Cumulative Effects of Concurrent Inspiratory Muscle Training and Postural Correction Bands on Older Individuals Community Dwellers: A Randomized Study
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Purpose: Posture correction bands (PCBs) have been proposed as aids to help chest expansion and to enhance respiratory function. However, the impact of PCBs on community-based older individuals engaged in inspiratory muscle training (IMT) at home remains unclear. Materials and Methods: Community-based individuals aged 65 years and older were divided into the PCB group, wearing PCBs, and the NPCB group, not wearing PCBs. The IMT regimen lasted 8 weeks, with sessions 5 times a week, including 4 sets per day and 15 repetitions per set. Training intensity was set at 50% of the maximum inspiratory pressure of each subject. To assess the effects of IMT, respiratory function, 6-minute walk test, and grip strength were measured before, during, and after the training period. Data were analyzed using repeated-measures analysis of variance, with post-hoc evaluation employing Bonferroni correction. Results: A total of 40 subjects were evenly divided into the PCB group and the NPCB group, with 20 subjects in each group. No significant difference was observed in respiratory muscle strength based on PCB use. However, during the initial 4 weeks, the PCB group exhibited a trend towards an increase in respiratory muscle strength compared to the NPCB group; this trend, however, did not prove to be statistically significant by the end of the 8-week period. Performance on the 6-minute walk test significantly improved in both groups. Conclusion: The PCB group exhibited a tendency for increase in respiratory muscle strength in the first 4 weeks; however, ultimately there was no significant difference compared to the NPCB group. Clinical Trial Registration: This study was registered with the Clinical Research Information Service, part of the World Health Organization’s International Clinical Trials Registry Platform (Clinical Research Information Service No. KCT0008075).
Abstract
Purpose: Posture correction bands (PCBs) have been proposed as aids to help chest expansion and to enhance respiratory function. However, the impact of PCBs on community-based older individuals engaged in inspiratory muscle training (IMT) at home remains unclear. Materials and Methods: Community-based individuals aged 65 years and older were divided into the PCB group, wearing PCBs, and the NPCB group, not wearing PCBs. The IMT regimen lasted 8 weeks, with sessions 5 times a week, including 4 sets per day and 15 repetitions per set. Training intensity was set at 50% of the maximum inspiratory pressure of each subject. To assess the effects of IMT, respiratory function, 6-minute walk test, and grip strength were measured before, during, and after the training period. Data were analyzed using repeated-measures analysis of variance, with post-hoc evaluation employing Bonferroni correction. Results: A total of 40 subjects were evenly divided into the PCB group and the NPCB group, with 20 subjects in each group. No significant difference was observed in respiratory muscle strength based on PCB use. However, during the initial 4 weeks, the PCB group exhibited a trend towards an increase in respiratory muscle strength compared to the NPCB group; this trend, however, did not prove to be statistically significant by the end of the 8-week period. Performance on the 6-minute walk test significantly improved in both groups. Conclusion: The PCB group exhibited a tendency for increase in respiratory muscle strength in the first 4 weeks; however, ultimately there was no significant difference compared to the NPCB group. Clinical Trial Registration: This study was registered with the Clinical Research Information Service, part of the World Health Organization’s International Clinical Trials Registry Platform (Clinical Research Information Service No. KCT0008075).
참고문헌 (36)
- United Nations, Department of Economic and Social Affairs, "World population ageing 2019: highlights" (2019), United Nations
- Cho SJ, "Aging and lung disease", Annu Rev Physiol, 82, pp.433~459 (2020)
- Ensrud KE, "Correlates of kyphosis in older women", J Am Geriatr Soc, 45, pp.682~687 (1997)
- Kasukawa Y, "Age-related changes in muscle strength and spinal kyphosis angles in an elderly Japanese population", Clin Interv Aging, 12, pp.413~420 (2017)
- Lowery EM, "The aging lung", Clin Interv Aging, 8, pp.1489~1496 (2013)
- Özler N, "Investigation of the effect of thoracic kyphosis degree on physical activity level and respiratory function tests", J Basic Clin Health Sci, 4, pp.22~26 (2020)
- Del Corral T, "Home-based respiratory muscle training on quality of life and exercise tolerance in long-term post-COVID-19 : randomized controlled trial", Ann Phys Rehabil Med, 66, pp.101709~ (2023)
- Figueiredo RIN, "Inspiratory muscle training in COPD", Respir Care, 65, pp.1189~1201 (2020)
- Yang MX, "Perioperative respiratory muscle training improves respiratory muscle strength and physical activity of patients receiving lung surgery : a meta-analysis", World J Clin Cases, 10, pp.4119~4130 (2022)
- Beaumont M, "Effects of inspiratory muscle training in COPD patients : a systematic review and meta-analysis", Clin Respir J, 12, pp.2178~2188 (2018)
- Manifield J, "Inspiratory muscle training for improving inspiratory muscle strength and functional capacity in older adults : a systematic review and meta-analysis", Age Ageing, 50, pp.716~724 (2021)
- McNarry MA, "Inspiratory muscle training enhances recovery post-COVID-19 : a randomised controlled trial", Eur Respir J, 60, pp.2103101~ (2022)
- Alvarenga GM, "The influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women : a randomized controlled trial", Clinics(Sao Paulo), 73, pp.e356~ (2018)
- Kim JH, "Effect of posture correction band on pulmonary function in individuals with neck pain and forward head posture", Phys Ther Korea, 27, pp.278~285 (2020)
- Ahmed M, "Effects of posture correction on chest expansion with patient with forward head posture", Pak J Med Health Sci, 16, pp.13~ (2022)
- Park TS, "The impact of posture correction bands on the respiratory function of healthy adults in their twenties : the difference between men and women", Prosthet Orthot Int, 47, pp.117~121 (2023)
- Dellweg D, "Inspiratory muscle training during rehabilitation in successfully weaned hypercapnic patients with COPD", Respir Med, 123, pp.116~123 (2017)
- Weiner P, "Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD", Chest, 124, pp.1357~1364 (2003)
- Mills DE, "The effects of inspiratory muscle training on plasma interleukin-6 concentration during cycling exercise and a volitional mimic of the exercise hyperpnea", J Appl Physiol(1985), 115, pp.1163~1172 (2013)
- American Thoracic Society, "European Respiratory Society", ATS, Am J Respir Crit Care Med, pp.2002, 166[DOI]
- Miller MR, "Standardisation of spirometry", Eur Respir J, 26, pp.319~338 (2005)
- Cardoso FE, "Evaluation of peak cough flow in Brazilian healthy adults", Int Arch Med, 5, pp.25~ (2012)
- Enright PL, "The six-minute walk test", Respir Care, 48, pp.783~785 (2003)
- Kim CR, "Reference values for hand grip strength in the South Korean population", PLoS One, 13, pp.e0195485~ (2018)
- Jackson ML, "The burden of community-acquired pneumonia in seniors : results of a population-based study", Clin Infect Dis, 39, pp.1642~1650 (2004)
- Chatham K, "A short-term comparison of two methods of sputum expectoration in cystic fibrosis", Eur Respir J, 23, pp.435~439 (2004)
- Dsilva C, "Acute effects of threshold inspiratory muscle training on sputum volume, pulmonary functions and length of hospital stay among patients with COPD in a tertiary health care set up of a low-middle income country-a pilot randomized control trial", Eur Respir J, 58(suppl 65), pp.PA2205~ (2021)
- Ahmed M, "Efficacy of posture correction band vs. McKenzie’s exercises on pulmonary function and chest expansion in asymptomatic population with forward head posture", J Bodyw Mov Ther, 38, pp.18~23 (2024)
- Park TS, "Reference respiratory muscle strength values and a prediction equation using physical functions for pulmonary rehabilitation in Korea", J Korean Med Sci, 38, pp.e325~ (2023)
- Kim SH, "Effects of a new respiratory muscle training device in community-dwelling elderly men : an open-label, randomized, non-inferiority trial", BMC Geriatr, 22, pp.155~ (2022)
- Martin-Sanchez C, "Comparison between two inspiratory muscle training protocols, low loads versus high loads, in institutionalized elderly women : a double-blind randomized controlled trial", Gerontology, 67, pp.1~8 (2021)
- Watsford M, "The effects of respiratory-muscle training on exercise in older women", J Aging Phys Act, 16, pp.245~260 (2008)
- Gosselink R, "Impact of inspiratory muscle training in patients with COPD : what is the evidence?", Eur Respir J, 37, pp.416~425 (2011)
- Prvu Bettger J, "Telerehabilitation in the age of COVID-19 : an opportunity for learning health system research", Phys Ther, 100, pp.1913~1916 (2020)
- Shei RJ, "Recent advancements in our understanding of the ergogenic effect of respiratory muscle training in healthy humans : a systematic review", J Strength Cond Res, 32, pp.2665~2676 (2018)
- McCool FD, "Global physiology and pathophysiology of cough : ACCP evidence-based clinical practice guidelines", Chest, 129(1 Suppl), pp.48S~53S (2006)