Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke

<i>Background and Objectives</i>: Patients with stroke have a forward neck posture due to neurological damage and often have impaired pulmonary function. This study investigated the effect of diaphragmatic breathing with cervical mobilization to improve pulmonary function cervical alignm...

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Main Authors: Ho Jung An, A Yeon Kim, Shin Jun Park
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/8/826
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author Ho Jung An
A Yeon Kim
Shin Jun Park
author_facet Ho Jung An
A Yeon Kim
Shin Jun Park
author_sort Ho Jung An
collection DOAJ
description <i>Background and Objectives</i>: Patients with stroke have a forward neck posture due to neurological damage and often have impaired pulmonary function. This study investigated the effect of diaphragmatic breathing with cervical mobilization to improve pulmonary function cervical alignments. <i>Materials and Methods</i>: This study used a one-group pre-test–post-test design including 20 patients with stroke. Two types of cervical joint mobilization techniques, consisting of left and right lateral glide mobilization and posterior–anterior mobilization, were utilized. During joint mobilization, the patients performed diaphragmatic breathing. The measurements were performed immediately after the intervention. Pulmonary function was evaluated using a spirometer to measure the forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF). The craniovertebral angle (CVA) was measured using lateral photographs. <i>Results</i>: After diaphragm breathing with cervical joint mobilization, subjects had significantly increased FEV1, FVC, PEF and CVA. <i>Conclusion</i>: Diaphragm breathing with cervical joint mobilization are possible interventions to increase pulmonary function and improve the craniovertebral angle in patients with stroke. However, a complete conclusion can be reached only after a follow-up study has been conducted with a comparison of more subjects and controls.
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spelling doaj.art-11094ad6379044ddbbd9630c1e5f252d2023-11-22T08:36:42ZengMDPI AGMedicina1010-660X1648-91442021-08-0157882610.3390/medicina57080826Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic StrokeHo Jung An0A Yeon Kim1Shin Jun Park2Department of Physical Therapy, Dongnam Health University, 50, Cheoncheon-ro 74beon-gil, Jangan-gu, Suwon-si 16328, Gyeonggi-do, KoreaDepartment of Physical Therapy, Graduate School, Yongin University, 134, Yongindaehak-ro, Cheoin-gu, Yongin-si 17092, Gyeonggi-do, KoreaDepartment of Physical Therapy, Suwon Women’s University, 1098, Juseok-ro, Bongdam-eup, Hwaseong-si 18333, Gyeonggi-do, Korea<i>Background and Objectives</i>: Patients with stroke have a forward neck posture due to neurological damage and often have impaired pulmonary function. This study investigated the effect of diaphragmatic breathing with cervical mobilization to improve pulmonary function cervical alignments. <i>Materials and Methods</i>: This study used a one-group pre-test–post-test design including 20 patients with stroke. Two types of cervical joint mobilization techniques, consisting of left and right lateral glide mobilization and posterior–anterior mobilization, were utilized. During joint mobilization, the patients performed diaphragmatic breathing. The measurements were performed immediately after the intervention. Pulmonary function was evaluated using a spirometer to measure the forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF). The craniovertebral angle (CVA) was measured using lateral photographs. <i>Results</i>: After diaphragm breathing with cervical joint mobilization, subjects had significantly increased FEV1, FVC, PEF and CVA. <i>Conclusion</i>: Diaphragm breathing with cervical joint mobilization are possible interventions to increase pulmonary function and improve the craniovertebral angle in patients with stroke. However, a complete conclusion can be reached only after a follow-up study has been conducted with a comparison of more subjects and controls.https://www.mdpi.com/1648-9144/57/8/826diaphragmatic breathingjoint mobilizationpulmonary functionstrokeCVA
spellingShingle Ho Jung An
A Yeon Kim
Shin Jun Park
Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
Medicina
diaphragmatic breathing
joint mobilization
pulmonary function
stroke
CVA
title Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
title_full Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
title_fullStr Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
title_full_unstemmed Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
title_short Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke
title_sort immediate effects of diaphragmatic breathing with cervical spine mobilization on the pulmonary function and craniovertebral angle in patients with chronic stroke
topic diaphragmatic breathing
joint mobilization
pulmonary function
stroke
CVA
url https://www.mdpi.com/1648-9144/57/8/826
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