Effect Of 6 Weeks Of Core Strengthening Exercises On Pulmonary Function Test In Patients With Chronic Obstructive Pulmonary Disease.

Main Article Content

Cimi V
Deepa Suvarna
Deepti Wadhwa

Abstract

BACKGROUND: Few studies have evaluated the effects of core strengthening exercises on various pulmonary conditions. Therefore, this study aims to evaluate the effects of core strengthening exercises using a Pressure Biofeedback Unit (PBU) with breathing exercises on Pulmonary Function Test (PFT) in patients with Chronic obstructive pulmonary disease (COPD).OBJECTIVE:  This study aimed to compare core strengthening exercises with PBU along with breathing exercises and breathing exercises alone on Pulmonary Function Test (PFT).METHODS: Sixteen patients with mild to severe COPD based on PFT reports were assigned to either the exercise group (EG) - core strengthening exercise with PBU along with breathing exercises or the control group (CG) - breathing exercises. All participants underwent PFT, core strength test, COPD assessment test (CAT), and MMRC dyspnea grading pre and post to intervention. The intervention protocol for EG was 3 days/week for 6 weeks which was provided in Pulmonary rehabilitation setup of D.Y. Patil Hospital, Navi Mumbai, and for CG was 5 days/week for 6 weeks through tele- rehabilitation. The results obtained were analyzed using Paired ‘t’ test for dependent measures, the Unpaired ‘t’ test for independent measures, and ‘Z’ test for qualitative data with a significance threshold of p<0.05.RESULTS: There were 8 participants in each group. Both EG and CG showed no significant effects of protocol post 6 weeks on PFT values. Comparison between EG and CG shows a higher value in CG for FEV 1 with p=0.0002 and FEV 1 /FVC with p=0.0001 in post 6 weeks as well as in baseline. No significant difference was noted between both groups for the CAT score. Significant improvement was noted in the core strength test with p=0.0001 and MMRC with p=0.0001 post 6 weeks for EG. CONCLUSION: Results obtained from the study suggest that core strengthening exercise with PBU along with breathing exercises has no superior effects in comparison with breathing exercises alone on Pulmonary Function Test (PFT) in patients with COPD.


 


 

Downloads

Download data is not yet available.

Article Details

How to Cite
Cimi V, Deepa Suvarna, & Deepti Wadhwa. (2024). Effect Of 6 Weeks Of Core Strengthening Exercises On Pulmonary Function Test In Patients With Chronic Obstructive Pulmonary Disease. Journal of Advanced Zoology, 45(1), 1191–1200. https://doi.org/10.53555/jaz.v45i1.3676
Section
Articles
Author Biographies

Cimi V

Post Graduate, Dept. Of Physiotherapy, Pad Dr. D.Y. Patil University, Navi Mumbai.

Deepa Suvarna

Associate Professor, Dept. Of Physiotherapy, Pad Dr. D.Y. Patil University, Navi Mumbai

Deepti Wadhwa

Associate Professor, Dept. Of Physiotherapy, MVP College of Physiotherapy, Nashik

References

Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. (2023 report).Agrawal A, Kerndt CC, Manna B. Continuing Education Activity.

Zhang B, Li P, Li J, Liu X, Wu W. Effect of Oxidative Stress on Diaphragm Dysfunction and Exercise Intervention in Chronic Obstructive Pulmonary Disease. Frontiers in Physiology. 2021 Jun 7; 12.

Deshmukh PD, Arora R. Comparison of core muscle strength in chronic obstructive pulmonary disease and in age, gender and BMI matched healthy individuals. International Journal of Physiotherapy and Research. 2017 Jul 20; 5(4):2171–7. (4)

Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. Journal of Applied Physiology. 2000 Sep 1; 89(3):967–76.

Kim E, Lee H. The Effects of Deep Abdominal Muscle Strengthening Exercises on Respiratory Function and Lumbar Stability. Journal of Physical Therapy Science. 2013; 25(6):663–5.

Develi E, Subasi F, Aslan GK, Bingol Z. The effects of core stabilization training on dynamic balance and pulmonary parameters in patients with asthma. Journal of Back and Musculoskeletal Rehabilitation. 2021 Jul 13; 34(4):639–48.

Jung G, Park C, Hwang J, You J (Sung) H, Yi C, Choi WJ. Effects of core-postural stabilisation on fluoroscopy diaphragmatic measurement and dyspnea in chronic obstructive pulmonary disease: A randomized single-blinded clinical trial. Technology and Health Care. 2021 Mar 25; 29: 359–66.

Hopkinson NS, Dayer MJ, Moxham J, Polkey MI. Abdominal muscle fatigue following exercise in chronic obstructive pulmonary disease. Respiratory Research. 2010 Feb 4; 11(1).

Suzuki J, Tanaka R, Yan S, Chen R, Macklem Peter T, Kayser B. Assessment of Abdominal Muscle Contractility, Strength, and Fatigue. American Journal of Respiratory and Critical Care Medicine. 1999 Apr 1; 159(4):1052–60.

Dodd JW, Hogg L, Nolan J, Jefford H, Grant A, Lord VM, et al. The COPD assessment test (CAT): response to pulmonary rehabilitation. A multicentre, prospective study. Thorax. 2011 Mar 12; 66(5):425–9. (11)

Liu J, Meng G, Ma Y, Zhang X, Chen D, Chen M. Influence of COPD Assessment Text (CAT) evaluation and rehabilitation education guidance on the respiratory and motor functions of COPD patients. Open Medicine. 2015 Jan 1; 10(1).

Pisi R, Aiello M, Calzetta L, Frizzelli A, Tzani P, Bertorelli G, et al. The COPD assessment test and the modified Medical Research Council scale are not equivalent when related to the maximal exercise capacity in COPD patients. Pulmonology. 2021 Jul. 4; S2531- 0437(21)00119-7.

Pisi R, Aiello M, Calzetta L, Frizzelli A, Tzani P, Bertorelli G, et al. The COPD assessment test and the modified Medical Research Council scale are not equivalent when related to the maximal exercise capacity in COPD patients. Pulmonology. 2021 Jul. 4; S2531- 0437(21)00119-7.

Boueri FM, Bucher‐Bartelson B, Glenn K, Make B. Quality of life measured with a generic instrument (Short Form-36) improves following pulmonary rehabilitation in patients with COPD. Chest [Internet]. 2001 [cited 2023 Apr 2].

Tuluce D, Kutluturkan S, Cetin N. The effect of the patient coaching on the dispnea, cough and sputum symptoms of the monitored patients with chronic obstructive pulmonary disease (COPD): A pilot study. GUJHS. 2016; 5 : 32-41.

Borge CR, Hagen KB, Mengshoel AM, Omenaas E, Moum T, Wahl AK. Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews. BMC Pulmonary Medicine. 2014 Nov 21; 14(1).

Borge CR, Hagen KB, Mengshoel AM, Omenaas E, Moum T, Wahl AK. Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews. BMC Pulmonary Medicine. 2014 Nov 21; 14(1).