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J Phys Ther Sci. 2015 Feb;27(2):491-3. doi: 10.1589/jpts.27.491. Epub 2015 Feb 17.

The influences of position and forced respiratory maneuvers on spinal stability muscles.

Journal of physical therapy science

Ji Won Park, Migyoung Kweon, Soonmi Hong

Affiliations

  1. Department of Physical Therapy, College of Medical Science, Catholic University of Daegu, Republic of Korea.

PMID: 25729199 PMCID: PMC4339169 DOI: 10.1589/jpts.27.491

Abstract

[Purpose] The purposes of this study were to investigate the influences of position on %MVIC of spinal stability muscles to establish for the most effective breathing pattern for activation of spinal stability muscles in order to provide an additional treatment method for use in spinal stability exercise programs. [Subjects and Methods] Thirty-three healthy subjects performed quiet breathing and four different forced respiratory maneuvers (FRM); [pursed lip breathing (PLB), diaphragmatic breathing (DB), combination breathing (CB) and respiration muscle endurance training (RMET)] in both standing and sitting positions. %MVIC of them (the multifidus (MF), erector spinae (ES), internal oblique/transversus abdominis (IO/TrA), external oblique (EO), rectus abdominis (RA) measured. [Results] IO/TrA, MF and EO showed greater activation in standing than in sitting, while RA and ES showed greater activation in sitting than in standing. RMET induced significantly greater activation of spinal stability muscles then other breathing patterns. %MVIC changes of muscle activities induced by FRM were independent of position with a few exceptions. [Conclusion] The increased respiratory demands of FRM induced greater activation of spinal stability muscles than QB. RMET was found to be the most effective breathing pattern for increasing the activation of the spinal stability muscles.

Keywords: Forced respiratory maneuvers; Position; Spinal stability muscles

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