Effect Of Inspiratory Muscle Training On Core Muscle Strength, Endurance And Balance

Abstract

Objective: The core region of the body is the transition point between the upper extremity and the lower extremity. Although the diaphragm is the main respiratory muscle, it is one of the core muscles. The aim of this study is to examine the effect of inspiratory muscle strength training (IMT) on core muscle strength, endurance and balance. Method: 22 healthy young adults were included in the study and divided into two randomization groups: IMT Group (IMTGr) and control group (CGr). While IMTGr was applied for eight weeks by progressing with resistance starting from 85% of the maximum inspiratory pressure, no intervention was made to CGr. The lung volumes of the cases were evaluated by spirometric measurement, respiratory muscle strength by mouth pressure measurement, core muscle strength by Chattanooga Stabilizer Pressure Biofeedback, core muscle endurance by sit-up, lateral bridge and plank tests, and their balance by Y balance test. Results: At the beginning evaluation of the groups, other clinical and demographic characteristics were similar except for the Y balance test. Although there were numerical increases in lung volumes and respiratory muscle strength at the end of the program in IMTGr, no statistically significant difference was detected (p>0,05). Although there were intra-group differences in core muscle strength, endurance and balance there was no difference between the groups (p>0,05). Conclusion: According to the results obtained from the study, IMT has no effect on core muscle strength, endurance and balance. In order to obtain more meaningful results, large-scale studies are needed to examine core muscle strength, core muscle endurance and balance in isolation.

Keywords

• Balance
• İnspiratory
• Core
• Respiratory muscle strength
• Transversus Abdominus

Sağlıklı Bireylerde İnspiratuar Kas Eğitiminin Kor Kas Kuvveti, Enduransı, Denge Üzerine Etkisi

Abstract

Amaç: Vücutta kor bölgesi üst ekstremite ile alt ekstremitenin geçiş noktasıdır. Diyafragma, başlıca solunum kası olmakla birlikte, kor kaslarından biridir. Bu çalışmanın amacı inspiratuar kas kuvvet eğitimi (İKE)’nin, kor kas kuvveti, enduransı ve denge üzerine etkisini incelemektir. Yöntem: Çalışmaya toplamda 22 sağlıklı genç erişkinin dahil edildi ve randomize olarak İKE Grubu (İKEGr) ve kontrol grubu (KGr) olarak ikiye ayrıldı. İKEGr’ye maksimum inspiratuar basıncın %85’inden başlanan dirençle progrese edilerek sekiz hafta süresince İKE uygulanırken, KGr’ye bir müdahale yapılmadı. Olguların akciğer volümleri spirometrik ölçümle, solunum kas kuvveti ağız basınç ölçümü ile kor kas kuvveti Chattanooga Stabilizer Pressure Biofeedback ile kor kas enduransı sit up, lateral köprü, plank testleri ile dengeleri Y denge testi ile değerlendirildi. Bulgular: Grupların başlangıç değerlendirmesinde, Y denge testi dışında diğer klinik ve demografik özellikleri benzerdi. IKEGr’de program sonunda akciğer volümlerinde ve solunum kas kuvvetinde sayısal artışlar olmakla birlikte, istatistiksel olarak anlamlı bir fark saptanmadı (p>0,05). Kor kas kuvveti, enduransı ve dengede grup içi farklılıklar olmakla birlikte gruplar arasında bir fark yoktu (p>0,05). Sonuç: Çalışmadan elde edilen sonuçlara göre İKE’nin kor kas kuvvet ve enduransı ile denge üzerine etkisi yoktur. Daha anlamlı sonuçların elde edilebilmesi için kor kas kuvveti, kor kas enduransı ve dengenin izole şekilde inceleneceği geniş boyutlu çalışmalara ihtiyaç vardır.

Keywords

• Denge
• İnspiratuar
• Kor
• Solunum kas kuvveti
• Transversus Abdominus

References

1. 1. Hill J, Leiszler M. (2011). Review and role of plyometrics and core rehabilitation in competitive sport. Curr sports med rep, 10(6), 345–51.
2. 2. Kibler W Ben, Press J, Sciascia A. (2006). The role of core stability in athletic function. Sports med, 36(3), 189–98.
3. 3. Chok B, Lee R, Latimer J, Tan SB. (1999). Endurance Training of the trunk extensor muscles in people with subacute low back pain. Phys ther, 79(11), 1032–42.
4. 4. Akuthota V, Ferreiro A, Moore T, Fredericson M. (2008). Core stability exercise principles. Curr sports med rep, 7(1), 39–44.
5. 5. Kocjan J, Adamek M, Gzik-Zroska B, Czyżewski D, Rydel M. (2017). Network of breathing. Multifunctional role of the diaphragm: A review. Adv respir med, 85(4), 224–32.
6. 6. De Troyer A, Estenne M. (1988). Functional anatomy of the respiratory muscles. Clin chest med, 9(2), 175–93.
7. 7. Arthur C. Guyton, M.D.,John E. Hall, Ph.D. (2023). Free download, borrow, and streaming : internet archive, 8(5), 12-26.
8. 8. Ahmadnezhad L, Yalfani A, Borujeni BG. (2020). Inspiratory muscle training in rehabilitation of low back pain: A randomized controlled trial. J sport rehabilitation, 29(8), 1151–8.

9. 9. Tanriverdi A, Savci S, Ozcan Kahraman B, Odaman H, Ozpelit E, Senturk B, et al. (2023). Effects of high intensity interval-based inspiratory muscle training in patients with heart failure: A single-blind randomized controlled trial. Heart lung, 62(13), 1–8.
10. 10. Yücel B, Taşcı C, Şahin E, Ulubay G, Erdoğan G, Öz M, et al. (2023). Türk toraks derneği solunum fonksiyon testi laboratuvar koşulları görüş raporu. İnternet archive, 12(5), 28-42.
11. 11. Wen AS, Woo MS, Keens TG. (1997). How many maneuvers are required to measure maximal inspiratory pressure accurately. Curr sports med rep, 111(3), 802–7.
12. 12. Gold WM, Koth LL. (2016). Pulmonary function testing. Murray and nadel’s textbook of respiratory medicine 41(5), 407-12.
13. 13. Faustino D, Vieira A, Candotti CT, Detogni Schmit EF, Rios Xavier MF, Lunelli VA, et al. (2021). Repeatability and reproducibility of the pressure biofeedback unit. J bodyw mov ther, 27(6), 560–74.
14. 14. Moreland J, Finch E, Stratford P, Balsor B, Gill C. (1997). Interrater reliability of six tests of trunk muscle function and endurance. J orthop sports phys ther, 26(4), 200–8.
15. 15. Karaçay BÇ, Konar NM. (2023). Risk factors for reduced core endurance, fatigue and physical inactivity in medical students. Anatolian clinic the journal of medical sciences, 28(2), 139–48.
16. 16. Ateş B. (2019). Y denge test performansı ile hamstring esnekliği arasındaki i̇lişki. Gaziantep üniversitesi spor bilimleri dergisi, 11(3), 36-40.
17. 17. Qi K, Fu H, Yang Z, Bao L, Shao Y. (2022). Effects of core stabilization training on the cobb angle and pulmonary function in adolescent patients with idiopathic scoliosis. J environ public health, 78(20), 542-60.
18. 18. Barati A, Safarcherati A, Aghayari A, Azizi F, Abbasi H. (2013). Evaluation of relationship between trunk muscle endurance and static balance in male students. Asian J sports med, 4(4), 289–94.
19. 19. Çakan M, Gül G. (2018). Ses eğı̇tı̇mı̇nde kullanılan nefes ve ses egzersı̇zlerı̇nı̇n konuşma bozukluklarının gı̇derı̇lmesı̇nde kullanılabilı̇rliği. Akademik müzik araştırmaları dergisi, 4(8), 1–14.
20. 20. Aghasafari P, George U, Pidaparti R. (2019). A. review of inflammatory mechanism in airway diseases. Inflamm res, 68(1), 59–74.
21. 21. Plisky P, Schwartkopf-Phifer K, Huebner B, Garner MB, Bullock G. (2021). Systematic Review and meta- analysis of the y-balance test lower quarter: reliability, discriminant validity, and predictive validity. Int J sports phys ther, 16(5), 1190-98.
22. 22. Saryal S. (2017). Lung volumes. Toraks cerrahisi bülteni, 10(1), 21–8.
23. 23. McNarry MA, Berg RMG, Shelley J, Hudson J, Saynor ZL, Duckers J, et al.(2022). Inspiratory muscle training enhances recovery post-covid-19: a randomised controlled trial. Eur respir J, 60(4), 128-32.
24. 24. Ferraro F V., Gavin JP, Wainwright T, McConnell A. (2019). The effects of 8 weeks of inspiratory muscle training on the balance of healthy older adults: a randomized, double‐blind, placebo‐controlled study. Physiol rep, 7(9), 88-92.
25. 25. Cholewicki J, McGill SM. (1996). Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain. Clinical biomechanics, 11(1), 1–15.
26. 26. Hodges PW, Richardson CA. (1997). Contraction of the abdominal muscles associated with movement of the lower limb. Phys ther, 77(2), 132–44.
27. 27. Strand SL, Hjelm J, Shoepe TC, Fajardo MA. (2014). Norms for an isometric muscle endurance test. J hum kinet, 40(1), 93–102.
28. 28. de Oliveira IO, Pilz B, Santos RLG, Vasconcelos RA, Mello W, Grossi DB. (2018). Reference values and reliability for lumbopelvic strength and endurance in asymptomatic subjects. Braz J phys ther, 22(1), 33–41.
29. 29. Büyüktaş B, Öztürk B, Türkeri C. (2020). Alt ekstremite ve kalça merkezi sabit tutularak uygulanan üst ekstremite Y dinamik denge testi güvenirlik çalışması. Spor bilimleri dergisi, 9(2), 46-64.
30. 30. Junker D, Stöggl T. (2019). The training effects of foam rolling on core strength endurance, balance, muscle performance and range of motion: A randomized controlled trial. J sports sci med, 18(2), 229–38.