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Cardiorespiratory repercussions according to the abdominal circumference measurement of men with obstructive respiratory disorder submitted to respiratory physiotherapy
Ist Teil von
Physiotherapy Theory and Practice, 2018, Vol.34 (11), p.835-845
Ort / Verlag
Taylor & Francis
Erscheinungsjahr
2018
Beschreibungen/Notizen
Purpose: To examine the effect of respiratory physiotherapy among men with obstructive respiratory disorder, in relation to abdominal circumference (AC). Methods: Quasi-experimental study including 26 men split into two groups according to AC(cm): 1) < 102 (AC
risk-free
); and 2) ≥ 102 (AC
risk
). Heart rate variability (HRV), diastolic blood pressure (DBP), oxygen saturation (SpO
2
), FEV
1
/FVC, slow vital capacity (SVC), inspiratory capacity (IC), maximal inspiratory pressure (PI
max
), thoracoabdominal amplitude (AI) were measured: before (M
1
); 5 min after the physiotherapy (i.e. breathing exercises for airway clearance and active kinesiotherapy) (M
2
); and at follow-up, 30 min after physiotherapy (M
3
). Results: The groups differed in age, body mass index and body fat %. At M
2
IC was different between groups (AC
risk-free
< AC
risk
). There was an increase in HRV indexes, PI
max
, SpO
2
, axillary AI, FEV
1
/FVC, and reduction in HR for AC
risk-free
. There was a decrease in AI and an increase in DBP for AC
risk
. Conclusion: In men with obstructive respiratory disorder, increased AC measurement limited the thoracoabdominal expansibility and induced a rise of the DBP. Respiratory physiotherapy promotes an increase of cardiac modulation and inspiratory capacity for men with obstructive respiratory disorder.