SAĞLIKLI BİREYLERDE YAPILAN, ALETLİ SOLUNUM EGZERSİZLERİ İLE ALETSİZ SOLUNUM EGZERSİZLERİNİN AKCİĞER HACİM VE KAPASİTELERİNE ETKİSİNİN İNCELENMESİ

Year 2021, Volume: 19 Issue: 1, 127 - 136, 30.03.2021

Hakan Şerifoğlu , Caner Çetinkaya , Berkant Kayatekin

https://doi.org/10.33689/spormetre.754566

Cited By: 3

Abstract

Öz: Solunum kaslarının gücünde ve solunum kapasitelerinde düşüklük günlük yaşam kalitesini etkilemektedir. Bu nedenle oluşabilecek olumsuz etkiler solunum kası antrenmanı ile azaltılabilmektedir. Bu çalışmanın amacı aletli ve aletsiz yapılan solunum kası egzersizlerinin sağlıklı genç erkeklerde akciğer hacim ve kapasitelerine etkilerini incelemektir. Solunum kası antrenmanları için 10-250 cmH2O basınç ayarlı, Powerbreathe Classic HR, solunum kası antrenman yükünü belirlemek için ise Powerbreathe K5 cihazı kullanılmıştır. Akciğer kapasitelerinin ölçümü için spirometre cihazı kullanılmıştır. Kontrol grubuna, aletli solunum kası antrenmanının etkilerini karşılaştırmak için büzük dudak solunumu egzersizi yaptırılmıştır. Aletli solunum egzersizi yapan (n:18) katılımcıların yaşları 19,50±0,85, ağırlıkları 74,10±8,91 kg ve boyları 177,72±4,97 cm bulunmuştur. Büzük dudak solunum egzersizi yapan (n:16) katılımcıların yaşları, 19,93±1,28 ağırlıkları 73,11±11,31 kg ve boyları 177,00±6,95 cm’dir. Altı haftalık solunum egzersizleri sonucunda gruplar arasında zorlu vital kapasite (FVC), birinci saniyede çıkarılan zorlu ekspirasyon volümü (FEV1), maksimum istemli ventilasyon (MVV), zirve ekspirasyon akım hızı (PEF), zorlu vital kapasitenin %25-75’i (FEF25-75), zorlu vital kapasite %50’sinde (FEF50) ve zorlu vital kapasite %75’inde (FEF75) anlamlı fark yoktur (p>0,05). Gruplar kendi içinde değerlendirildiğinde; aletli solunum egzersizi yapan katılımcıların güç ve basınç parametreleri, antrenman döneminin sonunda anlamlı olarak artmıştır (p<0,05). Büzük dudak solunum egzersizi yapan grupta FEV1, MVV, FEF25-75, FEF50 ve FEF75 antrenman döneminin sonunda anlamlı olarak azalmıştır (p<0,05). Sonuçta, genç sağlıklı erkeklerden oluşturulan aletli ve aletsiz solunum egzersizi yaptırılan gruplar arasında akciğer hacim ve kapasiteleri açısından bir fark saptanmamıştır.

Keywords

Solunum kas egzersizi, akciğer hacim ve kapasiteleri, spirometre, powerbreathe

Supporting Institution

Dokuz Eylül Üniversitesi Bilimsel Araştırma Projeleri Şube Müdürlüğü

Project Number

2018.KB. SAG.012

EVALUATION OF EFFECT OF INSPIRATORY MUSCLE TRAINING WITH AND WITHOUT DEVICE ON LUNG VOLUME AND CAPACITIES IN HEALTY INDIVIDUALS

Abstract

The respiratory capacity and strength of inspiratory muscles affect the quality of daily life. Inspiratory muscle training can reduce the possible adverse conditions due to the weakness of inspiratory muscles. The aim of this study to evaluate the effects of inspiratory muscle training with and without devices on lung volume and capacity in healthy young men. Participants were divided into two groups: the training group with the device (n=18) and pursed lips training group (n=16). Powerbreathe Classic HR devices were used for respiratory muscle training. The training loads determined by powerbreath K5 device. The lung volume and capacities were measured by a spirometer. The Wilcoxon Signed-Rank Test was used for the differences between the pre and post-tests of the groups, and the Mann-Whitney U test for the differences between the groups. After six weeks of breathing exercises, there is no significant difference between the two groups on forced vital capacity, forced expiratory volume, maximum voluntary ventilation, peak ventilator flow rate, forced expiratory flow at 25-75% of the pulmonary volume (FEF25-75), forced expiratory flow at 25% of the pulmonary volume (FEF25), forced expiratory flow at 50% of the pulmonary volume (FEF50), forced expiratory flow at 75% of the pulmonary volume (FEF75), pressure and power. Power and pressure values of the exercise group with the device were increased at the end of the period (p<0,05). In the pursed lips exercise group FEV1, MVV, FEF 25-75, FEF 75, and FEF 50 parameters were decreased significantly (p<0,05). Our results indicate that neither inspiratory muscle training with the device nor pursed lips training does not promote the increases in lung volume and capacity in young healthy men.

Keywords

Respiratory muscle exercise, lung volume and capacities, spirometer, Powerbreathe

Project Number

2018.KB. SAG.012

References

• Culver, B. H., Graham, B. L., Coates, A. L., Wanger, J., Berry, C. E., Clarke, P. K., Hallstrand, T. S., Hankinson, J. L., Kaminsky, D. A., MacIntyre, N. R., McCormack, M. C., Rosenfeld, M., Stanojevic, S., Weiner, D. J., ATS Committee on Proficiency Standards for Pulmonary Function Laboratories (2017). Recommendations for a Standardized Pulmonary Function Report. An Official American Thoracic Society Technical Statement. American journal of respiratory and critical care medicine, 196(11), 1463–1472. https://doi.org/10.1164/rccm.201710-1981ST
• Degryse, J., Buffels, J., Van Dijck, Y., Decramer, M., Nemery, B. (2012). Accuracy of office spirometry performed by trained primary-care physicians using the MIR Spirobank hand-held spirometer. Respiration; international review of thoracic diseases, 83(6), 543–552. https://doi.org/10.1159/000334907
• Enright, S. J., Unnithan, V. B. (2011). Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial. Physical therapy, 91(6), 894–905. https://doi.org/10.2522/ptj.20090413
• Enright, S. J., Unnithan, V. B., Heward, C., Withnall, L., Davies, D. H. (2006). Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Physical therapy, 86(3), 345–354.
• Enright, S., Chatham, K., Ionescu, A. A., Unnithan, V. B., Shale, D. J. (2004). Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis. Chest, 126(2), 405–411. https://doi.org/10.1378/chest.126.2.405
• Goosey-Tolfrey, V., Foden, E., Perret, C., Degens, H. (2010). Effects of inspiratory muscle training on respiratory function and repetitive sprint performance in wheelchair basketball players. British journal of sports medicine, 44(9), 665–668. https://doi.org/10.1136/bjsm.2008.049486
• Hart, N., Sylvester, K., Ward, S., Cramer, D., Moxham, J., Polkey, M. I. (2001). Evaluation of an inspiratory muscle trainer in healthy humans. Respiratory medicine, 95(6), 526–531. https://doi.org/10.1053/rmed.2001.1069
• Türk Toraks Derneği (2019). Solunumsal rehabilitasyon. 24.04.2020 tarihinde https://www.toraks.org.tr/uploadFiles/book/file/2422011195111-15_solunumsal_rehabilitasyon.pdf adresinden erişildi.
• Kara D., Ertürk A., Gürsel A., Köktürk F., Yıldız H., Akansel N., (2013). Kronik Obstrüktif Akciğer Hastalarına Uygulanan Pursed Lip ve Diyafragmatik Solunum Egzersizlerinin Dispne Şiddeti ve Solunum Fonksiyon Testleri Üzerine Etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2013;16:4
• Khazem, S., Itani, L., Kreidieh, D., El Masri, D., Tannir, H., Citarella, R., El Ghoch, M. (2018). Reduced Lean Body Mass and Cardiometabolic Diseases in Adult Males with Overweight and Obesity: A Pilot Study. International journal of environmental research and public health, 15(12), 2754. https://doi.org/10.3390/ijerph15122754
• Kraemer, W. J., Adams, K., Cafarelli, E., Dudley, G. A., Dooly, C., Feigenbaum, M. S., Fleck, S. J., Franklin, B., Fry, A. C., Hoffman, J. R., Newton, R. U., Potteiger, J., Stone, M. H., Ratamess, N. A., Triplett-McBride, T., American College of Sports Medicine (2002). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine and science in sports and exercise, 34(2), 364–380. https://doi.org/10.1097/00005768-200202000-00027
• Lötters, F., van Tol, B., Kwakkel, G., Gosselink, R. (2002). Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. The European respiratory journal, 20(3), 570–576. https://doi.org/10.1183/09031936.02.00237402
• Mahajan A., Kulkarni N., Subhash K., Kazi A., Shinde N. (2012). Effectiveness of respiratory muscle training in recreaţional soccer players: a randomized controlled trial. Romanian Journal of Physical Therapy, 18, 64-70.
• McConnell A. (2011). Breathe Strong, Perform Better. Human Kinetics
• Minoguchi H., Shibuya M., Miyagawa T., Kokubu F. (2002) Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training. Intern Med. 2002 Oct;41(10):805-12.
• Nam DH., Lim JY., Ahn CM., Choi HS. (2004) Specially programmed respiratory muscle training for singers by using respiratory muscle training device (Ultrabreathe). Yonsei Med J. 2004 Oct 31;45(5):810-7.
• Osayande O., Azekhumen G., Obuzor E. (2018). A comparative study of different body fat measuring instruments. Nigerian journal of physiological sciences: official publication of the Physiological Society of Nigeria, 33, 125-128.
• Pehlivan E., Mutluay F., Balcı A., Kılıç L. (2018). The effects of inspiratory muscle training on exercise capacity, dyspnea and respiratory functions in lung transplantation candidates: a randomized controlled trial. Clinical rehabilitation, 32(10), 1328–1339. https://doi.org/10.1177/0269215518777560
• Pine M., Watsford M. (2005). Specific respiratory muscle training for athletic performance. Sports Coach. 27(4), 1–4.
• Ramsook A. H., Molgat-Seon Y., Schaeffer M. R., Wilkie S. S., Camp P. G., Reid W. D., Romer L. M., Guenette J. A. (2017). Effects of inspiratory muscle training on respiratory muscle electromyography and dyspnea during exercise in healthy men. Journal of applied physiology (Bethesda, Md.: 1985), 122(5), 1267–1275. https://doi.org/10.1152/japplphysiol.00046.2017
• Rehder-Santos P., Minatel V., Milan-Mattos J. C., Signini É. F., de Abreu R. M., Dato C. C., Catai A. M. (2019). Critical inspiratory pressure - a new methodology for evaluating and training the inspiratory musculature for recreational cyclists: study protocol for a randomized controlled trial. Trials, 20(1), 258. https://doi.org/10.1186/s13063-019-3353-0
• Ries A.L., Bauldoff G.S., Carlin B.W., Casaburi R., Emery C.F., Mahler D.A., Make B., Herrerias C. (2007). Pulmonary rehabilitation: joint accp/aacvpr evidence-based clinical practice guidelines. Chest, 131 (5 SUPPL.), pp. 4S-42S.
• Romer L. M., McConnell A. K. (2003). Specificity and reversibility of inspiratory muscle training. Medicine and science in sports and exercise, 35(2), 237–244. https://doi.org/10.1249/01.MSS.0000048642.58419.1E
• Salman G. F., Mosier M. C., Beasley B. W., Calkins D. R. (2003). Rehabilitation for patients with chronic obstructive pulmonary disease: meta-analysis of randomized controlled trials. Journal of general internal medicine, 18(3), 213–221. https://doi.org/10.1046/j.1525-1497.2003.20221.x
• Siafakas N. M., Vermeire P., Pride N. B., Paoletti P., Gibson J., Howard P., Yernault J. C., Decramer M., Higenbottam T., Postma D. S. (1995). Optimal assessment and management of chronic obstructive pulmonary disease (COPD). The European Respiratory Society Task Force. The European respiratory journal, 8(8), 1398–1420. https://doi.org/10.1183/09031936.95.08081398
• Smith K., Cook D., Guyatt G. H., Madhavan J., Oxman A. D. (1992). Respiratory muscle training in chronic airflow limitation: a meta-analysis. The American review of respiratory disease, 145(3), 533–539. https://doi.org/10.1164/ajrccm/145.3.533
• Sonetti D. A., Wetter T. J., Pegelow D. F., Dempsey J. A. (2001). Effects of respiratory muscle training versus placebo on endurance exercise performance. Respiration physiology, 127(2-3), 185–199. https://doi.org/10.1016/s0034-5687(01)00250-x
• Sperlich B., Fricke H., de Marées M., Linville J. W., Mester J. (2009). Does respiratory muscle training increase physical performance? Military medicine, 174(9), 977–982. https://doi.org/10.7205/milmed-d-04-6408
• Stetler A. (2010) The effects of an inspiratory muscle training program on maximal inspiratory pressure and swimming performance. MBA Thesis. California State University, USA May 2010.
• Verges S., Sager Y., Erni C., Spengler C. M. (2007). Expiratory muscle fatigue impairs exercise performance. European journal of applied physiology, 101(2), 225–232. https://doi.org/10.1007/s00421-007-0491-y