scholarly journals Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Gopala Krishna Alaparthi ◽  
Alfred Joseph Augustine ◽  
R. Anand ◽  
Ajith Mahale

Objective.To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery.Methodology.We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group. All of them underwent evaluation of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow Rate (PEFR), and diaphragm excursion measurement by ultrasonography before the operation and on the first and second postoperative days. With the level of significance set atp<0.05.Results.Pulmonary function and diaphragm excursion showed a significant decrease on the first postoperative day in all four groups (p<0.001) but was evident more in the control group than in the experimental groups. On the second postoperative day pulmonary function (Forced Vital Capacity) and diaphragm excursion were found to be better preserved in volume incentive spirometry and diaphragmatic breathing exercise group than in the flow incentive spirometry group and the control group. Pulmonary function (Forced Vital Capacity) and diaphragm excursion showed statistically significant differences between volume incentive spirometry and diaphragmatic breathing exercise group (p<0.05) as compared to that flow incentive spirometry group and the control group.Conclusion. Volume incentive spirometry and diaphragmatic breathing exercise can be recommended as an intervention for all patients pre- and postoperatively, over flow-oriented incentive spirometry for the generation and sustenance of pulmonary function and diaphragm excursion in the management of laparoscopic abdominal surgery.

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Hélder JT Costa

The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions, its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. The present study aimed to verify the influence of a short-term breathing exercise program on children's breathing capacity. Twenty-one children aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 10 children and the experimental group (EG) with 11. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 to 20 minutes for 5 weeks. Then, the ABC was performed again for both groups. The results demonstrate a significant increase in the values (p<0.027) of the forced vital capacity (FVC) of the EG, thus suggesting that the application of a BEP promotes the breathing capacity of school-aged children. Further studies should be performed with larger samples and with a longer protocol.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1939-1944
Author(s):  
Ambiga K

The most frequent chronic lung disease characterized by increased resistivity to airflow as a result of airway obstruction. A study to assess the effectiveness of breathing exercises on selected pulmonary parameters on patients with chronic obstructive pulmonary disease. To assess the pulmonary function before administering breathing exercises, to assess the pulmonary function after administering breathing exercises. The research design used in this study was quasi-experimental, two groups before and after design. Non-probability convenient sampling technique was followed to allow the samples to an experimental and control group. The tool contains 3 parts part A-demographic variables, part B-measurement of pulmonary parameters and part C-self-instructional module on breathing exercises. The practicing of breathing exercise was found to be effective in improving the pulmonary parameters. Younger age patients gained more breathing hold time after practicing breathing exercise. Non-smokers gained more chest expansion and PEFR after practicing breathing exercise. The results of the study were concluded that selected breathing exercises (Pursed lip and Diaphragmatic Breathing Exercise) given to the COPD patients was effective to improve in their pulmonary parameters.


2020 ◽  
Vol 18 (3) ◽  
pp. 329-336
Author(s):  
Nasser Mohammad Rahimi ◽  
◽  
Reza Mahdavinejad ◽  
Seyyed Reza Attarzadeh Hosseini ◽  
Hossein Negahban ◽  
...  

Objectives: Dynamic Neuromuscular Stabilization (DNS) approach evaluates and activates the spinal stabilizers to optimize the performance of posture and respiratory system. This study investigated the effects of DNS breathing exercises on upper and lower chest wall mobility (UCM and LCM), trunk extensor endurance, and thoracic kyphosis in a group of sedentary students with poor posture. Methods: In this randomized, controlled 6-week trial, 52 participants were randomly divided into two groups: a DNS breathing exercise group (n=26) and a control group (n=26). First, a pre-test of the UCM, LCM, trunk muscle endurance and thoracic kyphosis was done on each participant in random order. DNS breathing exercise protocol (six times a week for six weeks) was implemented and after its completion, all post-test parameters were taken. Descriptive statistical and the paired-sample t test were used to analyze the obtained data. Results: Significant improvements were observed in the post-test compared with pre-test in DNS breathing exercise group in UCM (6.2±1.6 vs 4.4±0.9 cm, P<0.001), LCM (7.7±1.7 vs 5.5±1.0 cm, P<0.001), trunk muscle endurance (110.1±33.5 vs 88.7±34.1 s, P<0.001), and thoracic kyphosis (146.9±5.5 vs 142.7±4.0 degree, P<0.001). In contrast, the change in these parameters in the control group was not statistically significant. Discussion: DNS breathing exercise with a focus on the integrated spinal stabilizing system and breathing techniques is an effective protocol to significantly improve UCM and LCM, trunk muscle endurance, and thoracic kyphosis. It is suggested that DNS breathing exercises be introduced to improve chest mobility and posture and provide physiological stabilization for the overall health and performance of student


Author(s):  
Yuanni Huang ◽  
Mian Bao ◽  
Jiefeng Xiao ◽  
Zhaolong Qiu ◽  
Kusheng Wu

Exposure to fine particulate matter 2.5 (PM2.5) is associated with adverse health effects, varying by its components. The health-related effects of PM2.5 exposure from ore mining may be different from those of environment pollution. The aim of this study was to investigate the effects of different concentrations of PM2.5 exposure on the cardio-pulmonary function of manganese mining workers. A total of 280 dust-exposed workers who were involved in different types of work in an open-pit manganese mine were randomly selected. According to the different concentrations of PM2.5 in the working environment, the workers were divided into an exposed group and a control group. The electrocardiogram, blood pressure, and multiple lung function parameters of the two groups were measured and analyzed. The PM2.5 exposed group had significantly lower values in the pulmonary function indexes of forced expiratory volume in one second (FEV1.0), maximum mid expiratory flow (MMEF), peak expiratory flow rate (PEFR), percentage of peak expiratory flow out of the overall expiratory flow volume (PEFR%), forced expiratory flow at 25% and 75% of forced vital capacity (FEF 25, FEF75), forced expiratory flow when 25%, 50%, and 75% of forced vital capacity has been exhaled (FEF25%,FEF50%, FEF75%), and FEV1.0/FVC% (the percentage of the predicted value of forced vital capacity) than the control group (all p < 0.05). Both groups had mild or moderate lung injury, most of which was restrictive ventilatory disorder, and there was significant difference in the prevalence rate of restrictive respiratory dysfunction between the two groups (41.4% vs. 23.6%, p = 0.016). Electrocardiogram (ECG) abnormalities, especially sinus bradycardia, were shown in both groups, but there was no statistical difference of the prevalence rate between the two groups (p > 0.05). Also, no significant difference of the prevalence rate of hypertension was observed between the PM2.5 exposure and control groups (p > 0.05). PM2.5 exposure was associated with pulmonary function damage of the workers in the open-pit manganese mine, and the major injury was restrictive ventilatory disorder. The early effect of PM2.5 exposure on the cardiovascular system was uncertain at current exposure levels and exposure time.


Author(s):  
Hoshea Jeba Ruth S. ◽  
Lisha Vincent

Background: Air conditioners are used extensively these days of the modern lifestyle. Inhalation of cold dry air while using Air conditioners causes bronchoconstriction due to which alteration may occur in pulmonary function. This study was aimed to compare the Pulmonary Function tests of Car AC users and non AC users. Methods: The Study included 52 employees not exposed to car air conditioner as a control (group I) and 52 employees exposed to car air conditioner  with minimum exposure of 1 hour per day for 6 months as a subject (group II). Pulmonary function tests were performed using computerised spirometer. Statistical analysis was done by unpaired t test.Results: Age, Height and weight are not statistically significant between study group and control group. Forced vital capacity, forced expiratory volume in 1 second, Ratio of Forced vital capacity and Forced expiratory volume in 1 second, Inspiratory reserve volume, Expiratory reserve volume, Maximum voluntary ventilation are decreased in car air conditioner users compared to non-users, but was not significant. Forced expiratory flow (FEF), Peak expiratory flow rate (PEFR) values shows statistically significant decreased in car air conditioner users.Conclusions: The present study shows hyper-responsive airways on exposure to cold air which leads to bronchoconstriction. The significant decrease in PEFR, FEF suggest that upper airways as well as smaller airways are affected on exposure to car AC. So, Exposure to car Air Conditioner leads to risk of developing respiratory dysfunction.


Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 464-469
Author(s):  
Hélder José Teixeira Costa ◽  
Cristiano C. F. Moreira ◽  
Elisabete M. C. Gomes ◽  
António A. I. Leão

 Background: The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions, its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. Methods: The present study aimed to verify the influence of a short-term breathing exercise program in school-age girls breathing capacity. Fourteen female students aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 7 children and the experimental group (EG) with 7. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 to 20 minutes for 5 weeks. Then, the ABC was performed again for both groups. Discussion: The results demonstrate a significant increase in the values (p <0.01) of the forced vital capacity (FVC) of the EG, thus suggesting that the application of a BEP promotes the breathing capacity of school-aged girls. Further studies should be performed with larger samples and with a longer protocol. Resumen. El mecanismo respiratorio existe desde nuestro nacimiento y nos acompaña durante toda la vida. La respiración es una función importante en el proceso regulador de numerosas funciones corporales, su optimización puede traer muchos beneficios para la salud. Sin embargo, muchos niños desconocen los mecanismos de la respiración, a saber, la respiración abdominal o diafragmática, y además de esto, muchos respiran normalmente por la boca. El presente estudio tuvo como objetivo verificar la influencia de un programa de ejercicios respiratorios de corta duración en la capacidad respiratoria de niñas en edad escolar. Se seleccionaron catorce alumnas de entre 8 y 10 años, de esta selección se conformaron dos grupos, el grupo control (GC) con 7 niños y el grupo experimental (GE) con 7. Mediante una prueba espirométrica, una evaluación de la capacidad respiratoria (ABC) se llevó a cabo para ambos grupos. El GE participó en un programa de ejercicios respiratorios (BEP) que duró de 15 a 20 minutos durante 5 semanas. Luego, se realizó nuevamente el ABC para ambos grupos. Los resultados demuestran un aumento significativo en los valores (p <0.01) de la capacidad vital forzada (FVC) del GE, sugiriendo así que la aplicación de un BEP promueve la capacidad respiratoria de las niñas en edad escolar. Se deben realizar más estudios con muestras más grandes y con un protocolo más extenso.


2017 ◽  
Vol 9 (2) ◽  
pp. 17-22
Author(s):  
Dinesh Banstola

Introduction: Controlled breathing not only keeps your mind and body functioning at their best, it can also lower blood pressure, promote feelings of calm and relaxation and help you de-stress. Many experts encourage using the yoga breathing exercises as a means of increasing awareness, mindfulness and reducing anxiety. Over-worked, under-slept, and feeling pressure may impair breathing pattern. There are some yoga breathing exercise techniques that improve ventilator function.Objective: To assess the effect of yoga breathing exercises on their ventilatory function. Methods: Forty eight male and female students of 18 - 30 years were involved in the study of ventilatory function before and after yoga breathing exercise. Pulmonary function tests were performed with the subject sitting in a comfortable chair. Initial recording of tidal volume, inspiratory capacity, inspiratory reserve volume, expiratory reserve volume, forced vital capacity, and timed vital capacity in one second were measured.Results: There was significant increase in inspiratory reserve volume, expiratory reserve volume, vital capacity, forced expiratory volume in one second and forced vital capacity after yoga breathing exercise.Conclusion: Yoga breathing exercise improves ventilatory function. Journal of Gandaki Medical College Volume, 09, Number 2, July December 2016, page: 17-22


2021 ◽  
Author(s):  
Fatma Gündogdu ◽  
Sema Koçaşlı

Abstract Background: Patients receiving radiotherapy often experience cancer-related fatigue and insomnia. These experiences negatively affect patients’ physiological and psychological well-being. The study aims to evaluate the effectiveness of pranayama and deep breathing exercise in reducing fatigue and insomnia in patients receiving radiotherapy due to breast cancer.Materials and methods: This randomized controlled interventional study was carried out with 60 patients divided into the pranayama (20), deep breathing exercise (20) and control group (20). Data were collected with the Piper Fatigue Scale (PFS), the Pittsburgh Sleep Quality Index (PSQI) and the Visual Analog Scale (VAS).Results: While patient fatigue in the control group significantly increased during the treatment process (p<0.05), the deep breathing exercise group (p<0.05) did not experience the same increase in fatigue. The post-treatment insomnia VAS score of the pranayama and deep breathing exercise groups decreased compared to the pre-treatment scores (p<0.05). In the group comparison of PSQI scale scores, the subdimensions subjective sleep quality and daytime dysfunction were negatively affected at the end of the treatment in the control group (p<0.05) and the subdimension subjective sleep quality was positively affected in the deep breathing exercise group (p<0.05).Conclusion: Pranayama and deep breathing exercises are effective in reducing fatigue and insomnia in patients receiving radiotherapy due to breast cancer.


2021 ◽  
pp. 021849232110100
Author(s):  
Neetika Katiyar ◽  
Sandeep Negi ◽  
Sunder Lal Negi ◽  
Goverdhan Dutt Puri ◽  
Shyam Kumar Singh Thingnam

Background Pulmonary complications after cardiac surgery are very common and lead to an increased incidence of post-operative morbidity and mortality. Several factors, either modifiable or non-modifiable, may contribute to the associated unfavorable consequences related to pulmonary function. This study was aimed to investigate the degree of alteration and factors influencing pulmonary function (forced expiratory volume in one second (FEV1) and forced vital capacity), on third, fifth, and seventh post-operative days following cardiac surgery. Methods This study was executed in 71 patients who underwent on-pump cardiac surgery. Pulmonary function was assessed before surgery and on the third, fifth, and seventh post-operative days. Data including surgical details, information about risk factors, and assessment of pulmonary function were obtained. Results The FEV1 and forced vital capacity were significantly impaired on post-operative days 3, 5, and 7 compared to pre-operative values. The reduction in FEV1 was 41%, 29%, and 16% and in forced vital capacity was 42%, 29%, and 19% consecutively on post-operative days 3, 5, and 7. Multivariate analysis was done to detect the factors influencing post-operative FEV1 and forced vital capacity. Discussion This study observed a significant impairment in FEV1 and forced vital capacity, which did not completely recover by the seventh post-operative day. Different factors affecting post-operative FEV1 and forced vital capacity were pre-operative FEV1, age ≥60, less body surface area, lower pre-operative chest expansion at the axillary level, and having more duration of cardiopulmonary bypass during surgery. Presence of these factors enhances the chance of developing post-operative pulmonary complications.


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