year 11, Issue 4 (Winter 2023)                   Ann Appl Sport Sci 2023, 11(4): 0-0 | Back to browse issues page

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Kim M, Park S, Lee M. The Comparison of Changes in Pulmonary Function and Respiratory Muscle Strength in Young Adults According to the Abdominal Breathing Exercise Methods. Ann Appl Sport Sci 2023; 11 (4)
1- Department of Physical Therapy, Graduate School, Daejeon University, Republic of Korea
2- Department of Physical Therapy, Daejeon University, Republic of Korea
3- Department of Physical Therapy, Daejeon University, Republic of Korea ,
Abstract:   (1184 Views)
Background. The recent pandemic caused by COVID-19 is showing high awareness and social interest in respiratory diseases. The unexpected decline in pulmonary function significantly affects the deterioration of functional activities of daily living and quality of life.
Objectives. The purpose of this study was to compare changes in pulmonary function and respiratory muscle according to diaphragm breathing exercise methods.
Methods. The study consists of 33 healthy young adults in a cross-sectional design used. All three breathing methods were performed at intervals of at least 2 days. The order of intervention was randomly assigned (crocodile breathing, DNS breathing, abdominal breathing using an inspirometer). Pulmonary function (Forced Vital Capacity, Forced Expiratory Volume in one second, Forced Expiratory Volume at 1sec/ Forced Vital Capacity, Peak Expiratory Flow, Maximal Voluntary Ventilation) and respiratory muscle strength (MIP, MEP) were evaluated, using Micro Quark (Cosmed) and Micro RPM (Carefusion).
Results. In the result of the pulmonary function test, there was no difference in FVC, FEV1, and FEV1% among the three respiratory exercises (p<0.05). However, in PEF and MVV, there were significant differences. In the result of the respiratory muscle strength test (MIP, MEP) with Mircro RPM, there were significant differences between the Incentive spirometer group and the crocodile group (p<0.05).
Conclusion. Crocodile breathing can improve pulmonary function and respiratory muscle strength better than the group using Spirometers. Therefore, crocodile breathing helps strengthen the respiratory muscles of normal adults and improves pulmonary function.
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• This study finds that they compare changes in pulmonary function and respiratory muscle, according to diaphragm breathing exercise methods.
• It was concluded that the crocodile breathing method was more effective than the incentive spirometer and DNS breathing method for improving pulmonary function and respiratory muscle strength.

Type of Study: Original Article | Subject: Exercise, Training and Health
Received: 2023/03/2 | Accepted: 2023/05/4

1. 1. Lee PS. Theoretical Bases and Technical Application of Breathing Therapy in Stress Management. jkan. 2017;29(6):1304-13. [DOI:10.4040/jkan.1999.29.6.1304]
2. Jones M, Harvey A, Marston L, O'Connell NE. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults. Cochrane Database Syst Rev. 2013(5):Cd009041. [DOI:10.1002/14651858.CD009041.pub2]
3. Kisner C, Colby L, Borstad J. Therapeutic exercise: foundations and techniques: Fa Davis; 2017.
4. Yong MS, Lee HY, Lee YS. Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults. J Phys Ther Sci. 2017;29(1):85-7. [DOI:10.1589/jpts.29.85] [PMID] [PMCID]
5. Park SH, Lee MM. Effects of progressive neuromuscular stabilization exercise on the support surface on patients with high obesity with lumbar instability: A double-blinded randomized controlled trial. Medicine (Baltimore). 2021;100(4):e23285. [DOI:10.1097/MD.0000000000023285] [PMID] [PMCID]
6. Park SJ, Kim YM, Yang SR. Effects of lumbar segmental stabilization exercise and respiratory exercise on the vital capacity in patients with chronic back pain. J Back Musculoskelet Rehabil. 2020;33(5):841-8. [DOI:10.3233/BMR-181202] [PMID]
7. Jeong D-G, Yoon J-H, Park S-H. The Effect of Whole-Body Vibration on Pulmonary Function and Cerebral Cortical Activity in Patients with Chronic Obstructive Pulmonary Disease. Ann-Appl-Sport-Sci. 2023;11(1):0-. [DOI:10.52547/aassjournal.1122]
8. Sekine Y, Chiyo M, Iwata T, Yasufuku K, Furukawa S, Amada Y, et al. Perioperative rehabilitation and physiotherapy for lung cancer patients with chronic obstructive pulmonary disease. Jpn J Thorac Cardiovasc Surg. 2005;53(5):237-43. [DOI:10.1007/s11748-005-0032-8] [PMID]
9. Basoglu OK, Atasever A, Bacakoglu F. The efficacy of incentive spirometry in patients with COPD. Respirology. 2005;10(3):349-53. [DOI:10.1111/j.1440-1843.2005.00716.x] [PMID]
10. Lee J-H, Kwon Y-J, Kim K. The effect of chest expansion and pulmonary function of stroke patients after breathing exercise. The Journal of Korean Physical Therapy. 2009;21(3):25-32.
11. Tan HL, Kheirandish-Gozal L, Abel F, Gozal D. Craniofacial syndromes and sleep-related breathing disorders. Sleep Med Rev. 2016;27:74-88. [DOI:10.1016/j.smrv.2015.05.010] [PMID] [PMCID]
12. Park S-H, Oh Y-J, Jung S-H, Lee M-M. The Effects of Lumbar Stabilization Exercise Program Using Respiratory Resistance on Pain, Dysfunction, Psychosocial Factor, Respiratory Pressure in Female Patients in '40s with Low Back Pain: Randomized Controlled Trial. Ann-Appl-Sport-Sci. 2021;9(3):0-. [DOI:10.52547/aassjournal.937]
13. Oh YJ, Park SH, Lee MM. Comparison of Effects of Abdominal Draw-In Lumbar Stabilization Exercises with and without Respiratory Resistance on Women with Low Back Pain: A Randomized Controlled Trial. Med Sci Monit. 2020;26:e921295. [DOI:10.12659/MSM.921295] [PMID] [PMCID]
14. Westwood K, Griffin M, Roberts K, Williams M, Yoong K, Digger T. Incentive spirometry decreases respiratory complications following major abdominal surgery. Surgeon. 2007;5(6):339-42. [DOI:10.1016/S1479-666X(07)80086-2] [PMID]
15. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8(1):62-73.
16. Mohammad Rahimi N, Mahdavinezhad R, Attarzadeh Hosseini SR, Negahban H. Effect of Dynamic Neuromuscular Stabilization Breathing Exercises on Some Spirometry Indices of Sedentary Students With Poor Posture. USWR. 2019;9(3):169-76. [DOI:10.32598/ptj.9.3.169]
17. Yong-Ho C, lt, sup, gt, †, lt, et al. The Effects of the Crocodile Breathing Exercise on the Muscle Activity of the Erector Spinae Muscle in Patients with Low Back Pain. PNF & Mov. 2019;17(2):321-7.
18. Stephens RJ, Haas M, Moore WL, 3rd, Emmil JR, Sipress JA, Williams A. Effects of Diaphragmatic Breathing Patterns on Balance: A Preliminary Clinical Trial. J Manipulative Physiol Ther. 2017;40(3):169-75. [DOI:10.1016/j.jmpt.2017.01.005] [PMID]
19. Eltorai AEM, Szabo AL, Antoci V, Jr., Ventetuolo CE, Elias JA, Daniels AH, et al. Clinical Effectiveness of Incentive Spirometry for the Prevention of Postoperative Pulmonary Complications. Respir Care. 2018;63(3):347-52. [DOI:10.4187/respcare.05679] [PMID]
20. Sum SK, Peng YC, Yin SY, Huang PF, Wang YC, Chen TP, et al. Using an incentive spirometer reduces pulmonary complications in patients with traumatic rib fractures: a randomized controlled trial. Trials. 2019;20(1):797. [DOI:10.1186/s13063-019-3943-x] [PMID] [PMCID]
21. Ha T-W, Lee M-M. Effects of different Diaphragm Breathing Methods on the Diaphragm Thickening Ratio and Pulmonary Function in Young Adults. Journal of the Korean Society of Physical Medicine. 2019;14(1):25-33. [DOI:10.13066/kspm.2019.14.1.25]
22. Park SH, Lee MM. Effects of a Progressive Stabilization Exercise Program Using Respiratory Resistance for Patients with Lumbar Instability: A Randomized Controlled Trial. Med Sci Monit. 2019;25:1740-8. [DOI:10.12659/MSM.913036] [PMID] [PMCID]

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