https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2020.174

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 8; Issue 6 (December 2020)

Page No.: 3680-3687

DOI: https://dx.doi.org/10.16965/ijpr.2020.174

INFLUENCE OF DIFFERENT SITTING POSITIONS ON THE MAXIMAL RESPIRATORY PRESSURES IN HEALTHY INDIVIDUALS OF VARIOUS AGE GROUPS: AN EXPERIMENTAL STUDY

Sneha J. Koraith *1, Rajani S. Pagare 2.

*1 D. E. S. Brijlal Jindal College of physiotherapy, Pune, Maharashtra, India.

2 Professor and Head of the Department, Cardiovascular and Respiratory Physiotherapy, D. E. S. Brijlal Jindal College of physiotherapy, Pune, Maharashtra, India.

Corresponding author:  Dr. Sneha J. Koraith (PT), D. E. S. Brijlal Jindal College of physiotherapy, Pune, Maharashtra, India. E-Mail: sneha.koraith@gmail.com

ABSTRACT

Background: Variation in the position of the body influences the orientation and length of the muscle. The ability of the respiratory muscles to generate force depends upon its length. There is a dearth of literature about the effect of pressures generated by the respiratory muscles due to the different sitting positions.

Purpose of the study: Due to the importance of body positioning in the optimization of breathing exercises, a need was felt to compare maximal respiratory pressures of the respiratory muscles in different sitting positions and identify a suitable position in which respiratory muscles work the best.

Participants: Total 144 participants were included in the study according to the inclusion and exclusion criteria. Participants were divided into age groups of 18-40years, 41-60years and 60years and above. Equal representation was given to sample number and gender in each group.

Method: MIP and MEP were measured in three different sitting positions i.e. upright sitting position, forward leaning position and semi fowlers position by using the Micro RPM (Micro Medical/Care Fusion, Kent, United Kingdom). The best of the three measurements was taken.

Results: There is a significant difference in the values of MIP and MEP in different sitting positions in all the age groups with p-value < 0.05.  In each age group it was found that the values of MIP was better in upright sitting position as compared to forward leaning position (p-value <0.01) with no difference found in the values of MIP between the upright sitting position and semi-fowlers position (p-value > 0.05). The values for MEP was found to be increased in forward leaning position as compared to upright sitting position and semi-fowlers position p-value <0.05

Conclusion: The present study concluded that, there is a significant influence of different sitting positions on the maximal respiratory pressures in healthy individuals of various age groups.

Implication: The results of this study can be used to make a good clinical decision about which sitting position should be adapted while giving the various types of breathing exercises to the patient.

Key words: Maximal respiratory pressures, MIP, MEP, body positioning, sitting positions, breathing exercises.

REFERENCES

[1]. Dimitriadis Z, Kapreli E, Konstantinidou I, Oldham J, Strimpakos N. Test/retest reliability of maximum mouth pressure measurements with the microrpm in healthy volunteers. Respir Care. 2011 Jun;56(6):776-82.
https://doi.org/10.4187/respcare.00783
PMid:21310113
[2]. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969 May;99(5):696-702.
[3]. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. F.A. Davis; 2007. 928 p.
[4]. Kapandji IA. The Physiology of the Joints. Churchill Livingstone; 2007. 360 p.
[5]. Cormie P, mcguigan MR, Newton RU. Developing maximal neuromuscular power: Part 1–biological basis of maximal power production. Sports Med Auckl NZ. 2011 Jan 1;41(1):17-38.
https://doi.org/10.2165/11537690-000000000-00000
PMid:21142282
[6]. Costa R, Almeida N, Ribeiro F. Body position influences the maximum inspiratory and expiratory mouth pressures of young healthy subjects. Physiotherapy. 2015 Jun;101(2):239-41.
[7]. Ng GY, Stokes MJ. Maximal inspiratory and expiratory mouth pressures in sitting and half-lying positions in normal subjects. Respir Med. 1991 May;85(3):209-11.
https://doi.org/10.1016/S0954-6111(06)80081-8
[8]. Koulouris N, Mulvey DA, Laroche CM, Goldstone J, Moxham J, Green M. The effect of posture and abdominal binding on respiratory pressures. Eur Respir J. 1989 Nov;2(10):961-5.
[9]. DOWNIE P, BOOK CCIBSBIIMSAPT. CASH TEXTBOOK OF CHEST HEART AND VASCULAR DISORDERS FOR PHYSIOTHERAPISTS. 4ED edition. JAYPEE BROTHER; 1993. 703 p.
[10]. Hough A. Physiotherapy in Respiratory Care Third Edition: A Problem-solving Approach. 3rd Revised edition edition. Cheltenham: Cengage Learning EMEA; 1980. 550 p.
[11]. Pessoa IMBS, Pereira HLA, Aguiar LT, Tagliaferri TL, Silva LAM da, Parreira VF, et al. Test-retest reliability and concurrent validity of a digital manovacuometer. Fisioter E Pesqui. 2014 Sep;21(3):236-42.
[12]. Hojat B, Mahdi E. Effect of different sitting posture on pulmonary function in students. Journal of Physiology and Pathophysiology 2011;2(2):29-33.
[13]. Badr C, Elkins MR, Ellis ER. The effect of body position on maximal expiratory pressure and flow. Aust J Physiother. 2002;48(2):95-102.
https://doi.org/10.1016/S0004-9514(14)60203-8
[14]. Damone M. Geriatric Physical Therapy By Guccione 2nd Edition Pdf.

Cite this article: Sneha J. Koraith, Rajani S. Pagare. INFLUENCE OF DIFFERENT SITTING POSITIONS ON THE MAXIMAL RESPIRATORY PRESSURES IN HEALTHY INDIVIDUALS OF VARIOUS AGE GROUPS: AN EXPERIMENTAL STUDY. Int J Physiother Res 2020;8(6):3680-3687. DOI: 10.16965/ijpr.2020.174
Post Views: 0