The Effect of Pursed - Lip Breathing Exercise Vs Diaphragmatic Breathing in Stabilizing the Vitals after 6-MWT among Overweight Individuals

Author(s):  
Dr. Jaya Chandra

When you exercise and your muscles work harder, your body uses more oxygen and produces more carbon dioxide. To cope with this extra demand, your breathing has to increase from about 15 times a minute (12 litres of air) when you are resting, up to about 40–60 times a minute (100 litres of air) during exercise. Your circulation also speeds up to take the oxygen to the muscles so that they can keep moving. Any kind of exertion causes some change in vitals. Some amount of fluctuation in vitals after any kind of exertion occurs in every individual and is considered to be normal. But if there is extreme fluctuation in vitals even after mild or moderate form of exertion, it indicates some kind of abnormality or an increased stress on cardiovascular or respiratory system and needs attention.In any case if the vitals fluctuate during any kind of exertion it needs to be stabilized so that its harmful effects can be avoided. For these breathing exercises have been proven to be very beneficial. There are several types of breathing exercises such as deep breathing, diaphragmatic breathing, pursed lip breathing, etc. The need for the study is to compare the effectiveness of Pursed-Lip Breathing & Diaphragmatic Breathing exercise instabilizing the vitals after 6 MWT in young individuals. The objective of this study is to measure the exertion level of the individual, to assess the effect of pursed lip and diaphragmatic breathing exercises on vitals after exertion and also the comparison of both techniques. In the present study we took 60 subjects from saaii college, Kanpur. Method of data collection is random and study design is comparative study with study duration of 4 weeks. Subjects were divided into two equal groups. The paired samples t-test shows significant changes observed i.e., null hypothesis is rejected and alternate hypothesis is accepted and we observed that significant improvement along with effectiveness of pursed lip breathing on stabilizing vitals in overweight individuals.

2020 ◽  
Vol 2 (1) ◽  
pp. 35-39
Author(s):  
Iman Zahra ◽  
Maria Liaqat ◽  
Ummara Qadeer

Objective: To determine the effect of deep breathing exercises on lung volumes and capacities among smokers. Methodology: The participants were divided into a control group and an experimental group. The control group was not given any treatment, while the experimental group performed deep breathing exercise techniques. The experimental group performed exercises for six weeks. After six weeks lung function tests were performed to evaluate the effects. Data were compared at baseline and after the intervention. To check within the group's changes paired sample t-test was used. To check between groups changes independent sample t-test was used for normally distributed data. Results: In the experimental group, significant changes (p ≤ 0.05) were observed after the intervention. While comparing groups, significant differences (p ≤ 0.05) were observed in some variables between experimental and control groups.Conclusion: It was concluded that deep breathing exercises are useful among smokers. As deep breathing helps in improving lung volumes and capacities.


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.


Author(s):  
Gitima Kalita ◽  
Nabajani Dutta

Background: Respiratory diseases are typical issue of the airway that hampers the normal airflow and leads to airway inflammation. The impacts of breathing exercises on respiratory diseases have been concentrated to discover its role on improvement of respiratory status. Objective: To estimate breathing exercises on improvement in respiratory status among patients with respiratory diseases. Material and method: A pre experimental, one group pre-test post-test design was adopted on 50 samples with respiratory diseases selected by convenient sampling technique from Medicine (male and female), Pulmonary Medicine, CTVS ward of Guwahati Medical College and Hospital, Assam. Data collected through structured interview schedule for demographic and clinical variables and “modified respiratory status scale” for assessing respiratory status. The group received intervention for 3 minutes one time daily for 7 days. Post-test was done on 7th day. In this study, deep breathing exercise and pursed lip breathing exercise were used. Data were analyzed by using the software package SPSS 2.0 version. Results: the pre-test respiratory status mean was 7.6 and post-test respiratory status mean was 4.98 mean difference was 2.62. The difference in mean scores shows a significant improvement of Respiratory status among patients with Respiratory Diseases. The t’ value of the breathing capacity by using modified respiratory status scale (13.55) was much higher than the ‘p’ value at 0. 05 level of significance. So, Breathing Exercises (Deep Breathing Exercise and Pursed Lip Breathing Exercise) was effective which improve the respiratory status among Respiratory Disease patients. Respiratory status is associated with Gender, History of previous hospitalization and no association with clinical variables. Conclusion: The study concluded that breathing exercises is effective in improvement of respiratory status among patients with respiratory diseases.


2018 ◽  
Vol 1 (1) ◽  
pp. 36-46
Author(s):  
Sabirin Berampu ◽  
Indra Alamsyah

Coronary artery bypass graft (CABG) is a procedure to remove the blood vessels from internal mammary artery, radial artery or vein saphenus and to the surface of the heart to create a bypass in coronary artery narrowing. Data taken from the patients with heart disease from medical department of rehabilitation H.Adam Malik Medan who undergoing coronary bypass graft surgery. From 73 patients with post-cardiac surgery who were referred to the Medical Rehabilitation, 49 people were post-CABG (in 2010), and 57 people in 2011. General anesthesia, diaphragmatic dysfunction, abdominal distension, changes in chest wall, surgical wound, pleural effusion, pain and dysfunction of the respiratory muscles, may lead to reduction in lung vital capasity of up to 55% post operative. Intervention were incentive spirometry and breathing exercise. The purposes of this study is knowing whether the intervention incentive spirometry and breathing exercise can more minimize the decline in lung capasity than breathing exercise intervention only on post-CABG in phase I. Experimental research with non-probability sampling two group pre test and post test design . Subjects of group I (n = 9) receive incentive spirometry (IS) and deep breathing exercises (DBE), while group II (n=9) receive only a deep breathing exercise. Data analysis with paired samples t-test suggested the mean value of vital capasity (VC) from group I (IS and DBE) was 73.78% (pre op) after 6 days postoperatively decreased to 59.56, average decline in 14.22, P = 0.002. While the VC on group II (DBE) was 74.11 after 6 days postoperatively decreased to 55.78. Average reduction was 18, 33, p value = 0.0001. There was no significantly differences between group I and group II from statistical analysis Independent t-test, with p-value = 0.512 (p>0.05). Conclusions of this study: There was a significant effect of incentives spirometry and deep breathing exercises in preventing the decrease of lung vital capasity in post-CABG patients, There was a significant influence provision of deep breathing exercises in preventing the decrease of lung vital capasity, There were no significant differences between treatment combinations of incentive spirometry and deep breathing exercises with deep breathing exercises only in preventing the decrease of lung vital capasity in post-CABG, with a p-value = 0.512


2018 ◽  
Vol 2 (1) ◽  
pp. 371-384
Author(s):  
Juli Andri ◽  
Agung Waluyo ◽  
Wati Jumaiyah ◽  
Dhea Nastashia

This study aims to determine the effectiveness of Isometric Handgrip Exercise and Slow Respiratory Respiratory Exercise. Quasi Experimental Research design with research design Two Group Pretest Postest Design on 32 respondents. The results showed that there was systolic and diastolic after Handgrip Isometric Exercise intervention (t = 8,279, p = 0,000), (t = 6,154, p = 0,000), and the importance was done after Slow Deep Slow Deep Respiratory Exercise (t = 3,632 , p = 0.002), (t = 4.226, p = 0.001). Thus, it can be concluded that good or slow isometric exercise exercises in breathing exercises can reduce blood pressure. The results of the study were handgrip isometric training and slow slow breathing exercises as nursing interventions that can be carried out independently in providing nursing care for patients with hypertension. Keywords: Hypertension, Isometric Handgrip Exercise, Slow Deep Breathing Exercise,   Blood Pressure.


2020 ◽  
Vol 45 (3) ◽  
pp. 153-163 ◽  
Author(s):  
Johannes Blum ◽  
Christoph Rockstroh ◽  
Anja S. Göritz

Abstract Breathing exercises with biofeedback have benefits over breathing exercises without biofeedback. However, the traditional measurement of respiratory signals that is required as part of feeding back the breath incurs high cost and effort. We propose a novel virtual reality (VR) based approach to respiratory biofeedback that utilizes the positionally tracked hand controllers integrated into modern VR systems to capture and feedback the respiration-induced abdominal movements. In a randomized controlled laboratory study, we investigated the feasibility and efficacy of the developed biofeedback algorithm. In total, 72 participants performed a short breathing exercise in VR with or without respiratory biofeedback. The feedback integration resulted in a satisfactory user experience, a heightened breath awareness, a greater focus on slow diaphragmatic breathing and an increased respiratory sinus arrhythmia. This evidences that the novel biofeedback approach is low-cost, unobtrusive, usable and effective in increasing breath awareness and promoting slow diaphragmatic breathing in the context of VR-based breathing exercises. Future studies need to investigate the broader applicability and long-term effects.


2018 ◽  
Vol 9 (2) ◽  
pp. 272
Author(s):  
Aprina Aprina ◽  
Rovida Hartika ◽  
Sunarsih Sunarsih

<p>The World Health Organization (WHO) sets the standard for the birth of a sexually assault operation in a country to be around 5-15 percent per 1000 births worldwide. Based on Basic Health Research (2013) the level of childbirth sectio caesarea in Indonesia has exceeded the maximum limit of 5-15% WHO standard. The rate of cesarean delivery in Indonesia 15.3% of the 20,591 mothers who gave birth within the last 5 years surveyed from 33 provinces. This cesarean delivery may allow for higher complications than normal delivery. The usual complication is a pain. One of the handling interventions of pain with minimal side effects is nonpharmacological management, such as slow-breathing exercises and lavender aromatherapy. This study aims to determine differences in the intensity of pain in postoperative patients sectio caesarea undertaken slow deep breathing exercise with aromatherapy lavender in RSUD Dr. H. Abdul Moeloek Lampung Province in 2018. This type of research uses a quantitative method using quasi-experimental design with Non-Equivalent Control Group design approach. A technique of sampling using purposive sampling technique as much as 60 respondents, 30 respondents group slow deep breathing and 30 respondents aromatherapy group lavender. The study period began on May 18, 2018, to June 30, 2018, in the Pomegranate Room RSUD Dr. H. Abdul Moeloek Lampung Province. Statistical test using t independent Mann Widney. The results showed that there was a difference of slow deep breathing exercise with lavender aromatherapy on the intensity of pain in patients in post sectio caesarea patients in the Pomegranate Room RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018 (p-value=0.000). Researchers suggest that patients can use lavender aromatherapy to reduce the level of pain postoperative sectio caesarea.</p>


2020 ◽  
Vol 2 (2) ◽  
pp. 10
Author(s):  
Warsono Warsono

The prevalence of diabetes mellitus patients increases in Semarang province every year. Whereas, it reached 120 numbers of patients in Kedungmundu public health center by 2020. One of the psychological problems encountered by patients with diabetes is a high risk of stress levels.  The condition of stress, anxiety, and fear influence the production of adrenaline hormones which aggravate the capability of patients to perform daily living activities. Slow deep breathing exercise is a nonpharmacologic method to reduce stress levels on diabetes mellitus patients.  This study aimed to investigate the effect of slow deep breathing exercises on decreasing stress levels for patients with diabetes mellitus. This study used a quasi-experiment pretest-posttest with a control group design was conducted at Kedungmundu public health center, Semarang. All of 32 samples were recruited in this study. Wilcoxon test analysis calculated a value of p=0.000 < ɑ 0,005. The statistical analysis found significantly different results between the pretest and posttest in the experimental group. Slow deep breathing exercise is effective to decrease the stress levels for patients with diabetes mellitus. Slow deep breathing exercise is strongly suggested for patients with diabetes mellitus as self-intervention to reduce stress levels.


1997 ◽  
Vol 7 (1) ◽  
pp. 35-42
Author(s):  
Kevin Hoffman ◽  
John Clarke

Yogic breathing exercises form a spectrum from simple, diaphragmatic breathing to complex exercises involving breath retention and visualization. Many of the advanced exercises are potentially harmful if not taught and practiced systematically.


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