Effects of Diaphragmatic Breathing Maneuver and Abdominal Drawing-in Maneuver on trunk stability in stroke patients

Rasheed, Hammad; Ahmad, Irshad; Javed, Muhammad Asif; Rashid, Junaid; Javeed, Rana Saqib

doi:10.1080/02703181.2020.1770395

Cited by 7 publications

(7 citation statements)

References 30 publications

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“…Each subject will perform the assigned exercise 10 times per session. They will take 1-min rest between each session ( Rasheed et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

“…Correct and balanced diaphragm performance has been shown to help maintain abdominal pressure and smooth respiration ( Russo et al, 2017 ; Hamasaki, 2020 ). Increasing intra-abdominal pressure in turn causes activation of the abdominal wall and pelvic floor muscles ( Rasheed et al, 2021 ). This muscle activation provide posterior and anterolateral and inferior stability, thus increasing overall spinal stability ( Rasheed et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…Increasing intra-abdominal pressure in turn causes activation of the abdominal wall and pelvic floor muscles ( Rasheed et al, 2021 ). This muscle activation provide posterior and anterolateral and inferior stability, thus increasing overall spinal stability ( Rasheed et al, 2021 ). Kang et al (2016) reported that intra-abdominal pressure that is produced by the connection of trunk stabilization and respiratory muscles affects waist stability and protects the trunk.…”

Section: Introductionmentioning

confidence: 99%

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Diaphragmatic breathing exercises in recovery from fatigue-induced changes in spinal mobility and postural stability: a study protocol

Amiri

Zemková

2023

Front. Physiol.

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Prolonged periods of sitting at work can increase trunk muscle fatigue from the continuous contraction of deep trunk muscles. Insufficient activity of these muscles can decrease muscular support to the spine and increases stress on its passive structures. This can lead to reduced spinal mobility and impaired postural stability. It may also stimulate nociceptor activity leading to pain. However, frequently used recovery modalities such as muscle strengthening and stretching exercises, can be time-consuming, impractical, and difficult to implement in the workplace. Diaphragmatic breathing exercises, which increase the activity of the deep trunk muscles by raising intra-abdominal pressure, seem to be a suitable alternative. However, little is known as to what extent diaphragmatic breathing exercises contribute to the reduction of fatigue induced by prolonged sitting. This paper presents a study protocol that aims to investigate the acute effect of diaphragmatic breathing exercises on recovery of fatigue-induced changes in spinal mobility and postural stability in sedentary middle-aged adults at risk of developing non-specific low back pain. Twenty sedentary adults aged between 25 and 44 years will perform Abt’s fatigue protocol, followed by 1) active recovery using diaphragmatic breathing exercises and 2) passive recovery in the form of lying on the bed, respectively. There will be 1 week of rest in-between. Pre-fatigue, post-fatigue, and after the active and passive recovery, spinal mobility and postural stability will be evaluated using the spinal mouse device and a posturography system, respectively. The electromyography will be used to determine the muscle-fatigue conditions. We hypothesize that active recovery in a form of diaphragmatic breathing exercises would be more effective in restoring spinal mobility and postural stability followed by the fatigue of back and hamstring muscles compared to passive recovery in sedentary adults. Increasing core and respiratory muscle strength via these exercises could be beneficial for overall mobility and stability of the spine. Reducing compressive stress on the passive structures of the spine may be also beneficial for lowering low back pain. Therefore, we believe that diaphragmatic breathing exercises have the possibility to be incorporated into the workplace and contribute to better back health in sedentary middle-aged adults.Clinical Trial Registration: [https://www.irct.ir/trial/67015], identifier [IRCT20221126056606N1].

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“…Each subject will perform the assigned exercise 10 times per session. They will take 1-min rest between each session ( Rasheed et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diaphragmatic breathing exercises in recovery from fatigue-induced changes in spinal mobility and postural stability: a study protocol

Amiri

Zemková

2023

Front. Physiol.

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“…Abdominal breathing is characterized by the movement of the diaphragm, which intentionally expands the abdominal wall [ 3 ]. It is required to keep the chest stable and regulate respiration via the rise and fall of the diaphragm during abdominal breathing [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Movements at Different Ages

et al. 2023

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Background and Objectives: The current study aimed to better understand the changes in respiration that occur with aging in men and women to provide accurate recommendations for breathing exercises to improve health. Materials and Methods: A total of 610 healthy subjects, aged 20 to 59, participated in the study. They performed quiet breathing while wearing two respiration belts (Vernier, Beaverton, OR, USA) at the height of the navel and at the xiphoid process to record abdominal motion (AM) and thoracic motion (TM), respectively. Vital capacity, representing maximal inhalation movement, was measured using a spirometer (Xindonghuateng, Beijing, China). After exclusion, 565 subjects (164 men, aged 41 ± 11; 401 women, aged 42 ± 9) were included for statistical analysis using the Kruskal–Wallis U test and stepwise multiple linear regression. Results: Abdominal motion and its contribution to spontaneous breathing were significantly larger for older men, while the contribution of thoracic motion was smaller for older men. There was no significant difference in thoracic motion between the younger and older men. The differences in women’s respiratory movements among various ages were mild and negligible. The contribution of thoracic motion to spontaneous breathing in women was larger than in men for those of older ages (40–59 years), but not for those of younger ages (20–39 years). Additionally, men’s and women’s vital capacities were less in those of older ages, and the men’s were larger than the women’s. Conclusions: The findings indicate that men’s abdominal contribution to spontaneous breathing increased from 20 to 59 years of age due to increased abdominal motion. Women’s respiratory movements did not change much with aging. The maximal inhalation movement became smaller with aging for men and women. Healthcare professionals should focus on improving thoracic mobility when addressing health concerns about aging.

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“…몸통 안정화를 향상시키는 여러 운 동 방법 중 복부 드로우-인 기법은 몸통 안정화에 관련 된 주위 근육들을 활성화시키는 운동방법으로 특히 몸 통 안정화에 중요한 배가로근을 선택적으로 자극시킬 수 있으며, 이미 요통환자들에게 검증되어 최근 뇌졸중 환자들에게 몸통 안정성을 향상시키기 위해 적용하고 있다 [9]. 그러나 뇌졸중 환자들 같은 경우 선택적으로 단일 근육만을 활성화시키면, 주위 근육들의 근 약화를 초래할 수 있어 가장 효율적인 운동 방법이라고 할 수 없어 [10], 이를 보안하기 위해 호흡이나 팔-다리의 움직 임을 병행하여 효율적인 복부 드로우-인 기법을 제시하 고 있는 추세이다 [11] 특히, 호흡은 누구나 쉽고 자연스 럽게 접할 수 있는 운동 방법이며 [12], 호흡 운동은 호흡 근의 근력, 지구력 향상뿐만 아닌 [13], 척추의 안정성을 제공하며, 복부와 요추 주위 근육들에 긍정적인 변화 주는 운동이다 [14].…”

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The Effect of the Abdominal Draw-In Maneuver Using Breathing on Trunk Control and Hand Grip in Stroke Patients

Kang

Moon²

2022

KSPM

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This study was carried out to examine the changes in the trunk control ability and hand grip when the abdominal draw-in maneuver using breathing was applied to stroke patients, and provide basic data regarding the trunk stabilization exercise. METHOD: After randomly placing patients in group Ⅰ-applying the existing abdominal draw-in exercise and group Ⅱ -applying the abdominal draw-in exercise using breathing, the intervention program was performed ten times per set (five sets per session), once a day, four times a week, for a total of four weeks. For the pre-tests before the intervention, trunk †Corresponding Author : Young-Jun Moon

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Effects of Diaphragmatic Breathing Maneuver and Abdominal Drawing-in Maneuver on trunk stability in stroke patients

Cited by 7 publications

References 30 publications

Diaphragmatic breathing exercises in recovery from fatigue-induced changes in spinal mobility and postural stability: a study protocol

Diaphragmatic breathing exercises in recovery from fatigue-induced changes in spinal mobility and postural stability: a study protocol

Respiratory Movements at Different Ages

The Effect of the Abdominal Draw-In Maneuver Using Breathing on Trunk Control and Hand Grip in Stroke Patients

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