Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults

Introduction: Cerebral small vessel disease (SVD) is considered as precursor lesion of many clinical outcomes including stroke and dementia. It is well established that obstructive sleep apnea or chronic obstructive pulmonary disease is an independent risk factor of stroke. However, there are few studies about the association between pulmonary function and the presence of cerebral small vessel disease. Purpose: This study aims to investigate the association between pulmonary function and cerebral SVD in healthy adults. Methods: We conducted a cross-sectional study of 1,528 neurologically healthy people (mean age 56.0±9.0; 847 men), who underwent brain MRI and pulmonary function tests (forced vital capacity (FVC), forced expiratory volume in the first second (FEV 1 )). Risk factors, anthropometric parameters and clinical information were obtained. For evaluating cerebral SVD, the presence of small silent infarction (SSI) and the volume of white matter hyperintensity (WMH) were assessed through axial T2 fluid-attenuated inversion recovery (FLAIR) sequences MRI. Cerebral microbleeds (CMBs) were evaluated through T2-weighted gradient-recalled echo MRI. Results: The prevalence of SSI and CMBs were 9.6% (147 subjects) and 4.1% (63 subjects), respectively. The mean volume of WMH was 2.8±6.2mm 3 . In multiple regression analysis that controlled for age, sex, and smoking status, FVC had a significant negative correlation with WMH volume (R 2 =0.005, β=-0.109, p=0.002), and FEV 1 /FVC ratio had a significant correlation with WMH volume (R 2 =0.006, β=0.083, p=<0.001). In multivariable logistic analysis, after adjusting age, gender, hypertension, and glucose, FVC was negatively associated with the presence of SSI (adjusted OR 0.63, 95% CI 0.44-0.91), and FEV 1 /FVC ratio was positively associated with the presence of SSI (adjusted OR 1.05, 95% CI 1.02-1.08). The presence of CMBs was not associated with any factor of pulmonary function tests. Conclusions: The results from our study suggest that lower pulmonary function, especially FVC, was found to be an independent risk factor of cerebral SVD in neurologically healthy adults.

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Acute and daily effects of repeated voluntary hyperpnea on pulmonary function in healthy adults

European Journal of Applied Physiology ◽

10.1007/s00421-020-04302-y ◽

2020 ◽

Vol 120 (3) ◽

pp. 625-633

Author(s):

Eden Towers ◽

Adriane Morrison-Taylor ◽

Jennifer Demar ◽

Andrew Klansky ◽

Kasie Craig ◽

...

Keyword(s):

Pulmonary Function ◽

Healthy Adults

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Comparison of pulmonary function and back muscle strength according to the degree of spinal curvature of healthy adults

Journal of Physical Therapy Science ◽

10.1589/jpts.27.1787 ◽

2015 ◽

Vol 27 (6) ◽

pp. 1787-1789 ◽

Cited By ~ 1

Author(s):

Jae Eung You ◽

Hye Young Lee ◽

Kyoung Kim

Keyword(s):

Muscle Strength ◽

Pulmonary Function ◽

Healthy Adults ◽

Spinal Curvature ◽

Back Muscle ◽

Back Muscle Strength

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Effects of Three Week 3D Pilates Breathing Exercise on Spinal Curvature, Trunk Imbalance and Alignment of Healthy Adults

Journal of international academy of physical therapy research ◽

10.20540/jiaptr.2019.10.2.1797 ◽

2019 ◽

Vol 10 (2) ◽

pp. 1797-1802

Author(s):

Seongyeol Kim ◽

Keyword(s):

Healthy Adults ◽

Spinal Curvature ◽

Breathing Exercise ◽

Trunk Imbalance

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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

Minimally Invasive Surgery ◽

10.1155/2016/1967532 ◽

2016 ◽

Vol 2016 ◽

pp. 1-12 ◽

Cited By ~ 7

Author(s):

Gopala Krishna Alaparthi ◽

Alfred Joseph Augustine ◽

R. Anand ◽

Ajith Mahale

Keyword(s):

Abdominal Surgery ◽

Pulmonary Function ◽

Forced Vital Capacity ◽

Vital Capacity ◽

Exercise Group ◽

Control Group ◽

Diaphragmatic Breathing ◽

Breathing Exercise ◽

Breathing Exercises ◽

Incentive Spirometry

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.

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