: Médica Panamericana; 1987.
    1. Hughes CJ, Hurd K, Jones A, Sprigles S. Resistance properties of thera-band tubing during shoulder abduction exercise. J Orthop Sports Phys Ther. 1999;29(7):413–420.
    1. Colado JC, Garcia-Masso X, Pellicer M, Alakhdar Y, Benavent J, Cabeza-Ruizar R. A comparison of Elastic Tubing and Isotonic Resistance Exercises. Inter J Sports Med. 2010;31(11):810–817.
    1. Page P, Labbe A, Topp RV. Clinical force production of Thera-band elastic bands. J Orthop Sports Phys Ther. 2000;A30:47–48.
    1. Thera-Band Instruction. Resistance elastic and tubing. 4. 2003. [cited 2010 Nov 19]. Available from: .
    1. Simoneau GG, Bereda SM, Sobush DC, Starsky AJ. Biomechanics of elastic resistance in therapeutic exercise programs. J Orthop Sports Phys Ther. 2000;31(1):16–24.
    1. Losses JF, Kaetz AP, Soares DP, Scarrone FF, Henneman V, Sacharuk VZ. Quantificação da resistência oferecida por bandas elásticas. Rev Bras Ciênc Esporte. 2002;24(1):61–72.
    1. Patil P, Rao S. Effects of Thera-Band(r) elastic resistance-assisted gait training in stroke patients: a pilot study. Eur J Phys Rehabil Med. 2011;47(3):427–433.
    1. Veneri D. Combining the treatment modalities of body weight support treadmill training and Thera-Band: a case study of an individual with hemiparetic gait. Top Stroke Rehabil. 2011;18(4):402–416.
    1. Sociedade Brasileira de Cardiologia. Sociedade Brasileira de Hipertensão. Sociedade Brasileira de Nefrologia VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 2010;95(suppl. 1):1–51.
    1. Oldfield RC. The assessment and analysis of handedness: the Edinburgh Inventory. Neuropsychology. 1971;9(1):97–113.
    1. Barros MVG, Nahas MV, Markus VG. Reprodutibilidade (tesye-reteste) do questionário internacional de atividade física (QIAF-Versão 6): um estudo piloto com adultos no Brasil. Rev Bras Ciênc Mov. 2000;8(1):23–26.
    1. Santos GM, Tavares GMS, Gasperi G, Bau G. Avaliação da resistência de faixas elásticas. Rev Bras Fisioter. 2009;13(6):521–526.
    1. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99(5):696–702.
    1. American Thoracic Society. European Respiratory Society ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518–624.
    1. Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res. 1999;32(6):719–727.
    1. Meyer FJ, Borst MM, Zugck C, Kirschke A, Schellberg D, Kübler W, et al. Respiratory muscle dysfunction in congestive heart failure: clinical correlation and prognostic significance. Circulation. 2001;103(17):2153–2158.
    1. Simões RP, Deus AP, Auad MA, Dionízio J, Mazzonetto M, Borghi-Silva A. Maximal respiratory pressure in healthy 20 to 89 year-old sedentary individuals of central São Paulo State. Rev Bras Fisioter. 2010;14(1):60–67.
    1. Witt D, Talbott N, Kotowski S. Electromyography activity of scapular muscle during diagonal patterns using elastic resistance and free weights. Int J Sports Phys Ther. 2011;6(4):322–332.
    1. Hostler D, Schwirian CI, Campos G, Toma K, Crill MT, Hagerman GR, et al. Skeletal muscle adaptations in elastic resistance-trained young men and women. Eur J Appl Physiol. 2001;86(2):112–118.
    1. Sullivan PE, Portney LG. Electromyographic Activity of Shoulder Muscles During Unilateral Upper Extremity Proprioceptive Neuromuscular Facilitation Patterns. Phys Ther. 1980;60(30):283–288.
    1. Morales MB, Carvalho GA, Gomes EB. Análise eletromiográfica dos efeitos contralaterais da facilitação neuromuscular proprioceptiva. Fisioter Bras. 2003;4(6):417–421.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel