{"title":"上肢柔韧性训练对慢性呼吸道疾病患者呼吸肌功能、上肢耐力和日常生活活动的影响——一项随机对照试验","authors":"Mahadevi Patil, Prajakta Sahasrabudhe, Ashok Shyam, Parag Sancheti","doi":"10.1002/pri.70058","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>Patients with chronic respiratory disease (CRD) often rely on neck muscles for breathing and contribute to poor posture, which alters the length-tension relationship and efficiency of these muscles. Upper body flexibility and good posture can potentiate pulmonary rehabilitation (PR) protocol. The present study aims to evaluate if the addition of upper body flexibility exercises to PR benefits patients in terms of respiratory muscle performance, upper limb endurance, and daily activities.</p><p><strong>Methods: </strong>The study protocol was approved by the institutional ethical committee before the participant enrollment. Sixty individuals with a diagnosis of chronic respiratory disease were recruited and randomly allocated to a control and experimental group. The control group received a conventional PR protocol, whereas the experimental group received upper body flexibility exercises in addition to PR for 4 weeks. Respiratory muscle performance measured as maximal inspiratory pressure (PImax), upper limb endurance (6-Minute Pegboard and Rings Test), and activities of daily living (Barthel Index-Dyspnea) were assessed at baseline and after 4 weeks for both the groups.</p><p><strong>Results: </strong>Baseline values were similar for both groups. Group A had scores of 55.1 ± 6.19 for PImax and 372.0 ± 41.80 for the 6-Minute Pegboard and Rings Test, while Group B scored 57.7 ± 6.49 and 394.0 ± 36.99, respectively (p < 0.05), showing greater improvements in Group B. Both groups also showed similar improvements in the Barthel Index-Dyspnea, with Group A scoring 2.61 ± 1.87 and Group B scoring 2.86 ± 1.92 at the end of 4 weeks.</p><p><strong>Discussion: </strong>The results of the study can be attributed to improved respiratory mechanics, muscle efficiency, and reduced perceived exertion during activities. Hence, respiratory physiotherapists should incorporate upper body flexibility training in PR for better outcomes.</p><p><strong>Trial registration: </strong>Clinical trial registry India (CTRI/2023/09/057917).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70058"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of Upper Body Flexibility Exercises on Respiratory Muscle Performance, Upper Limb Endurance and Activities of Daily Living in Patients With Chronic Respiratory Disease-A Randomized Control Trial.\",\"authors\":\"Mahadevi Patil, Prajakta Sahasrabudhe, Ashok Shyam, Parag Sancheti\",\"doi\":\"10.1002/pri.70058\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and purpose: </strong>Patients with chronic respiratory disease (CRD) often rely on neck muscles for breathing and contribute to poor posture, which alters the length-tension relationship and efficiency of these muscles. Upper body flexibility and good posture can potentiate pulmonary rehabilitation (PR) protocol. The present study aims to evaluate if the addition of upper body flexibility exercises to PR benefits patients in terms of respiratory muscle performance, upper limb endurance, and daily activities.</p><p><strong>Methods: </strong>The study protocol was approved by the institutional ethical committee before the participant enrollment. Sixty individuals with a diagnosis of chronic respiratory disease were recruited and randomly allocated to a control and experimental group. The control group received a conventional PR protocol, whereas the experimental group received upper body flexibility exercises in addition to PR for 4 weeks. Respiratory muscle performance measured as maximal inspiratory pressure (PImax), upper limb endurance (6-Minute Pegboard and Rings Test), and activities of daily living (Barthel Index-Dyspnea) were assessed at baseline and after 4 weeks for both the groups.</p><p><strong>Results: </strong>Baseline values were similar for both groups. Group A had scores of 55.1 ± 6.19 for PImax and 372.0 ± 41.80 for the 6-Minute Pegboard and Rings Test, while Group B scored 57.7 ± 6.49 and 394.0 ± 36.99, respectively (p < 0.05), showing greater improvements in Group B. Both groups also showed similar improvements in the Barthel Index-Dyspnea, with Group A scoring 2.61 ± 1.87 and Group B scoring 2.86 ± 1.92 at the end of 4 weeks.</p><p><strong>Discussion: </strong>The results of the study can be attributed to improved respiratory mechanics, muscle efficiency, and reduced perceived exertion during activities. Hence, respiratory physiotherapists should incorporate upper body flexibility training in PR for better outcomes.</p><p><strong>Trial registration: </strong>Clinical trial registry India (CTRI/2023/09/057917).</p>\",\"PeriodicalId\":47243,\"journal\":{\"name\":\"Physiotherapy Research International\",\"volume\":\"30 2\",\"pages\":\"e70058\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Research International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/pri.70058\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70058","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
Effect of Upper Body Flexibility Exercises on Respiratory Muscle Performance, Upper Limb Endurance and Activities of Daily Living in Patients With Chronic Respiratory Disease-A Randomized Control Trial.
Background and purpose: Patients with chronic respiratory disease (CRD) often rely on neck muscles for breathing and contribute to poor posture, which alters the length-tension relationship and efficiency of these muscles. Upper body flexibility and good posture can potentiate pulmonary rehabilitation (PR) protocol. The present study aims to evaluate if the addition of upper body flexibility exercises to PR benefits patients in terms of respiratory muscle performance, upper limb endurance, and daily activities.
Methods: The study protocol was approved by the institutional ethical committee before the participant enrollment. Sixty individuals with a diagnosis of chronic respiratory disease were recruited and randomly allocated to a control and experimental group. The control group received a conventional PR protocol, whereas the experimental group received upper body flexibility exercises in addition to PR for 4 weeks. Respiratory muscle performance measured as maximal inspiratory pressure (PImax), upper limb endurance (6-Minute Pegboard and Rings Test), and activities of daily living (Barthel Index-Dyspnea) were assessed at baseline and after 4 weeks for both the groups.
Results: Baseline values were similar for both groups. Group A had scores of 55.1 ± 6.19 for PImax and 372.0 ± 41.80 for the 6-Minute Pegboard and Rings Test, while Group B scored 57.7 ± 6.49 and 394.0 ± 36.99, respectively (p < 0.05), showing greater improvements in Group B. Both groups also showed similar improvements in the Barthel Index-Dyspnea, with Group A scoring 2.61 ± 1.87 and Group B scoring 2.86 ± 1.92 at the end of 4 weeks.
Discussion: The results of the study can be attributed to improved respiratory mechanics, muscle efficiency, and reduced perceived exertion during activities. Hence, respiratory physiotherapists should incorporate upper body flexibility training in PR for better outcomes.
Trial registration: Clinical trial registry India (CTRI/2023/09/057917).
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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