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

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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