Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Incentive Spirometry on Cardiac Autonomic Functions in Normal Healthy Subjects


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1 Padmashree Institute of Physiotherapy, Bangalore, India
     

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Objective: Objective of the study was to examine the effects of Incentive Spirometry on cardiac autonomic functions in normal healthy subjects in 18-25 years age group.

Material & Method: 30 subjects (n=15 in Study group and n=15 in Control group) were included in this study. The duration of study was 3 months. Primary outcome measures included cardiac autonomic function tests. Outcome measures were recorded before and 3 months after the study.

Result: 3 months practice of Incentive Spirometry resulted in statistically significant change (p < 0.05) in following parameters - Basal heart rate, Immediate maximum heart rate, Steady state heart rate, Steady State heart rate (time in seconds) during heart rate response to Standing test; Minimum heart rate and Deep Breathing Difference (DBD) during heart rate response to Deep Breathing test.

Conclusion: 3 months practice of Incentive Spirometry changes autonomic function response.


Keywords

Breathing Exercise, Pranayama, Incentive Spirometer, Autonomic Functions
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  • Claudia R. Breathing exercises: In Cynthia Coffin Zadai. Pulmonary Management in Physical Therapy. 1st ed. NY (USA):Churchill Livingstone Inc.,1992:135.

  • Carolyn Kisner, Lynn Allen Colby. Therapeutic exercise - foundations and techniques. 4th ed. New Delhi:Jaypee Brothers Medical Publishers (P) Ltd.,2002:749.

  • Donna L. Frownfelter. Chest Physical Therapy and Pulmonary Rehabilitation - An Interdisciplinary Approach. 2nd ed. St. Louis(USA):Mosby Year Book Medical Publisher,1987:233.

  • GK Pal, S. Velkumary, Madanmohan. Effect of short term practice of breathing exercises on autonomic functions in normal human volunteers. Indian Journal of Medical Research 2004 August:115-21.

  • Ravider J, John WE, Vernon A., Vandna J. Physiology of long pranayamic breathing: Neural reapiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Med Hypotheses 2006;67(3):566-71.

  • Carlos H, Renato A, Denise G, Maria J. Spontaneous respiratory modulation improves cardiovascular control in essential hypertension. Arq. Bras. Cardiol 2007 June;88(6):576-83.

  • Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I - neurophysiologic model. J Altern Complement Med. 2005 Feb;11(1):189-201.

  • AARC Clinical Practice Guideline: Incentive Spirometry. Respir Care 1991;36:1402-05.

  • Robert L, James K, Craig L, David C. Egan’s Fundamentals of Respiratory Care. 8th ed. Mosby Inc;June 2003:866.

  • Tom J, Catherine M, S Deborach, Christina B, Birgitta I, Catherine T. The effect of Incentive Spirometry on post-operative pulmonary complications - A systematic review. CHEST 2001 Sep;120(3):971-78.

  • Patricia C. The relationship between dyspnea and blood pressure in Chronic Obstructive Pulmonary Disease. J Cardiovasc Nurs. 2007 Sep/ Oct;22(5):351-58.

  • Hall JC, Tarala R, Harris J, Tapper J, Christiansen K. Incentive Spirometry Versus routine chest physiotherapy for prevention of pulmonary complications after abdominal surgery. Lancet 1991 April 20;337(8747):953-56.

  • Westwood K., Griffin M, Roberts K, Williams M, Yoong K, Digger T. Incentive spirometry decreases respiratory complications following major abdominal surgery. Surgeon 2007 Dec;5(6):339-42.

  • Ong GL. Incentive Spirometry for children with sickle cell disease. Nurs Times. 18 October 2005;101(42):55-57.

  • Basoglu O.K., Atasever A., Bacakoglu F. The efficacy of Incentive Spirometry in patients with COPD. Respirology 2005;10:349-53.

  • Pruitt B, Jacobs M. Clearing away pulmonary secretions. Nursing 2005;35:37-41.

  • Alexandra Hough. Physiotherapy in Respiratory Care - An evidence-based approach to respiratory and cardiac management. 3rd ed. Cheltenham(UK): Nelson Thorness Ltd.,2001:153,156.

  • Bannister R, Mathias CJ. Investigations of autonomic disorders. Autonomic failure – A text book of clinical disorders of the autonomic nervous system. 3rd ed. San Francisco:Oxford University Press,1992:225-90.

  • UK Misra, J Kalita. Clinical Neurophysiology – Nerve Conduction, Electromyography and Evoked Potentials. ELSEVIER:101.

  • GK Pal & Pravati Pal. Textbook of Practical Physiology. 2nd ed. Chennai(India):Orient Longman Private Limited,2005:301.

  • Pramanik T, sharma HO, Mishra S, Prajapati R, Singh S. Immediate effect of slow pace bhastrika pranayama on blood pressure and heart rate. J Altern Complement Med. 2009 Mar;15(3):293-5.

  • Bernardi L, Gabutti A, Porta C, Spicuzza L. Slow breathing reduces chemoreflex response to hypoxia and hypercapnia, and increases baroreflex sensitivity. J Hypertens. 2001 Dec;19(12):2221-9.

  • R Bhargava, MG Gogate, JF Mascarenhas. Autonomic responses to breath holding and its variations following pranayama. Indian journal of physiology and pharmacology 1988;32(4): 257-64.

  • Shirley Telles, T Desiraju. Oxygen consumption during pranayamic type of very slow-rate breathing. Indian J Med Res. 1991 Oct;94:357-63.

  • SC Gandevia, DI McCloskey, Erica K. Reflex bradycardia occurring in response to Diving, Nasopharyngeal stimulation and Occular pressure, & its modification by Respiration and Swallowing. J. Physiol. 1978;276:383-94.

  • Dr KK Deepak. The role of autonomic nervous system in rapid breathing practices. Department of Physiology, All India Institute of Medical Sciences, New Delhi(India): p.42-45. (Available at: http://aolresearch.org/pdf/other/Deepak.pdf)

  • Nose Breathing Research & Benefits – NBM homepage. Available at http:// www.nosebreathe.com/benefits.html. (Accessible on date: 10/01/2011)

  • Susan Moran. Going the Distance - Yogic breathings can make any kind of workout easier and enjoyable. Yoga Journal (Health) 2007 February:39-41.


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  • Effect of Incentive Spirometry on Cardiac Autonomic Functions in Normal Healthy Subjects

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Authors

Trupti Ajudia
Padmashree Institute of Physiotherapy, Bangalore, India
Pravin Aaron
Padmashree Institute of Physiotherapy, Bangalore, India
Subin Solomen
Padmashree Institute of Physiotherapy, Bangalore, India

Abstract


Objective: Objective of the study was to examine the effects of Incentive Spirometry on cardiac autonomic functions in normal healthy subjects in 18-25 years age group.

Material & Method: 30 subjects (n=15 in Study group and n=15 in Control group) were included in this study. The duration of study was 3 months. Primary outcome measures included cardiac autonomic function tests. Outcome measures were recorded before and 3 months after the study.

Result: 3 months practice of Incentive Spirometry resulted in statistically significant change (p < 0.05) in following parameters - Basal heart rate, Immediate maximum heart rate, Steady state heart rate, Steady State heart rate (time in seconds) during heart rate response to Standing test; Minimum heart rate and Deep Breathing Difference (DBD) during heart rate response to Deep Breathing test.

Conclusion: 3 months practice of Incentive Spirometry changes autonomic function response.


Keywords


Breathing Exercise, Pranayama, Incentive Spirometer, Autonomic Functions

References