Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 2 | Page No. 1415-1422
Date of Publication: 11-04-2016
INCENTIVE SPIROMETRY AND BREATHING EXERCISES WERE NOT ABLE TO IMPROVE RESTRICTIVE PULMONARY CHARACTERISTICS INDUCED BY WATER IMMERSION IN HEALTHY SUBJECTS
Aline A. Vepo, Caroline S. Martinez, Giulia A. Wiggers, Franck M. Peçanha *.
Physiotherapy Department, Universidade Federal do Pampa, BR 472 Km 592-postal Code 118. Zip Code: 97500-970, Uruguaiana-Rio Grande do Sul, Brazil.
Corresponding author: Franck M. Peçanha, Physiotherapy Department, Universidade Federal do Pampa, BR 472 Km 592 – postal Code 118. Zip Code: 97500-970, Uruguaiana – Rio Grande do Sul, Brazil.
Background: Water decreases vital capacity during immersion. Several chest diseases can reduce pulmonary volumes and capacities which could be at least in part similar to that happen in healthy individuals during water immersion.
Objectives: To investigate if respiratory effects of water immersion are partially due to enhanced return venous from legs and arms and if physiotherapeutic techniques incentive spirometry (IS) and breathing exercises (BE) are able to improve pulmonary volumes and capacities in healthy subjects during water immersion.
Design: Randomised, within-participant experimental study.
Participants: 18 healthy subjects.
Intervention: Stage 1 was realized to investigate the cardiorespiratory effects of water immersion with and without a cuff-induced venous compression. Stage 2 was conducted to explain the effects of physiotherapeutic techniques IS and BE during water immersion.
Main outcome measures: The pulmonary function (forced vital capacity - FVC, forced expiratory volume the first second - FEV1, ratio of FEV/FVC, peak expiratory flow rate - PEFR and forced expiratory flow of 25-75% FVC - FEF25-75%) was evaluated.
Results: Water immersion decreased FVC and FEV1 after 10 minutes of immersion. After a total compression of arms and legs the reduction on FVC and FEV1 was not observed, even with only partial compression of legs (P>0.05).
Conclusions: Water immersion promotes pulmonary restrictive characteristics due to increased venous return mainly from legs. The application IS and BE did not normalize the spirometric values.
Key Words: Chest physiotherapy; Respiratory techniques; Breathing exercises; Pulmonary function.
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Aline A. Vepo, Caroline S. Martinez, Giulia A. Wiggers, Franck M. Peçanha. INCENTIVE SPIROMETRY AND BREATHING EXERCISES WERE NOT ABLE TO IMPROVE RESTRICTIVE PULMONARY CHARACTERISTICS INDUCED BY WATER IMMERSION IN HEALTHY SUBJECTS. Int J Physiother Res 2016;4(2):1415-1422. DOI: 10.16965/ijpr.2016.109