Öz
Akciğer fonksiyonlarında ve solunum kas gücündeki iyileşmeler daha iyi fiziksel performans ve sağlıklı bir yaşam sağlayabilmektedir. Solunum sisteminin fonksiyonları solunum kaslarının kapasitesine bağlıdır. Solunum kası egzersizleri solunum kaslarını kuvvetlendirerek solunum kapasitelerini artırabilmektedir. Bu bilgiler ışığında son yıllarda solunum kası egzersizleri ile ilgili araştırmalar çoğalmıştır. Bu düşünceler ile yapılan çalışmada dört haftalık aletli solunum kası egzersizlerinin solunum fonksiyonları üzerine olan kronik etkisinin incelenmesi amaçlanmıştır. Çalışmaya 20-40 yaşları arasında 20 gönüllü katılmıştır. Katılımcılara maksimal inspirasyon basıncı (MIP) değerlerinin % 40’ı ile sabah-akşam 30’ar adet olmak üzere dört hafta sürecince her gün aletli solunum kası egzersizi uygulanmıştır. Katılımcıların solunum fonksiyonları (FVC, FEV1, PEF, FEV1/FVC) çalışmanın başında, 2. hafta sonunda ve 4. hafta sonunda olmak üzere spirometre ile belirlenmiştir. Tekrarlı ölçümlerde, ölçümler arasındaki farkı belirlemede Friedman Testi kullanılmıştır. Aletli solunum kası egzersizlerinin solunum parametrelerinin hepsinde istatiksel olarak anlamlı şekilde gelişim sağladığı belirlenirken, bütün parametrelerde en yüksek gelişimin son ölçümlerde olduğu tespit edilmiştir (p<0,05). Aletli solunum kası egzersizlerinin solunum fonksiyonlarını geliştirmede önemli bir etken olduğu belirlenirken, kişilerin yaşam kalitelerini artırmada ve sağlıklarını koruma/geliştirmede bu egzersizleri kullanmaları tavsiye edilebilir.
Anahtar Kelimeler
Kaynakça
- Archiza, B., Andaku, D. K., & Caruso, F. C. R. (2018). Effects of inspiratory muscle training in professional women football players: a randomized sham-controlled trial. Journal of Sports Sciences, 36(7), 771-780. doi: 10.1080/02640414.2017.1340659 Bağıran, Y., Dağlıoğlu, Ö., & Bostancı Ö. (2019). The effect of respiratory muscle training on aerobic power and respiratory parameters in swimmers. International Journal of Sport Exercise and Training Sciences, 5(4), 214-220 doi: 10.18826/useeabd.647449
- Bostancı, Ö., Mayda, H., Yılmaz, C., Kabadayı, M., Yılmaz, A.K., & Özdal, M. (2019). Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respiratory Physiology Neurobiology, 264, 28-32. doi: 10.1016/j.resp.2019.04.001
- Butler, J. E., Hudson, A. L., & Gandevia, S. C. (2014). The neural control of human inspiratory muscles. Progress in Brain Research, 209, 295-308. doi: 10.1016/B978-0-444-63274-6.00015-1
- Culver, B. H., Graham, B. L., Coates, A. L., Wange, J., Berry, C. E., Clarke P. K., Hallstrand, T. S., Hankinson, J. L., Kaminsky D. A., MacIntyre, N. R., McCormack, M. C., Rosenfeld, M., Stanojevic, S., & Weiner, D. J. (2017). Recommendations for a standardized pulmonary function report. An official American thoracic society technical statement. American Journal of Respiratory and Critical Care Medicine, 196(11), 1463-1472. doi: 10.1164/rccm.201710-1981ST
- Çelik, Z., Atalay Güzel, N., Yüksel, F., & Kafa, N. (2021). Lung age and respiratory muscle strength in female volleyball players. Revista da Associação Médica Brasileira, 67(10), 1432-1436. doi: 10.1590/1806-9282.20210639
- Egan, B., & Zierath, J. R. (2013). Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metabolism, 17(2): 162-184. doi: 10.1016/j.cmet.2012.12.012
- Enright, S. J., Unnithan, V. B., Heward, C., Withnall, L., & Davies, D. H. (2006). Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Physical Therapy, 86(3), 345-354. doi: 10.1093/ptj/86.3.345
- Ergün, P., Gürgün, A., Erk, M., Akkoca Yıldız, Ö., Savcı, S., Özalevli, S., Kaymaz, D., Yıldırım, E. Ö., Olcay, S. S., Candemir, İ. Ç., Avcı, S., İnce, D. İ., ve Göktalay, T. (2019). Solumsal rehabilitasyon. Türk Toraks Derneği Eğitim Kitapları Serisi. Ankara: Miki, 3-28.
- Geddes, E. L., O’Brien, K., Reid, D. W., Brooks, D., & Crowe, J. (2008). Inspiratory muscle training in adults with chronic obstructive pulmonary disease: An update of a systematic review. Respir Med, 2(12), 1715-1729. doi: 10.1016/j.rmed.2008.07.005
- Guy, J. H., Edwards, A. M., & Deakin, G. B. (2014). Inspiratory muscle training improves exercise tolerance in recreational soccer players without concomitant gain in soccer-specific fitness. J Strength Condit Res, 28(2), 483-491. doi: 10.1519/JSC.0b013e31829d24b0
- Hodges, P. W., Sapsford, R., & Pengel, L. H. M. (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn, 26(3), 362-71. https://doi.org/10.1002/nau.20232
- Illi, S. K., Held, U., & Frank, I. (2012). Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis. Sports Medicine, 42(8), 707-724. doi: 10.1007/BF03262290
- Kilding, A. E., Brown, S., & McConnell, A. K. (2010). Inspiratory muscle training improves 100 and 200m swimming performance. European Journal of Applied Physiology, 108(3), 505-511. doi: 10.1007/s00421-009-1228-x
- Kraemer, W. J., Adams, K., Cafarelli, E., Dudley, G. A., Dooly, C., & Feigenbaum, M. S., et al. (2002). Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 34(2), 364-380. doi: 10.1097/00005768-200202000-0002
- Larson, J. L., Johnson, J. H., & Angst, D. B. (1996). Rehabilitation nursing process and application. In: SP Hoeman, editors. 2nd ed. St Louis: Mosby, 361-400.
- Lomax, M., Grant, I., & Corbett, J. (2011). Inspiratory muscle warm-up and inspiratory muscle training: seperate and combined effects on intermittent running to exhaustion. Journal of Sports Sciences, 29(6), 563-569. doi: 10.1080/02640414.2010.543911
- Lötters, F., Van, T. B., Kwakkel, G., & Gosselink, R. (2002). Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. European Respiratory Journal, 20(3), 570-576. doi: 10.1183/09031936.02.00237402
- McCully, K. K., & Hamaoka, T. (2000). Near-infrared spectroscopy: what can it tell us about oxygen saturation in skeletal muscle? Exercise and Sport Sciences Reviews, 28(3), 123-127.
- Öztütüncü, S., & Özdal, M. Chronic effect of inspiratory muscle training to maximal expiratory pressure in sedentary healthy boys. European Journal of Physical Education and Sport Science, 5(9), 1-7. doi: 10.5281/zenodo.2819668
- Santos, M. L. M., Rosa, B. D, Ferreira, C. R., Medeiros, A., & Batiston, A. P. (2012). Maximal respiratory pressures in healthy boys who practice swimming or indoor soccer and in healthy sedentary boys. Physiotherapy Theory and Practice, 28(1), 26-31. doi: 10.3109/09593985.2011.560239
- Sheel, A. W. (2002). Respiratory muscle training in healthy individuals: Physiological rationale and implications for exercise performance. Sports Medicine, 32(9), 67-81. doi: 10.2165/00007256-200232090-00003
- Silva, I. S., Fregonezi, G. A., Dias, F. A., Ribeiro, C. T., Guerra, R. O., & Ferreira, G. M. (2013). Inspiratory muscle training for asthma. Cochrane Database of Systematic Reviews, 9, 1-35. doi: 10.1002/14651858.CD003792.pub2
- Silva, R. L. C., Hall, E., & Maior, A. S. (2019). Inspiratory muscle training improves performance of a repeated sprints ability test in professional soccer players. Journal of Bodywork and Movement Therapies, 23(3), 452-455. doi: 10.1016/j.jbmt.2019.01.016
- Yılmaz, Ö. F., & Özdal, M. (2019). Acute, chronic, and combined pulmonary responses to swimming in competitive swimmers. Respiratory Physiology Neurobiology, 259, 129-135. doi: 10.1016/j.resp.2018.09.002
Öz
qImprovements in lung functions and respiratory muscle strength can provide better physical performance and a healthy life. The functions of the respiratory system depend on the capacity of the inspiratory muscles. Inspiratory muscle training can increase respiratory capacity by strengthening the inspiratory muscles. In the light of this information, researches on the inspiratory muscle training have increased in recently. In this study, it is aimed to examine the chronic effect of 4-week inspiratory muscle training with the device (IMT-D) on respiratory functions. Twenty volunteers between the ages of 20-40 participate in the study IMT-D is applied to the participants every day for 4 weeks, with 40% of the maximal inspiratory pressure (MIP) values and 30 repetitions in the morning and the evening. The respiratory functions of the participants (FVC, FEV1, PEF, FEV1/FVC) is determined by spirometry at the beginning of the study, at the end of the 2nd week and at the end of the 4th week. In repeated measurements, Friedman Test is used to determine the differences between the measurements. As results, it is determined that IMT-D provided statistically significant improvement in all respiratory parameters, it is determined that the highest improvement in all parameters is in the last measurements (p<0.05). Since it is determined that IMT-D are an important factor in improving respiratory functions, it can be recommended that people use these exercises to increase their quality of life and to protect/improve their health.
Anahtar Kelimeler
Kaynakça
- Archiza, B., Andaku, D. K., & Caruso, F. C. R. (2018). Effects of inspiratory muscle training in professional women football players: a randomized sham-controlled trial. Journal of Sports Sciences, 36(7), 771-780. doi: 10.1080/02640414.2017.1340659 Bağıran, Y., Dağlıoğlu, Ö., & Bostancı Ö. (2019). The effect of respiratory muscle training on aerobic power and respiratory parameters in swimmers. International Journal of Sport Exercise and Training Sciences, 5(4), 214-220 doi: 10.18826/useeabd.647449
- Bostancı, Ö., Mayda, H., Yılmaz, C., Kabadayı, M., Yılmaz, A.K., & Özdal, M. (2019). Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respiratory Physiology Neurobiology, 264, 28-32. doi: 10.1016/j.resp.2019.04.001
- Butler, J. E., Hudson, A. L., & Gandevia, S. C. (2014). The neural control of human inspiratory muscles. Progress in Brain Research, 209, 295-308. doi: 10.1016/B978-0-444-63274-6.00015-1
- Culver, B. H., Graham, B. L., Coates, A. L., Wange, J., Berry, C. E., Clarke P. K., Hallstrand, T. S., Hankinson, J. L., Kaminsky D. A., MacIntyre, N. R., McCormack, M. C., Rosenfeld, M., Stanojevic, S., & Weiner, D. J. (2017). Recommendations for a standardized pulmonary function report. An official American thoracic society technical statement. American Journal of Respiratory and Critical Care Medicine, 196(11), 1463-1472. doi: 10.1164/rccm.201710-1981ST
- Çelik, Z., Atalay Güzel, N., Yüksel, F., & Kafa, N. (2021). Lung age and respiratory muscle strength in female volleyball players. Revista da Associação Médica Brasileira, 67(10), 1432-1436. doi: 10.1590/1806-9282.20210639
- Egan, B., & Zierath, J. R. (2013). Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metabolism, 17(2): 162-184. doi: 10.1016/j.cmet.2012.12.012
- Enright, S. J., Unnithan, V. B., Heward, C., Withnall, L., & Davies, D. H. (2006). Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Physical Therapy, 86(3), 345-354. doi: 10.1093/ptj/86.3.345
- Ergün, P., Gürgün, A., Erk, M., Akkoca Yıldız, Ö., Savcı, S., Özalevli, S., Kaymaz, D., Yıldırım, E. Ö., Olcay, S. S., Candemir, İ. Ç., Avcı, S., İnce, D. İ., ve Göktalay, T. (2019). Solumsal rehabilitasyon. Türk Toraks Derneği Eğitim Kitapları Serisi. Ankara: Miki, 3-28.
- Geddes, E. L., O’Brien, K., Reid, D. W., Brooks, D., & Crowe, J. (2008). Inspiratory muscle training in adults with chronic obstructive pulmonary disease: An update of a systematic review. Respir Med, 2(12), 1715-1729. doi: 10.1016/j.rmed.2008.07.005
- Guy, J. H., Edwards, A. M., & Deakin, G. B. (2014). Inspiratory muscle training improves exercise tolerance in recreational soccer players without concomitant gain in soccer-specific fitness. J Strength Condit Res, 28(2), 483-491. doi: 10.1519/JSC.0b013e31829d24b0
- Hodges, P. W., Sapsford, R., & Pengel, L. H. M. (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn, 26(3), 362-71. https://doi.org/10.1002/nau.20232
- Illi, S. K., Held, U., & Frank, I. (2012). Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis. Sports Medicine, 42(8), 707-724. doi: 10.1007/BF03262290
- Kilding, A. E., Brown, S., & McConnell, A. K. (2010). Inspiratory muscle training improves 100 and 200m swimming performance. European Journal of Applied Physiology, 108(3), 505-511. doi: 10.1007/s00421-009-1228-x
- Kraemer, W. J., Adams, K., Cafarelli, E., Dudley, G. A., Dooly, C., & Feigenbaum, M. S., et al. (2002). Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 34(2), 364-380. doi: 10.1097/00005768-200202000-0002
- Larson, J. L., Johnson, J. H., & Angst, D. B. (1996). Rehabilitation nursing process and application. In: SP Hoeman, editors. 2nd ed. St Louis: Mosby, 361-400.
- Lomax, M., Grant, I., & Corbett, J. (2011). Inspiratory muscle warm-up and inspiratory muscle training: seperate and combined effects on intermittent running to exhaustion. Journal of Sports Sciences, 29(6), 563-569. doi: 10.1080/02640414.2010.543911
- Lötters, F., Van, T. B., Kwakkel, G., & Gosselink, R. (2002). Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis. European Respiratory Journal, 20(3), 570-576. doi: 10.1183/09031936.02.00237402
- McCully, K. K., & Hamaoka, T. (2000). Near-infrared spectroscopy: what can it tell us about oxygen saturation in skeletal muscle? Exercise and Sport Sciences Reviews, 28(3), 123-127.
- Öztütüncü, S., & Özdal, M. Chronic effect of inspiratory muscle training to maximal expiratory pressure in sedentary healthy boys. European Journal of Physical Education and Sport Science, 5(9), 1-7. doi: 10.5281/zenodo.2819668
- Santos, M. L. M., Rosa, B. D, Ferreira, C. R., Medeiros, A., & Batiston, A. P. (2012). Maximal respiratory pressures in healthy boys who practice swimming or indoor soccer and in healthy sedentary boys. Physiotherapy Theory and Practice, 28(1), 26-31. doi: 10.3109/09593985.2011.560239
- Sheel, A. W. (2002). Respiratory muscle training in healthy individuals: Physiological rationale and implications for exercise performance. Sports Medicine, 32(9), 67-81. doi: 10.2165/00007256-200232090-00003
- Silva, I. S., Fregonezi, G. A., Dias, F. A., Ribeiro, C. T., Guerra, R. O., & Ferreira, G. M. (2013). Inspiratory muscle training for asthma. Cochrane Database of Systematic Reviews, 9, 1-35. doi: 10.1002/14651858.CD003792.pub2
- Silva, R. L. C., Hall, E., & Maior, A. S. (2019). Inspiratory muscle training improves performance of a repeated sprints ability test in professional soccer players. Journal of Bodywork and Movement Therapies, 23(3), 452-455. doi: 10.1016/j.jbmt.2019.01.016
- Yılmaz, Ö. F., & Özdal, M. (2019). Acute, chronic, and combined pulmonary responses to swimming in competitive swimmers. Respiratory Physiology Neurobiology, 259, 129-135. doi: 10.1016/j.resp.2018.09.002
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Antrenman |
| Bölüm | Arşiv |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Eylül 2022 |
| Gönderilme Tarihi | 3 Ağustos 2022 |
| Kabul Tarihi | 5 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 3 |
Cited By
Development of Personalized Respiratory Training Device with Real-time Feedback for Respiratory Muscle Strengthening
Physical Therapy Rehabilitation Science
https://doi.org/10.14474/ptrs.2023.12.3.251
Akdeniz Spor Bilimleri Dergisi Creative Commons Atıf 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Mediterranean Journal of Sport Science (MJSS) is licensed under a Creative Commons Attribution 4.0 International License.