Ishida Hiroshi, Suehiro Tadanobu, Watanabe Susumu
Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Japan.
J Phys Ther Sci. 2017 Apr;29(4):563-566. doi: 10.1589/jpts.29.563. Epub 2017 Apr 20.
[Purpose] The purpose of this investigation was to compare the activities of the abdominal muscles and peak expiratory flow between forced vital capacity and fast expiration exercise. [Subjects and Methods] Fifteen healthy male participated in this study. Peak expiratory flow and electromyographic activities of the rectus abdominis, external oblique, and internal oblique/transversus abdominis muscles were measured during forced vital capacity and fast expiration exercise and then peak amplitude and its appearance time were obtained. [Results] Peak expiratory flow values were significantly higher during fast expiration exercise than during forced vital capacity. The internal oblique/transversus abdominis muscles showed significantly higher peak amplitude during fast expiration exercise than during forced vital capacity. However, there were no significant differences between forced vital capacity and fast expiration exercise in the rectus abdominis and external oblique muscles. There was no difference in the appearance time of the peak amplitude between forced vital capacity and fast expiration exercise in any muscle. [Conclusion] Fast expiration exercise might be beneficial for increasing expiratory speed and neuromuscular activation of the internal oblique/transversus abdominis muscles compared to forced vital capacity. These findings could be considered when recommending a variation of expiratory muscle strength training as part of pulmonary rehabilitation programs.
[目的]本研究旨在比较用力肺活量与快速呼气运动时腹部肌肉的活动及呼气峰值流速。[对象与方法]15名健康男性参与本研究。在用力肺活量和快速呼气运动过程中测量呼气峰值流速以及腹直肌、腹外斜肌和腹内斜肌/腹横肌的肌电图活动,然后获取峰值幅度及其出现时间。[结果]快速呼气运动时的呼气峰值流速值显著高于用力肺活量时。腹内斜肌/腹横肌在快速呼气运动时的峰值幅度显著高于用力肺活量时。然而,腹直肌和腹外斜肌在用力肺活量和快速呼气运动之间无显著差异。任何肌肉在用力肺活量和快速呼气运动之间的峰值幅度出现时间均无差异。[结论]与用力肺活量相比,快速呼气运动可能有利于提高呼气速度以及腹内斜肌/腹横肌的神经肌肉激活。在推荐将呼气肌力量训练的变化形式作为肺康复计划的一部分时,可考虑这些发现。