@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(1):37-43
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(1):37-43
Effect of Two Types of Respiratory Muscles Exercises on Physical and Pulmonary Function of Patients with Asthma
ARTICLE INFO
Article Type
Original ResearchAuthors
Ghodrati N. (1 )Hosseini Kakhk S.A.R. (* )
Hamedinia M.R (3)
(* ) Exercise Physiology Department, Physical Education & Sports Sciences Faculty, Hakim Sabzevari University, Sabzevar, Iran
(1 ) Exercise Physiology Department, Physical Education & Sports Sciences Faculty, Hakim Sabzevari University, Sabzevar, Iran
(3) Exercise Physiology Department, Physical Education & Sports Sciences Faculty, Hakim Sabzevari University, Sabzevar, Iran
Correspondence
Address: Physical Education & Sports Sciences Faculty, Hakim Sabzevari University, Tohidshahr, Sabzevar, Iran. Postal Code: 9617976487Phone: +985144012620
Fax: +985144012611
hosseini18@yahoo.com
Article History
Received: November 22, 2014Accepted: March 9, 2015
ePublished: April 16, 2015
ABSTRACT
Aims
The aim of the present study was to examine the effects of two exercise
programs (respiratory muscles resistance and specific respiratory muscle) on
physical and respiratory function in patient with asthma.
Materials & Methods In this semi-experimental study that was done in 2013- 14, 23 asthmatic women who had the history of hospitalization in Vasei Hospital of Sabzevar City, Iran during 2006 to 2013 were selected by random sampling method and were divided randomly to three groups; respiratory muscles resistance exercise (weight training movement including lift, fly, bench press, lat pull down, crunch and rowing), specific respiratory muscle exercise (inhale against the resistance by using a especial device) and control. The trainings were performed for 8 weeks. All samples were examined for spirometry, strength, muscular resistance, and the maximum respiratory muscle strength before and after the exercise program. Statistical analysis was done in SPSS 18 software by ANOVA and Scheffe post hoc tests.
Findings Respiratory indexes FEV1 (p=0.038) and FVC (p=0.016) and also general strength (p=0.0001) and the respiratory muscles strength (p=0.001), were significantly increased in respiratory muscles resistance exercise group.
Conclusion Performing respiratory muscles resistance exercises can improve pulmonary function and strength and endurance of patients with asthma but it does not seem that using the training respiratory muscle device have any impress on improving this index.
Materials & Methods In this semi-experimental study that was done in 2013- 14, 23 asthmatic women who had the history of hospitalization in Vasei Hospital of Sabzevar City, Iran during 2006 to 2013 were selected by random sampling method and were divided randomly to three groups; respiratory muscles resistance exercise (weight training movement including lift, fly, bench press, lat pull down, crunch and rowing), specific respiratory muscle exercise (inhale against the resistance by using a especial device) and control. The trainings were performed for 8 weeks. All samples were examined for spirometry, strength, muscular resistance, and the maximum respiratory muscle strength before and after the exercise program. Statistical analysis was done in SPSS 18 software by ANOVA and Scheffe post hoc tests.
Findings Respiratory indexes FEV1 (p=0.038) and FVC (p=0.016) and also general strength (p=0.0001) and the respiratory muscles strength (p=0.001), were significantly increased in respiratory muscles resistance exercise group.
Conclusion Performing respiratory muscles resistance exercises can improve pulmonary function and strength and endurance of patients with asthma but it does not seem that using the training respiratory muscle device have any impress on improving this index.
CITATION LINKS
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[2]Bradley J, Moran F. Pulmonary rehabilitation improves exercise tolerance in patient with bronchiectasis. Aust J Physiother. 2006;52(1):65.
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[4]Dijkstra A, Vonk JM, Jongepier H, Koppelman GH, Schouten JP, Ten Hacken NHT. Lung function decline in asthma: Association with inhaled corticosteroids, smoking and sex. Torax. 2006;61(2):105–10.
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[7]Ahmet A, Kim H, Spier S. Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy. Allergy Asthma Clin Immunol. 2011;7(13): 1-12.
[8]O'Byrne PM, Pedersen S, Lamm CJ, Tan WC, Busse WW. Severe exacerbations and decline in lung function in asthma. Am J Respir Crit Care Med. 2009;179(1):19-24.
[9]Barandun J. Value and costs of pulmonary rehabilitation. Praxis. 1997; 86(50): 1979-83.
[10]Charususin N, Gosselink R, Decramer M, McConnell A, Saey D, Maltais F, et al. Inspiratory muscle training protocol for patients with chronic obstructive pulmonary disease (IMTCO study): A multicentre randomised controlled trial. BMJ Open. 2013;3:1-7.
[11]Keene S. Studying the effects of inspiratory muscle training in patients with obstructive lung diseases. Internet J Pulm Med. 2006;7(2). Available from: https://ispub.com/IJPM/7/2/13332
[12]Weiner P, Magadle R, Massarwa F, Beckerman M, Berar-Yanay N. Influence of gender and inspiratory muscle training on the perception of dyspnea in patients with asthma. Chest. 2002;122(1):197–201.
[13]Sapienza C, Troche M, Pitts T, Davenport P. Respiratory strength training: Concept and intervention outcomes. Semin Speech Lang. 2011;32(1):21–30.
[14]Turner LA, Mickleborough TD, McConnell AK, Stager JM, Tecklenburg-Lund S, Lindley MR. Effect of inspiratory muscle training on exercise tolerance in asthmatic individuals. Med Sci Sports Exerc. 2011;43(11):2031-8.
[15]Rise AL. The importance of exercise in pulmonary rehabilitation. Clin Chest Med. 1994;15(2):327-37.
[16]Heba HA, Ashraf KA. Impact of a 12 weeks supervised exercise training program on pulmonary functions of patients with exercise induced asthma. Egypt J Chest Dis Tuberc. 2013;62(1):33–7.
[17]Asl Mohammadi Zadeh M, Ghanbarzadeh M, Habibi A, Nikbakht M, Shakeriyan S, Baghernia R, et al. Effects of exercise with lower and upper extremities on respiratory and exercise capacities of asthmatic patients. Koomesh. 2013;15(1):89-101. [Persian]
[18]Ram FS, Robinson SM, Black PN. Effects of physical training in asthma: A systematic review. Br J Sports Med. 2000;34(3):162-7.
[19]Satta A. Exercise training in asthma. J Sports Med Phys Fitness. 2000;40(4):277-83.
[20]Hallst rand TS, B ates P W, S choene R B. A erobic conditioning in mild asthma decreases the hyperpnea of exercise and improves exercise and ventilatory capacity. Chest. 2000;118(5):1460-9.
[21]Mendes FA, Almeida FM, Cukier A, Stelmach R, Jacob- Filho W, Martins MA, et al. Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc. 2011;43(2):197-203.
[22]Fanelli A, Cabral AL, Neder JA, Martins MA, Carvalho CR. Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Exerc. 2007;39(9):1474-80.
[23]Dogra S, Kuk JL, Baker J, Jamnik V. Exercise is associated with improved asthma control in adults. Eur Respir J. 2011;37(2):318–23.
[24]Cerveri I, Corsico AG, Accordini S, Niniano R, Ansaldo E, Antó JM, et al. Underestimation of airflow obstruction among young adults using FEV1/FVC <70% as a fixed cut-off: A longitudinal evaluation of clinical and functional outcomes. Thorax. 2008;63(12):1040-5.
[25]Behpoor N, Hemmatfar A, Moosavi A. The effect of inspiratory muscles pressure threshold training on ventilator function and training capacity. Q J Sports Biosci Res. 2011;1(3): 63-75. [Persian]
[26]O'Shea SD, Taylor NF, Paratz J .Peripheral muscle strength training in COPD: A systematic review. Chest. 2004;126(3):903-14.
[27]Bird SP, Tarpenning KM, Marino FE. Designing resistance training programmes to enhance muscular fitness: A review of the acute programme variables. Sports Med. 2005;35(10):841-51.
[28]Weiner P, Berar-Yanay N, Davidovich A, Magadle R, Weiner M. Specific inspiratory muscle training in patients with mild asthma with high consumption of inhaled beta(2)-agonists. Chest. 2002;117(3):722–7.
[29]Sheel AW. Respiratory muscle training in healthy individuals: Physiological rationale and implications for exercise performance. Sports Med. 2002;32(9):567-81.
[30]Emtner M, Herala M, Stålenheim G. High-intensity physical training in adults with asthma. A 10-week rehabilitation program. 1996;109(2):323-30.
[31]Nazem F, Izadi M, Jaliliu M ,Keshvarz B. Impact of aerobic exercise and detraining on pulmonary function indexes in obese middle-aged patients with chronic asthma. Arak Med Uni J. 2013;15(9):85-93. [Persian]
[2]Bradley J, Moran F. Pulmonary rehabilitation improves exercise tolerance in patient with bronchiectasis. Aust J Physiother. 2006;52(1):65.
[3]De Marco R, Locatelli F, Sunyer J, Burney P. Differences in incidence of reported asthma related to age in men and women. A retrospective analysis of the data of the European Respiratory Health Survey. Am J Respir Crit Care Med. 2000;162(1):68–74.
[4]Dijkstra A, Vonk JM, Jongepier H, Koppelman GH, Schouten JP, Ten Hacken NHT. Lung function decline in asthma: Association with inhaled corticosteroids, smoking and sex. Torax. 2006;61(2):105–10.
[5]Oliveira CM, Lanza FdeC, Solé D. Respiratory muscle strength in children and adolescents with asthma: Similar to that of healthy subjects? J Bras Pneumol. 2012;38(3):308-14.
[6]Ulrik CS, Lange P. Decline of Lung function in adults with bronchial asthma. Am J Respir Crit Care Med. 1994;150(3):629-34.
[7]Ahmet A, Kim H, Spier S. Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy. Allergy Asthma Clin Immunol. 2011;7(13): 1-12.
[8]O'Byrne PM, Pedersen S, Lamm CJ, Tan WC, Busse WW. Severe exacerbations and decline in lung function in asthma. Am J Respir Crit Care Med. 2009;179(1):19-24.
[9]Barandun J. Value and costs of pulmonary rehabilitation. Praxis. 1997; 86(50): 1979-83.
[10]Charususin N, Gosselink R, Decramer M, McConnell A, Saey D, Maltais F, et al. Inspiratory muscle training protocol for patients with chronic obstructive pulmonary disease (IMTCO study): A multicentre randomised controlled trial. BMJ Open. 2013;3:1-7.
[11]Keene S. Studying the effects of inspiratory muscle training in patients with obstructive lung diseases. Internet J Pulm Med. 2006;7(2). Available from: https://ispub.com/IJPM/7/2/13332
[12]Weiner P, Magadle R, Massarwa F, Beckerman M, Berar-Yanay N. Influence of gender and inspiratory muscle training on the perception of dyspnea in patients with asthma. Chest. 2002;122(1):197–201.
[13]Sapienza C, Troche M, Pitts T, Davenport P. Respiratory strength training: Concept and intervention outcomes. Semin Speech Lang. 2011;32(1):21–30.
[14]Turner LA, Mickleborough TD, McConnell AK, Stager JM, Tecklenburg-Lund S, Lindley MR. Effect of inspiratory muscle training on exercise tolerance in asthmatic individuals. Med Sci Sports Exerc. 2011;43(11):2031-8.
[15]Rise AL. The importance of exercise in pulmonary rehabilitation. Clin Chest Med. 1994;15(2):327-37.
[16]Heba HA, Ashraf KA. Impact of a 12 weeks supervised exercise training program on pulmonary functions of patients with exercise induced asthma. Egypt J Chest Dis Tuberc. 2013;62(1):33–7.
[17]Asl Mohammadi Zadeh M, Ghanbarzadeh M, Habibi A, Nikbakht M, Shakeriyan S, Baghernia R, et al. Effects of exercise with lower and upper extremities on respiratory and exercise capacities of asthmatic patients. Koomesh. 2013;15(1):89-101. [Persian]
[18]Ram FS, Robinson SM, Black PN. Effects of physical training in asthma: A systematic review. Br J Sports Med. 2000;34(3):162-7.
[19]Satta A. Exercise training in asthma. J Sports Med Phys Fitness. 2000;40(4):277-83.
[20]Hallst rand TS, B ates P W, S choene R B. A erobic conditioning in mild asthma decreases the hyperpnea of exercise and improves exercise and ventilatory capacity. Chest. 2000;118(5):1460-9.
[21]Mendes FA, Almeida FM, Cukier A, Stelmach R, Jacob- Filho W, Martins MA, et al. Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc. 2011;43(2):197-203.
[22]Fanelli A, Cabral AL, Neder JA, Martins MA, Carvalho CR. Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Exerc. 2007;39(9):1474-80.
[23]Dogra S, Kuk JL, Baker J, Jamnik V. Exercise is associated with improved asthma control in adults. Eur Respir J. 2011;37(2):318–23.
[24]Cerveri I, Corsico AG, Accordini S, Niniano R, Ansaldo E, Antó JM, et al. Underestimation of airflow obstruction among young adults using FEV1/FVC <70% as a fixed cut-off: A longitudinal evaluation of clinical and functional outcomes. Thorax. 2008;63(12):1040-5.
[25]Behpoor N, Hemmatfar A, Moosavi A. The effect of inspiratory muscles pressure threshold training on ventilator function and training capacity. Q J Sports Biosci Res. 2011;1(3): 63-75. [Persian]
[26]O'Shea SD, Taylor NF, Paratz J .Peripheral muscle strength training in COPD: A systematic review. Chest. 2004;126(3):903-14.
[27]Bird SP, Tarpenning KM, Marino FE. Designing resistance training programmes to enhance muscular fitness: A review of the acute programme variables. Sports Med. 2005;35(10):841-51.
[28]Weiner P, Berar-Yanay N, Davidovich A, Magadle R, Weiner M. Specific inspiratory muscle training in patients with mild asthma with high consumption of inhaled beta(2)-agonists. Chest. 2002;117(3):722–7.
[29]Sheel AW. Respiratory muscle training in healthy individuals: Physiological rationale and implications for exercise performance. Sports Med. 2002;32(9):567-81.
[30]Emtner M, Herala M, Stålenheim G. High-intensity physical training in adults with asthma. A 10-week rehabilitation program. 1996;109(2):323-30.
[31]Nazem F, Izadi M, Jaliliu M ,Keshvarz B. Impact of aerobic exercise and detraining on pulmonary function indexes in obese middle-aged patients with chronic asthma. Arak Med Uni J. 2013;15(9):85-93. [Persian]