scholarly journals Effect of respiratory muscle training with wind instrument among obese individuals

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 287-293
Author(s):  
K. Rekha ◽  
J. Vanitha ◽  
Aishwarya Kiran

Introduction and Aim:One of the most utilized parts of the body when playing a wind instrument is diaphragm. It assists to blow air in and out of your lungs and into the instrument to create sound. Using controlled and measured breaths, the breathing and lung capacity could get improve. Even, music therapy, such as playing wind instrument has been used as a technique for managing and fastening recovery on a physical and emotional level.Therefore, aim of this study was to determine the effects of respiratory muscle training with wind instrument among obese individuals. The objective was to find out the effects of respiratory muscle training with wind instrument in improving maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and reducing dyspnoea among obese individuals.   Materials and Methods: Study included 40 individuals with obesity aged 18-30years. Participants were equally divided into 2 groups- A and B. Group A treated with wind instrument (flute) and group B treated with incentive spirometer, both the groups were treated for 5 days a week for 5 weeks in which 1 session per day for 40 minutes with 5 minutes of warm up, 10 minutes of breathing training, 20 minutes of intervention training program and 5 minutes of cool down. Both the groups were tested for maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity using spirometry and dyspnea was graded with modified borg scale as a pre-test and post-test.   Results: The comparison of pre and post-test values of maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and modified borg scale showed a statistically significant difference with p-value <0.0001. While comparing the post-test values of maximum voluntary ventilation, forced expiratory volume in 1 second, forced vital capacity and modified borg scale between group A and group B, group A showed higher result with statistical significant difference of p-value <0.0001.   Conclusion: Playing a wind instrument was found to be more effective than respiratory training using an incentive spirometer.

2007 ◽  
Vol 22 (2) ◽  
pp. 98-104 ◽  
Author(s):  
Carrie Chueiri Ramos Galvan ◽  
Antônio José Maria Cataneo

PURPOSE: To evaluate the effect of utilization of a specific training program of respiratory muscles on pulmonary function in tobacco smokers. METHODS: Fifty asymptomatic tobacco smokers with age superior to 30 years were studied, at the moments: A0 - initial evaluation followed by protocol of respiratory exercises; A1 - reevaluation after 10 minutes of protocol application; and A2 - final reevaluation after 2 weeks of training utilizing the same protocol 3 times per week. The evaluation was realized through measures of maximum respiratory pressures (PImax and PEmax), respiratory peak flow (IPF and EPF), maximum voluntary ventilation (MVV), forced vital capacity (FVC) and forced expiratory volume at the 1st second (FEV1). RESULTS: There was no improvement from initial to final evaluation in FVC and FEV1. But there were significant increases in the variables IPF, EPF, MVV and PImax at evaluations A1 and A2. The PEmax variable increased only at evaluation A2. CONCLUSION: The application of the protocol of respiratory exercises with and without additional load in tobacco smokers produced immediate improvement in the performance of respiratory muscles, but this gain was more accentuated after 2 weeks of exercise.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Ji Cheol Shin ◽  
Eun Young Han ◽  
Kye Hee Cho ◽  
Sang Hee Im

AbstractCervical and upper thoracic spinal cord injury causes impairments in respiratory muscle performance, leading to variable degrees of pulmonary dysfunction and rendering deep breathing difficult for affected individuals. In this retrospective study, we investigated the effects of self-directed respiratory muscle training in this context by assessing pulmonary function relative to spinal cord injury characteristics. A total of 104 spinal cord injury patients (tetraplegia/paraplegia; 65/39, acute/subacute/chronic; 14/42/48) were admitted for short-term (4–8 weeks) in-patient clinical rehabilitation. Initial evaluation revealed a compromised pulmonary function with a percentage of predicted value of 62.0 and 57.5 in forced vital capacity in supine and forced vital capacity in sitting positions, respectively. Tetraplegic patients had more compromised pulmonary function compared with paraplegic patients. At follow-up evaluation, the percentage of predicted value of forced vital capacity in supine and sitting position improved overall on average by 11.7% and 12.7%, respectively. The peak cough flow improved by 22.7%. All assessed pulmonary function parameters improved significantly in all subgroups, with the greatest improvements found in patients with tetraplegia and subacute spinal cord injury. Therefore, short-term self-directed respiratory muscle training should be incorporated into all spinal cord injury rehabilitation regimens, especially for patients with tetraplegia and subacute spinal cord injury, as well as those with chronic spinal cord injury.


2019 ◽  
Vol 43 (4) ◽  
pp. 434-439 ◽  
Author(s):  
Gozde Yagci ◽  
Gokhan Demirkiran ◽  
Yavuz Yakut

Background:Despite the common use of braces to prevent curve progression in idiopathic scoliosis, their functional effects on respiratory mechanics have not been widely studied.Objective:The objective was to determine the effects of bracing on pulmonary function in idiopathic scoliosis.Methods:A total of 27 adolescents with a mean age of 14.5 ± 1.5 years and idiopathic scoliosis were included in the study. Pulmonary function evaluation included vital capacity, forced expiratory volume, forced vital capacity, maximum ventilator volume, peak expiratory flow, and respiratory muscle strengths, measured with a spirometer, and patient-reported degree of dyspnea. The tests were performed once prior to bracing and at 1 month after bracing (while the patients wore the brace).Results:Compared with the unbraced condition, vital capacity, forced expiratory volume, forced vital capacity, maximum ventilator volume, and peak expiratory flow values decreased and dyspnea increased in the braced condition. Respiratory muscle strength was under the norm in both unbraced and braced conditions, while no significant difference was found for these parameters between the two conditions.Conclusion:The spinal brace for idiopathic scoliosis tended to reduce pulmonary functions and increase dyspnea symptoms (when wearing a brace) in this study. Special attention should be paid in-brace effects on pulmonary functions in idiopathic scoliosis.Clinical relevanceBracing seems to mimic restrictive pulmonary disease, although there is no actual disease when the brace is removed. This study suggests that bracing may result in a deterioration of pulmonary function when adolescents with idiopathic scoliosis are wearing a brace.


Author(s):  
Paltiel Weiner ◽  
Ditza Gross ◽  
Zeev Meiner ◽  
Rushrash Ganem ◽  
Margalit Weiner ◽  
...  

ABSTRACT:Background:Myasthenia gravis (MG) is a specific autoimmune disease characterized by weakness and fatigue. MG may affect also the respiratory muscles causing symptoms that may vary from dyspnea on severe exertion to dyspnea at rest. This study was undertaken in order to determine the effects of respiratory muscle training on respiratory muscle performance, spirometry data and the grade of dyspnea in patients with moderate to severe generalized MG.Methods:Eighteen patients with MG were studied and divided into 2 groups: Group A included 10 patients (3 males and 7 females aged 29-68) with moderate MG, and Group B that included 8 patients (5 males and 3 females aged 21-74) with severe MG. Patients in Group A received both inspiratory and expiratory muscle training for 1/2 h/day, 6 times a week, for 3 months, while patients in Group B followed the same protocol but had inspiratory muscle training only.Results:Mean PImax increased significantly from 56.6 ± 3.9 to 87.0 ± 5.8 cm H20 (p < 0.001) in Group A, and from 28.9 ± 5.9 to 45.5 ± 6.7 cm H20 (p < 0.005) in Group B. The mean PEmax also increased significantly in patients in Group A, but remained unchanged in the patients in Group B. The respiratory muscle endurance also increased significantly, from 47.9 ± 4.0 to 72.0 ± 4.2%, p < 0.001, in patients of Group A, and from 26.0 ± 2.9 to 43.4 ± 3.8, p < 0.001, in patients in Group B. The improved respiratory muscle performance was associated with a significant increase in the FEV, values, and in the FVC values, in patients of both groups. Mean dyspnea index score also increased significantly from 2.6 ± 0.8 to 3.6 ± 0.4 (p < 0.005) in Group A, and from 0.7 ± 0.2 to 2.0 ± 0.2 (p < 0.001) in Group B.Conclusions:Specific inspiratory threshold loading training alone, or combined with specific expiratory training, markedly improved respiratory muscle strength and endurance in patients with MG. This improvement in respiratory muscle performance was associated with improved lung function and decreased dyspnea. Respiratory muscle training may prove useful as a complementary therapy with the aim of reducing dyspnea symptoms, delay the breathing crisis and the need for mechanical ventilation in patients with MG.


2021 ◽  
Vol 9 (Spl-1- GCSGD_2020) ◽  
pp. S125-S132
Author(s):  
Sivaguru Muthusamy ◽  
◽  
Ambusam Subramaniam ◽  
K. Balasubramanian ◽  
◽  
...  

Previous researches have been conducted to determine the types of training to improve swimming performance. Nevertheless, no study has been done on the individualized training approach among swimmers. Hence, this study aimed (i) to examine the effects of respiratory muscle training on swimming performance (ii) to examine the effects of combined respiratory muscle training with individualized training on swimming performance, and (iii) to compare the differences between the isolated respiratory muscle training, combined intervention of respiratory muscle training with individualized training and usual training on swimming performance. For this, 45 collegiate swimmers with no previous injuries and swims regularly for at least 1 hour per week participated in the study. Participants were randomly assigned into three groups; Group A: Respiratory muscle training and Individualized Training, Group B: Respiratory muscle training alone, and Group C: Usual training session. The difference within the groups after four weeks of the intervention was analyzed using Paired T-test, while the differences between intervention groups were analyzed using repeated measure two-way ANOVA. Both the intervention groups (Group A and B) showed significant improvement after four weeks of intervention, whereas in group comparison, Group A showed tremendous improvement in swimming performance (F (17,238) = 8.385, p<0.05, np2 = 0.375). Thus, the current study has proven that the combination of respiratory muscle training with individualized training could further enhance the swimming performance in terms of heart rate, Vo2 max, stroke volume, perceived exertion, and SWOLF score. Future studies on athletic swimmers with a larger sample size are recommended to further examine the individualized training approach.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Xiaojun Wang ◽  
Na Zhang ◽  
Yubin Xu

Objective. To investigate the pulmonary function responses to respiratory muscle training (RMT) in individuals with tetraplegia and provide a systematic review of the included studies. Methods. Computerized retrieval of randomized controlled trials (RCT) in PubMed, Embase, and the Cochrane Library on the improvement of respiratory function in patients with spinal cord injury by RMT was conducted until May 2019. Two researchers independently screened the literature, extracted the data, and evaluated the risk of bias in the included studies. Articles were scored for their methodological quality using the Cochrane Collaboration risk of bias assessment tool. Results. Sixteen studies were identified. A significant benefit of RMT was revealed for five outcomes: force vital capacity (FVC, WMD: -0.43, 95% CI -0.84 to -0.03, P=0.037), vital capacity (VC, WMD: -0.40, 95% CI -0.69 to -0.12, P=0.006), maximal voluntary ventilation (MVV, WMD: -5.89, 95% CI -10.63 to -1.14, P=0.015), maximum static inspiratory pressure (MIP, WMD: -13.14, 95% CI -18.01 to -8.27, P<0.001), and maximum static expiratory pressure (MEP, WMD: -13.08, 95% CI -23.78 to -2.37, P=0.017). No effect was found for forced expiratory volume in 1 s (FEV1). Conclusion. Our findings demonstrate that RMT can effectively improve spinal cord injury pulmonary function of the patient, which is marked by increasing respiratory strength, function, and endurance. Limited by the quantity and quality of the included studies, the above conclusion needs to be verified by more high-quality studies.


2019 ◽  
Vol 7 (2) ◽  
pp. 103
Author(s):  
Murat Koç ◽  
Nazmi Saritaş

This study was conducted to investigate the effect of respiratory muscle training on respiratory functions and aerobic and anaerobic strength in adolescent taekwondo athletes. Between the ages of 12–17, 32 taekwondo athletes participated in the study. Participating athletes were randomly divided into two groups as ‘’experimental group’’ (n=15) and ‘’control group’’ (n=17) as to similar characteristics. The experimental group was given respiratory muscle training for 30 min with an adjustable respiratory pressure device for 3 days a week through 8 weeks period. No exercise was given to the control group with the device. A 20 meter shuttle run test was performed for aerobic capacity and a vertical jump test was performed for anaerobic strength. The inspiratory pressure was measured. After the respiratory muscle training, statistically significant difference was found in the maximum oxygen consumption capacities (MaxVO2) and anaerobic strength values (p<0.05). In the measurements of respiratory function, forced vital capacity (FVC), slow vital capacity (SVC) and maximal voluntary ventilation (MVV), significant difference was found in favor of the experimental group (p<0.05). In the measurements of inspiration pressure, the results of pressure, strength, flow, volume and energy values were significantly different in favor of the experimental group (p<0.05). Respiratory muscle training increased the aerobic and anaerobic strength capacity of the experimental group in comparison with the control group. Some of the exercises that were used in the treatment of COPD are thought to facilitate the athletes’ respiration control.


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