Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effectiveness of Breathing Exercises on Spinal Posture, Mobility and Stabilization in Patients with Lumbar Instability

  • Kang, Jim-Yi (Department of Physical Therapy, Konyang University) ;
  • Seo, Dong-Kwon (Department of Physical Therapy, Konyang University) ;
  • Cho, Ju-Chul (Department of Rehabilitation Medicine, Wellciti Hospital) ;
  • Lee, Byoung-Kwon (Department of Physical Therapy, Konyang University)
  • Received : 2018.03.01
  • Accepted : 2018.05.24
  • Published : 2018.08.31
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Abstract

PURPOSE: This study was conducted to monitor the performance of breathing exercises by patients with lumbar instability who had altered breathing patterns. METHODS: To investigate the effects of breathing exercises on spinal posture, mobility, and stabilization in patients with lumbar instability with altered breathing patterns, 30 adult participants were enrolled on the basis of the selection criteria and randomly assigned to the breathing exercise group (BEG) or trunk stabilization exercise group (SEG). A pre-test was performed prior to the intervention exercise program. The intervention exercise program consisted of 15 sessions (three sessions per week for 5 weeks) between August and September of 2016. The post-test was performed on the 6th week of intervention. RESULTS: Pre- and post-test comparisons of BEG and SEG revealed significant improvements in all tested items in the SEG, except for spinal mobility, while significant improvements in spinal postures 1 and 2, spinal mobility, and stabilization were found in the BEG. Between-group comparisons revealed that there were no significant differences in spinal posture 1, spinal posture 2, spinal mobility, or stabilization, whereas significant differences were found in spinal posture 2 and spinal mobility, with the BEG showing greater improvements than the SEG. CONCLUSION: Based on the findings in the present study, it is believed that breathing exercises have important effects on spinal posture, mobility, and stabilization in patients with lumbar instability who have altered breathing patterns.

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References

  1. Bradley H, Esformes J. Breathing pattern disorders and functional movement. Int J Sports Phys Ther. 2014; 9(1):28-39.
  2. Chaitow L, Bradley D, Gilbert C. Multidisciplinary approaches to breathing pattern disorders. New York. Churchill Livingstone. 2002.
  3. Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001;6(1):15-26. https://doi.org/10.1054/math.2000.0388
  4. Ekstrum JA, Black LL, Paschal KA. Effects of a thoracic mobility and respiratory exercise program on pulmonary function and functional capacity in older adults. Physical & Occupational Therapy in Geriatrics. 2009;27(4):310-27. https://doi.org/10.1080/02703180902803895
  5. Ferreira PH, Ferreira ML, Hodges PW. Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine (Phila Pa 1976). 2004;29(22):2560-6. https://doi.org/10.1097/01.brs.0000144410.89182.f9
  6. Hides JA, Boughen CL, Stanton WR, et al. A magnetic resonance imaging investigation of the transversus abdominis muscle during drawing-in of the abdominal wall in elite Australian Football League players with and without low back pain. J Orthop Sports Phys Ther. 2010;40(1):4-10. https://doi.org/10.2519/jospt.2010.3177
  7. Hodges PW, Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett. 1999;265(2):91-4. https://doi.org/10.1016/S0304-3940(99)00216-5
  8. Ishida H, Hirose R, Watanabe S. Comparison of changes in the contraction of the lateral abdominal muscles between the abdominal drawing-in maneuver and breathe held at the maximum expiratory level. Man Ther. 2012;17(5):427-31. https://doi.org/10.1016/j.math.2012.04.006
  9. Jhu JL, Chai HM, Jan MH, et al. Reliability and relationship between 2 measurements of transversus abdominis dimension taken during an abdominal drawing-in maneuver using a novel approach of ultrasound imaging. J Orthop Sports Phys Ther. 2010;40(12): 826-32. https://doi.org/10.2519/jospt.2010.3000
  10. Kalpakcioglu B, Altinbilek T, Senel K. Determination of spondylolisthesis in low back pain by clinical evaluation. J Back Musculoskelet Rehabil. 2009; 22(1):27-32. https://doi.org/10.3233/BMR-2009-0212
  11. Ki C, Heo M, Kim HY, et al. The effects of forced breathing exercise on the lumbar stabilization in chronic low back pain patients. J Phys Ther Sci. 2016;28(12): 3380-3. https://doi.org/10.1589/jpts.28.3380
  12. Kolar P, Sulc J, Kyncl M, et al. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. J Appl Physiol (1985). 2010;109(4): 1064-71. https://doi.org/10.1152/japplphysiol.01216.2009
  13. Koppers RJ, Vos PJ, Boot CR, et al. Exercise performance improves in patients with COPD due to respiratory muscle endurance training. Chest. 2006;129(4): 886-92. https://doi.org/10.1378/chest.129.4.886
  14. Lehnert-Schroth C. Three-dimensional treatment for scoliosis: a physiotherapeutic method for deformities of the spine. Martindale Pr. 2000.
  15. Liebenson C. Spinal stabilization-an update. Part 1- biomechanics. Journal of bodywork and movement therapies. 2004;8(2):80-4. https://doi.org/10.1016/j.jbmt.2003.12.003
  16. Markov G, Spengler CM, Knopfli-Lenzin C, et al. Respiratory muscle training increases cycling endurance without affecting cardiovascular responses to exercise. Eur J Appl Physiol. 2001;85(3-4):233-9. https://doi.org/10.1007/s004210100450
  17. McConnell AK, Romer LM. Respiratory muscle training in healthy humans: resolving the controversy. Int J Sports Med. 2004;25(4):284-93. https://doi.org/10.1055/s-2004-815827
  18. McConnell J. Recalcitrant chronic low back and leg pain--a new theory and different approach to management. Man Ther. 2002;7(4):183-92. https://doi.org/10.1054/math.2002.0478
  19. Neumann DA. Kinesiology of the Musculoskeletal System- E-Book: Foundations for Rehabilitation. Elsevier Health Sciences. 2013.
  20. Oliveira CB, Negrao Filho RF, Franco MR, et al. Psychometric Properties of the Deep Muscle Contraction Scale for Assessment of the Drawing-in Maneuver in Patients With Chronic Nonspecific Low Back Pain. J Orthop Sports Phys Ther. 2017;47(6):432-41. https://doi.org/10.2519/jospt.2017.7140
  21. O'Sullivan PB. Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. https://doi.org/10.1054/math.1999.0213
  22. Otman S, Kose N, Yakut Y. The efficacy of Schroth s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Saudi Med J. 2005;26(9):1429-35.
  23. Perri M. Rehabilitation of breathing pattern disorders. Rehabilitation of the Spine: a Practitioners Manual. USA. Lippincott Williams & Wilkins. 2007.
  24. Selles RW, Wagenaar RC, Smit TH, et al. Disorders in trunk rotation during walking in patients with low back pain: a dynamical systems approach. Clin Biomech (Bristol, Avon). 2001;16(3):175-81. https://doi.org/10.1016/S0268-0033(00)00080-2
  25. Sihvonen T, Lindgren KA, Airaksinen O, et al. Movement disturbances of the lumbar spine and abnormal back muscle electromyographic findings in recurrent low back pain. Spine (Phila Pa 1976). 1997;22(3):289-95. https://doi.org/10.1097/00007632-199702010-00012
  26. Urquhart DM, Barker PJ, Hodges PW, et al. Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles. Clin Biomech (Bristol, Avon). 2005;20(3):233-41. https://doi.org/10.1016/j.clinbiomech.2004.11.007
  27. Wallden M. The neutral spine principle. J Bodyw Mov Ther. 2009;13(4):350-61. https://doi.org/10.1016/j.jbmt.2009.07.006