scholarly journals Manual therapy in diaphragm muscle: effect on respiratory muscle strength and chest mobility

2020 ◽  
pp. 1-5 ◽  
Author(s):  
Darling Kescia Araújo Peixoto Braga ◽  
Débora Fortes Marizeiro ◽  
Ana Carolina Lins Florêncio ◽  
Mariana Dias Teles ◽  
Ítalo Caldas Silva ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Manual Therapy ◽  
Respiratory Muscle ◽  
Diaphragm Muscle ◽  
Cavity Method ◽  
Thoracic Cavity ◽  
Respiratory Muscle Strength ◽  
Verbal Command ◽  
Significant Difference ◽  
Maximum Expiratory Pressure

Introduction: Manual therapy uses the hands as a form of healing, being a manipulation for therapeutic purposes. However, there is little evidence of its effects on the respiratory system. Objective: To describe the effect of manual therapy on the diaphragm, on respiratory muscle strength and on the mobility of the thoracic cavity. Method: Descriptive, longitudinal, interventional and quantitative research, performed at the Cardiopneumofunctional Physical Therapy Laboratory of the Federal University of Ceará (UFC). The sample consisted of 40 sedentary female students, aged between 18 and 35 years of the Physiotherapy course of the UFC. The following techniques were performed: “diaphragm lift” and double diaphragm. Data collection was performed in three steps, on the same day and by the same researcher, under a homogeneous verbal command. It was considered statistically significant value of p≤0,05. Results: After applying the techniques, a comparative analysis was performed, which demonstrated a statistically significant difference in the maximum expiratory pressure, with p< 0,0001, and all the coefficients of the cirtometry, being p<0,0025 (axillary), p<0,0085 (xiphoid) and p<0,0005 (basal). Conclusion: Manual therapy techniques performed on the diaphragm exert an influence on muscle strength due to the increase in maximum expiratory pressure and in the mobility of the thoracic cavity, reflected in the increase of the coefficients of the cirtometry.

scholarly journals The relatıonship between shooting performance and respiratory muscle strength in archers aged 9-12

2021 ◽  
Vol 13 (3) ◽  
pp. 31-36
Author(s):  
OZGUR BOSTANCI ◽  
MENDERES KABADAYI ◽  
MUHAMMET HAKAN MAYDA ◽  
ALI KERIM YILMAZ ◽  
COSKUN YILMAZ
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Vital Capacity ◽  
Forced Expiration ◽  
Respiratory Muscle Strength ◽  
Respiratory Parameters ◽  
Significant Difference ◽  
Shot Point ◽  
Maximum Expiratory Pressure ◽  
The Relationship

Introduction: The aim of this study is to investigate the relationship between shooting performance and pulmonary functions and respiratory muscle strength in archers. Material and methods: The research was conducted with 31 boy and 11 girl archers aged 9-12. The forced vital capacity (FVC), forced expiration volume in one second (FEV1), FEV1/FVC, peak expiratory flow (PEF), maximum voluntary ventilation (MVV), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) of the archers were measured. To determine the shooting performance, a total of 30 shots (15+15) were taken from an 18-meter distance in closed shooting range. Results: A significant difference was found between the 15 shots done in each half and the total shot point and the averages of FVC (r=0.375, 0.353, 0.378 respectively) and FEV1 (r=0.368, 0.339, 0.367 respectively). However, a significant difference was not found among these shot points and other respiratory parameters (p>0.05). A relationship was detected between the second 15-shot points of boy archers and MEP (r=0.370). Conclusions: A strong correlation was not found between the respiratory parameters and shooting performances of the archers in this study. However, it is thought that this level of relationship will rise as training level and age increases.

scholarly journals Relationship of respiratory muscle strength, pulmonary function, and functional capacity with quality of life in patients with atrial fibrillation

2017 ◽  
Vol 46 (1) ◽  
pp. 195-203 ◽  
Author(s):  
Rengin Demir ◽  
Melih Zeren ◽  
Hulya Nilgun Gurses ◽  
Zerrin Yigit
Keyword(s):  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Fatigue Score ◽  
6Mwt Distance ◽  
Sf 36 ◽  
Maximum Expiratory Pressure ◽  
Dyspnea Score ◽  
Relationship Of

Objective To examine the relationship of pulmonary parameters and functional capacity with quality of life (QoL) in patients with atrial fibrillation (AF). Methods Thirty-six patients with chronic AF were included in this cross-sectional study. QoL was assessed with the Medical Outcomes Survey 36-item Short Form (SF-36) and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Respiratory muscle strength and pulmonary function were also measured. Functional capacity was assessed with the 6-min walk test (6MWT). The Borg CR10 Scale was used to determine the resting dyspnea and fatigue levels. Results The SF-36 physical component summary score was correlated with the maximum inspiratory pressure (r = 0.517), maximum expiratory pressure (r = 0.391), 6MWT distance (r = 0.542), resting Borg dyspnea score (r = −0.692), and resting Borg fatigue score (r = −0.727). The MLHFQ total score was correlated with the maximum inspiratory pressure (r = −0.542), maximum expiratory pressure (r = −0.384), 6MWT distance (r = −0.535), resting Borg dyspnea score (r = 0.641), and resting Borg fatigue score (r = 0.703). The resting Borg fatigue score was the significant independent predictor of the SF-36 physical component score and the MLHFQ total score. Conclusion Respiratory muscle strength, functional capacity measured with the 6MWT, and resting symptoms including dyspnea and fatigue may have an impact on QoL in patients with AF.

scholarly journals Effect of Upright and Slouched Sitting Postures on the Respiratory Muscle Strength in Healthy Young Males

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ali Albarrati ◽  
Hamayun Zafar ◽  
Ahmad H. Alghadir ◽  
Shahnwaz Anwer
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Forced Expiratory Volume ◽  
Demographic Variables ◽  
Sitting Position ◽  
Respiratory Muscle Strength ◽  
Young Males ◽  
Significant Difference ◽  
Predicted Values ◽  
Male Subjects

Objective. The present study compared the effects of upright and slouched sitting postures on the respiratory muscle strength in healthy young males. Methods. A total of 35 adult male subjects aged 18–35 years participated in this study. Respiratory muscle strength was determined by measurement of sniff nasal inspiratory pressure (SNIP) using a MicroRPM device in the upright and slouched sitting positions. The subjects were asked to perform the pulmonary function test including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio at baseline. Body composition was also determined. Results. There was a significant difference of SNIP score between upright sitting and slouched sitting positions (p=0.04). The mean difference of SNIP score between upright sitting and slouched sitting positions was 8.7 cmH2O. Significant correlations were found between SNIP in upright sitting and FEV1% predicted values [R = .651], SNIP in slouched sitting and FEV1% predicted values [R = .579], and SNIP in upright sitting and SNIP in slouched sitting positions [R = .926] (p<0.05 for all). There were no significant correlations between SNIP scores, demographic variables, and other baseline clinical data (p>0.05). Conclusions. The slouched sitting position had a lower SNIP score compared to upright sitting position suggesting a reduced diaphragm tension and movement as a result of altered body posture.

scholarly journals Effect of Inspiratory Muscle Training on Performance of Handball Athletes

2018 ◽  
Vol 63 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Charlini S. Hartz ◽  
Márcio A. G. Sindorf ◽  
Charles R. Lopes ◽  
José Batista ◽  
Marlene A. Moreno
Keyword(s):  
Muscle Strength ◽  
Oxygen Uptake ◽  
Effect Size ◽  
Respiratory Muscle ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Significant Difference ◽  
Small Effect Size

Abstract Inspiratory muscle training (IMT) is a strategy that has been used to improve performance in different sports modalities. This study investigated the effects of an IMT program on respiratory muscle strength and resistance as well as aerobic physical performance (PP) of handball athletes. Nineteen 20 ± 3 year-old male athletes were allocated into an experimental (EG, n = 10) or a placebo group (PG, n = 9). Their respiratory muscle strength was evaluated by measuring the maximum inspiratory and expiratory pressures (MIP and MEP), muscular respiratory resistance by maximum voluntary ventilation (MVV) and aerobic PP by the cardiopulmonary exercise test. The study was designed to evaluate the effects of a 12-week IMT program with five sessions a week. A significant difference was observed in the pre and post IMT values of the MIP (170 ± 34 to 262 ± 33 cmH2O) and MEP (177 ± 36 to 218 ± 37 cmH2O) in the EG, and MIP (173 ± 45 to 213 ± 21 cmH2O) in the PG, with a large effect size for the MIP, when the groups were compared. MVV showed a significant increase (162 ± 24 to 173 ± 30 L) in the EG, with a small effect size. There was a significant difference in maximum oxygen uptake (54 ± 8 to 60 ± 7 ml/kg/min) in aerobic PP. Oxygen uptake at the respiratory compensation point (RCP) (46 ± 6 to 50 ± 5 ml/kg/min), with a moderate effect size for both variables, was observed in the EG after IMT. We concluded that IMT provided a significant increase in respiratory muscle strength and resistance, contributing to increased aerobic PP in the EG, which suggests that IMT could be incorporated in handball players’ training.

scholarly journals Six-minute walk test and respiratory muscle strength in patients with uncontrolled severe asthma: a pilot study

2015 ◽  
Vol 41 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Luiz Fernando Ferreira Pereira ◽  
Eliane Viana Mancuzo ◽  
Camila Farnese Rezende ◽  
Ricardo de Amorim Côrrea
Keyword(s):  
Muscle Strength ◽  
Severe Asthma ◽  
Respiratory Muscle ◽  
University Hospital ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Significant Difference ◽  
Oral Corticosteroids ◽  
Minute Walk

OBJECTIVE: To evaluate respiratory muscle strength and six-minute walk test (6MWT) variables in patients with uncontrolled severe asthma (UCSA). METHODS: This was a cross-sectional study involving UCSA patients followed at a university hospital. The patients underwent 6MWT, spirometry, and measurements of respiratory muscle strength, as well as completing the Asthma Control Test (ACT). The Mann-Whitney test was used in order to analyze 6MWT variables, whereas the Kruskal-Wallis test was used to determine whether there was an association between the use of oral corticosteroids and respiratory muscle strength. RESULTS: We included 25 patients. Mean FEV1 was 58.8 ± 21.8% of predicted, and mean ACT score was 14.0 ± 3.9 points. No significant difference was found between the median six-minute walk distance recorded for the UCSA patients and that predicted for healthy Brazilians (512 m and 534 m, respectively; p = 0.14). During the 6MWT, there was no significant drop in SpO2. Mean MIP and MEP were normal (72.9 ± 15.2% and 67.6 ± 22.2%, respectively). Comparing the patients treated with at least four courses of oral corticosteroids per year and those treated with three or fewer, we found no significant differences in MIP (p = 0.15) or MEP (p = 0.45). CONCLUSIONS: Our findings suggest that UCSA patients are similar to normal subjects in terms of 6MWT variables and respiratory muscle strength. The use of oral corticosteroids has no apparent impact on respiratory muscle strength.

scholarly journals Influence of heat and moisture exchanger use on measurements performed with manovacuometer and respirometer in healthy adults

2015 ◽  
Vol 11 ◽  
Author(s):  
Jeanette Janaina Jaber Lucato ◽  
Thiago Marraccini Nogueira da Cunha ◽  
Sara Solange Oliveira Costa Rocha ◽  
Fernanda Maria Palmieri de Carvalho ◽  
Daniele Cristina Botega ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Vital Capacity ◽  
Pulmonary Infection ◽  
Healthy Adults ◽  
Respiratory Muscle Strength ◽  
Maximal Inspiratory Pressure ◽  
Moisture Exchanger ◽  
Significant Difference ◽  
Heat And Moisture

Background: The use of evaluation tools such as the manovacuometer and respirometer is frequent and disinfection is usually limited to the external surfaces, which is insufficient and raises concerns because of the potential spread of infectious diseases. Hydrophobic heat and moisture exchangers (HME) are used in mechanical ventilation and have microbiological filters, which can possibly reduce contamination, increasing the safety of related procedures. It is unknown, however, if the addition of an exchanger affects the measurements obtained. Aim of this study was to verify if the use of an HME interferes in maximal inspiratory and expiratory pressures assessed using the manovacuometer and vital capacity evaluated using the respirometer in healthy adults. Methods: A controlled transversal trial was carried out. Twenty healthy young adults were included in the study. Vital capacity by respirometer and, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were assessed with and without the use of HME. Results: No significant difference was found between the values pre and post HME use in vital capacity measurements: (3878.8 ± 202.2 mL vs. 3925.5 ± 206.0 mL, p = 0.116) and the respiratory muscle strength measurements: MIP (−99.0 ± 8.9 vs −95.5 ± 9.0 cm H2O, p = 0.149) and MEP (92.5 ± 7.5 vs 92.5 ± 7.7 cm H2O, p = 1.0) respectively. Conclusion: We conclude that the use of HME does not modify the lung volumes or respiratory muscle strength, and can be used in order to reduce the occurrence of pulmonary infection.

scholarly journals Hippotherapy and respiratory muscle strength in children and adolescents with Down syndrome

2015 ◽  
Vol 28 (2) ◽  
pp. 373-381 ◽  
Author(s):  
Valéria Sovat de Freitas Costa ◽  
Hudday Mendes da Silva ◽  
Elioenai Dornelles Alves ◽  
Patrick Ramon Stafin Coquerel ◽  
André Ribeiro da Silva ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Statistical Analysis ◽  
Muscle Strength ◽  
Children And Adolescents ◽  
Respiratory Muscle ◽  
Rank Correlation ◽  
Respiratory Muscle Strength ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
Significant Difference

Introduction Individuals with Down syndrome may have decreased respiratory muscle strength due to hypotonia, a common characteristic in this population. Objective To analyze the effects of a hippotherapy program on respiratory muscle strength in individuals with Down syndrome. Materials and methods The study included 41 subjects, 20 of which were in the hippotherapy practicing group (PG) and 21 of which were in the non-practicing group (NPG). Study subjects were of both sexes, aged 7-13 years, and all diagnosed with Down syndrome. A manovacuometer was used to measure respiratory muscle strength, following the protocol proposed by Black and Hyatt (23). Statistical analysis was performed by means of descriptive distribution. After verifying normality and homoscedasticity of the variables, the Mann-Whitney test was used to determine differences between the means of the two groups (PG and NPG), and the Spearman’s rank correlation coefficient test was used to view possible relationships with age and time practicing hippotherapy. Significance was set at p < 0.05. Results and discussion Individuals who practiced hippotherapy showed improvements in both inspiratory and expiratory respiratory muscle strength, although no significant difference was demonstrated. Conclusion This study demonstrates that hippotherapy benefits respiratory muscle strength in individuals with Down syndrome, and that the youngest subjects had the best results.

scholarly journals RESPIRATORY MUSCLE TRAINING WITH THERABAND VERSUS INCENTIVE SPIROMETER AMONG INDIVIDUALS WITH BRONCHIAL ASTHMA

2020 ◽  
pp. 117-120
Author(s):  
K. REKHA ◽  
D. SAMUEL SUNDAR DOSS ◽  
MOHAMMED ABUBAKKER SIDDIUE
Keyword(s):  
Muscle Strength ◽  
Bronchial Asthma ◽  
Respiratory Muscle ◽  
Diaphragm Muscle ◽  
Respiratory Muscle Strength ◽  
Total Period ◽  
Muscle Testing ◽  
Post Test ◽  
Group A ◽  
Group B

Objective: To determine and compare the effects of Theraband exercises with Incentive Spirometer exercise in improving respiratory muscle strength among bronchial asthma. Methods: In this study, 30 Individuals with Bronchial asthma were taken and assessed for FEV1/FVC, Maximum voluntary ventilation (MVV) using a computerized spirometer, dyspnea level graded using MMRC scale and diaphragm muscle strength assessed using manual muscle testing (MMT) as pre-test then the individuals were randomly allocated in two groups: Group A and Group B. Group A (n=15) received Theraband exercise and Group B (n=15) were treated with incentive spirometer for a total period of 4 w following which the outcome measures were repeated for post-test. Results: Based on the obtained statistics, both the groups showed significant improvement within groups when comparing pre and post-test measures. On comparing the mean values of the post-test between the groups, theraband exercises showed clinically higher significant results than incentive spirometer exercises. Conclusion: From the result, it shall been concluded that both theraband exercises and incentive spirometer exercises shows improvement in MVV, FEV1/FVC, reduced dyspnea and increased respiratory muscle strength. Hence, theraband exercises are effective compared to the incentive spirometer.

scholarly journals Respiratory muscle strength no influence the need for noninvasive ventilation after heart surgery

2014 ◽  
Vol 21 (1) ◽  
pp. 60-66
Author(s):  
Christiane Riedi Daniel ◽  
Taissa Driessen ◽  
Andersom Ricardo Fréz ◽  
Cintia Teixeira Rossato Mora
Keyword(s):  
Muscle Strength ◽  
Noninvasive Ventilation ◽  
Respiratory Muscle ◽  
Heart Surgery ◽  
Respiratory Muscle Strength ◽  
Continuous Variables ◽  
Chi Square ◽  
Significant Difference ◽  
And Performance ◽  
Clinical Records

The aim of this study was to investigate the relation between preoperative respiratory muscle strength and indication and performance of noninvasive ventilation in the planned heart surgery. We conducted a retrospective study using data collected from clinical records and analyzed 109 medical records and noninvasive ventilation accompanying paper. We analyzed the values of respiratory muscle strength, peak flow and respirometry, as well as the postoperative respiratory complications, correlating them with indication and performance of the noninvasive ventilation. The t test was performed for continuous variables; the chi-square was used to investigate the influence of preoperative respiratory muscle strength values in the indication of noninvasive ventilation. Noninvasive ventilation was used in 32 (29%) subjects and the prime motive indication was hipercapy (44%). The successful use of noninvasive ventilation was observed in 94%. The decrease in preoperative strength, despite having a lower performance, showed no significant difference in relation to its use and outcome (p=0.73). The preoperative respiratory muscle strength was not able to provide for the use of noninvasive ventilation or its performance.

scholarly journals Effects of Physiotherapeutic Interventions on Quality of Life and Respiratory Function of subjects with COPD

2020 ◽  
pp. 1-7
Author(s):  
Danilo de Macêdo Moura ◽  
Suenny Marrocos de Lima Moura ◽  
Alessandra Feitosa Gonçalves ◽  
Maria Alessandra Sipriano da Silva ◽  
Georgia Freire Paiva Winkeler ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Vital Capacity ◽  
Wilcoxon Test ◽  
Respiratory Muscle Strength ◽  
Post Intervention ◽  
Copd Patients ◽  
Significant Difference ◽  
Student’S T

Background: Chronic Obstructive Pulmonary Disease (COPD) treatment includes a multidisciplinary approach, with physiotherapy a prominent role that promotes a positive impact on the quality of life (QOL) of these patients. Objective: To analyze the effects of physiotherapeutic interventions on QOL, lung volumes and capacities, and respiratory muscle strength in COPD patients. Methods: 17 subjects participated in the study, randomly divided into 2 groups: 1) Maneuvers: 62.7 ± 15.4 years, 1.65 ± 0.12 m, 81.4 ± 18.2 kg, body Mass Index (BMI) 29.9± 5.0 kg/m2 ; 2) Threshold: 64.4 ± 11.2 years, 1.58 ± 0.08 m, 70.7 ± 9.4 kg, BMI 28.6 ± 3.7 kg/m2 , with COPD, without neurological, musculoskeletal, cardiovascular or cognitive impairment, which made it impossible to participate in the physiotherapeutic intervention programs. QOL was analyzed using the Saint George Hospital questionnaire on Respiratory Disease (SGRQ); spirometry and respiratory muscle strength were analyzed by manovacuometry using a pneumotachograph. Data were analyzed in SPSS (20.0), Student’s t-test (paired) and Wilcoxon test were used for pre and post-intervention comparison of the SGRQ domains and total score, Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume (FEV1 ), Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP); and Student’s t-tests (independent) and Mann-Whitney were used in the intergroup comparison, all with a significance level of 5%. Results: There was a significant difference in both groups (P<0.05) in the pre- and post-intervention comparison of the three domains (Symptoms, Activities and Psychosocial Impact) and total SGRQ score, but this did not occur with spirometric variables. In the manovacuometry, the Wilcoxon test showed a significant difference in the pre and post-intervention values of MIP and MEP. Conclusion: Improved QOL and MIP and MEP muscle strength of all COPD patients was observed, regardless of the groups Maneuvers or Threshold.

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