Effect of Diaphragmatic Breathing Exercise on Peak Expiratory Flow (PEF) in Individual with Asthma

Wedri, Ni Made; Yasa, I Dewa Putu Gede Putra; Sulisnadewi, N.L.K.; Sipahutar, Ida Erni; Lestari, Agus Sri; Hendrajaya, Kadek

doi:10.5958/0976-5506.2018.00481.3

Cited by 3 publications

(5 citation statements)

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“…It is related to a positive effect on the effectiveness of air released during expiration. The releasing of air during expiration can be maximized using respiratory muscles correctly [ 47 ]. Moreover, these changes in lung volume seem to relax the smooth muscle in the airway [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

12-Week Inspiratory Muscle Training Improves Respiratory Muscle Strength in Adult Patients with Stable Asthma: A Randomized Controlled Trial

Chung

Huang

Liao

et al. 2021

IJERPH

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This study aims to investigate and compare the effects of conventional breathing exercises and an inspiratory muscle training intervention on clinical symptoms in asthma patients. Sixty asthma patients (40–65 years old) were randomly assigned to either the conventional breathing exercises (BTE) or inspiratory muscle training (IMT) group for a 12-week intervention period. Outcome measurements were performed before and after the intervention, including the spirometry data, maximal inspiratory and expiratory pressures (PImax and PEmax), asthma control test, asthma control questionnaire, six-minute walk test, and three-day physical activity log, were recorded. PImax expressed as % of predicted value controlled for age and gender in healthy subjects (% predicted) increased by 16.92% (82.45 to 99.38%, p < 0.05) in the BTE group and by 29.84% (71.19 to 101.03%, p < 0.05) in the IMT group. Except for forced vital capacity, which was reduced in the BTE group, all other measured variables improved in both groups, and no statistically significant between-group differences were found. IMT appears to be more effective than breathing exercise intervention in promoting improvements in respiratory muscle strength. IMT may act as an alternative to conventional breathing exercises for middle-aged and elderly asthma patients.

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Section: Discussionmentioning

confidence: 99%

12-Week Inspiratory Muscle Training Improves Respiratory Muscle Strength in Adult Patients with Stable Asthma: A Randomized Controlled Trial

Chung

Huang

Liao

et al. 2021

IJERPH

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“…This might be possible due the rising mechanical action on the inspiratory muscles including external intercostals, which affirmatively have an accessory participation in expiration, caused greater thoraco-abdominal mobility, as a result of consequent mechanical reorganization of all of the muscles involved in respiration. 28 This improvement of the expiratory muscles may help improve airway clearance and cough mechanism, typically impaired in children with cerebral palsy. 29 Future studies are warranted to investigate if the addition of expiratory strength training to the inspiratory strength training could enhance the results on MEP.…”

Section: Discussionmentioning

confidence: 99%

“…The results also suggested carry over benefits on expiratory muscle strength, since only inspiratory muscle training was performed in the studies, and a significant result was found for MEP. This might be possible due the rising mechanical action on the inspiratory muscles including external intercostals, which affirmatively have an accessory participation in expiration, caused greater thoraco-abdominal mobility, as a result of consequent mechanical reorganization of all of the muscles involved in respiration 28. This improvement of the expiratory muscles may help improve airway clearance and cough mechanism, typically impaired in children with cerebral palsy 29.…”

Section: Discussionmentioning

confidence: 99%

Inspiratory Training for Improving Respiratory Strength, Pulmonary Function, and Walking in Cerebral Palsy: A Meta-Analysis

Menezes,

Avelino,

Alvarenga

et al. 2024

Pediatric Physical Therapy

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Purpose: To investigate the effects of inspiratory strength training on respiratory muscle strength, pulmonary function, and walking capacity in children with cerebral palsy, with Gross Motor Function Classification System I to III. Methods: Searches were conducted in CINAHL, LILACS, MEDLINE, and Physiotherapy Evidence Database (PEDro) databases. The outcomes of interest were respiratory muscle strength, pulmonary function, and walking capacity. The quality was assessed by PEDro Scale. The Grading of Recommendations Assessment, Development, and Evaluation system was used to summarize the quality of evidence. Results: Inspiratory strength training increased the strength of inspiratory muscles and may increase the strength of the expiratory muscles. No changes were observed in pulmonary function or walking capacity. Conclusions: This systematic review provides moderate-quality evidence that inspiratory strength training is effective for increasing inspiratory muscle strength in children with cerebral palsy. Benefits may be carried over to improving expiratory muscle strength but were not observed on pulmonary function or walking capacity.

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“…21 Latihan pernapasan diafragma memainkan peran penting terhadap aliran puncak ekspirasi. 22 Penggabungan progressive muscle relaxation dan diaphragm breathing exercise dapat membantu otot pernapasan dalam melakukan adaptasi, terutama dalam proses biokimia di dalam otot yaitu menstimulasi saraf simpatis merangsang kelenjar endokrin, melepaskan epinefrin dan norepinefrin. 11 Epinefrin berikatan dengan β2 di jantung dan otot rangka untuk memperkuat mekanisme vasodilatorasi lokal di jaringanjaringan paru, sehingga akan terjadi bronkodilatasi dan udara akan lebih lancar untuk keluar masuk dan nilai aliran puncak ekspirasi akan dapat meningkat.…”

Section: Pendahuluanunclassified

“…Hasil penelitian ini didukung oleh penelitian yang dilakukan Wedri tahun 2018 yang melakukan penelitian tentang pengaruh latihan pernapasan diafragma terhadap aliran puncak ekspirasi menunjukkan hasil terdapat perbedaan nilai APE sebelum dan sesudah intervensi diaphragmtic breathing exercise dengan nilai p<0,05. 22 Novarin dkk melakukan penelitian dengan memberikan latihan progressive muscle relaxation menunjukkan hasil terdapat pengaruh yang sangat bermakna terhadap peningkatan APE pada pasien asma dengan p value =0,000. 11 Penelitian ini juga didukung oleh Fajar dan Krisnawati tahun 2017 yang memberikan latihan relaksasi otot progresif.…”

Section: Pendahuluanunclassified

Pengaruh Incorporating Progressive Muscle Relaxation dan Diaphragm Breathing Exercise terhadap Aliran Puncak Ekspirasi Pasien Asma

Ajul¹,

Siswadi²,

Susilo³

2020

J. Kdokt Meditek

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adalah suatu kelainan berupa inflamasi kronik saluran napas yang mengakibatkan penyempitan saluran napas, sehingga meningkatkan resistensi aliran udara dan menurunkan laju aliran ekspirasi. Selain terapi farmakologis, penatalaksanaan asma juga dapat dilakukan secara non farmakologis, diantaranya dengan latihan incorporating progressive muscle relaxation dan diaphragm breathing exercise yang dapat meningkatkan aliran puncak ekspirasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh incorporating progressive muscle relaxation dan diaphragm breathing exercise terhadap peningkatan aliran puncak ekspirasi (APE) pasien asma. Metode penelitian adalah quasy experimental pre-test dan post-test with control group. Jumlah responden penelitian adalah 80 orang yang dibagi menjadi 2 kelompok yaitu 60 orang kelompok intervensi dan 20 orang kelompok kontrol. Hasil uji beda paired sample t-test pada kelompok intervensi menunjukkan perbedaan yang signifikan APE sebelum dan sesudah intervensi (65,05% vs 81,17%, p=0,00). Hasil uji independen t-test menunjukkan perbedaan yang signifikan APE kelompok intervensi dengan kelompok kontrol (81,17% vs 65,10%, p=0,00). Penelitian ini menyimpulkan bahwa latihan incorporating progressive muscle relaxation dan diaphragm breathing exercise berpengaruh pada peningkatan APE.

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Effect of Diaphragmatic Breathing Exercise on Peak Expiratory Flow (PEF) in Individual with Asthma

Cited by 3 publications

References 0 publications

12-Week Inspiratory Muscle Training Improves Respiratory Muscle Strength in Adult Patients with Stable Asthma: A Randomized Controlled Trial

12-Week Inspiratory Muscle Training Improves Respiratory Muscle Strength in Adult Patients with Stable Asthma: A Randomized Controlled Trial

Inspiratory Training for Improving Respiratory Strength, Pulmonary Function, and Walking in Cerebral Palsy: A Meta-Analysis

Pengaruh Incorporating Progressive Muscle Relaxation dan Diaphragm Breathing Exercise terhadap Aliran Puncak Ekspirasi Pasien Asma

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