Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yeditepe University, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Turkey.
J Back Musculoskelet Rehabil. 2021;34(4):639-648. doi: 10.3233/BMR-191803.
In the literature, novel physiotherapy and rehabilitation approaches are getting significant attention as a way to cope with secondary complications in the management of asthma.
To investigate the effectiveness of core stabilization exercises combined with the Asthma Education Program (AEP) and breathing exercises in patients with asthma.
The study sample consists of 40 asthmatic patients (age 52.25 ± 11.51 years) who were randomly divided into a Training Group (TG) (n= 20) and a Control Group (CG) (n= 20). All subjects were included in the AEP, and both groups were trained in breathing retraining exercises (2 times/wk, 6-week duration in the clinic). The core stabilization exercise program was also applied in the TG. Respiratory muscle strength (maximum inspiratory and expiratory pressures), physical activity level (International Physical Activity Questionnaire Short Form (IPAQ)), health-related quality of life (Asthma Quality of Life Questionnaire (AQOL)), functional exercise capacity (six-minute walking test (6MWT)), and dynamic balance (Prokin PK200) were assessed before and after the interventions.
The TG showed more significant improvements in MIP (ΔTG:4.55 cmH2O, ΔCG:0.95 cmH2O), IPAQ (ΔTG:334.15 MET-min/wk., ΔCG:99 MET-min/wk.), 6MWT (ΔTG:24.50 m, ΔCG:11.50 m), and dynamic balance sub-parameters compared to the mean difference between the initial assessment and after a 6-week intervention program, which included twelve exercise sessions (p< 0.01).
The findings present greater improvements in inspiratory muscle strength, physical activity level, functional exercise capacity, and dynamic balance when core stabilization exercises are included in the pulmonary rehabilitation program for the management of asthma.
在文献中，新型物理治疗和康复方法作为一种应对哮喘管理中继发性并发症的方法，受到了广泛关注。
研究核心稳定性训练结合哮喘教育计划（AEP）和呼吸训练对哮喘患者的疗效。
研究样本包括 40 名哮喘患者（年龄 52.25±11.51 岁），随机分为训练组（TG）（n=20）和对照组（CG）（n=20）。所有患者均纳入 AEP，并在诊所进行呼吸训练（每周 2 次，共 6 周）。TG 还进行核心稳定性训练。评估指标包括呼吸肌力量（最大吸气和呼气压力）、身体活动水平（国际体力活动问卷短表（IPAQ））、健康相关生活质量（哮喘生活质量问卷（AQOL））、功能运动能力（6 分钟步行试验（6MWT））和动态平衡（Prokin PK200）。
TG 在 MIP（ΔTG：4.55cmH2O，ΔCG：0.95cmH2O）、IPAQ（ΔTG：334.15MET-min/wk.，ΔCG：99MET-min/wk.）、6MWT（ΔTG：24.50m，ΔCG：11.50m）和动态平衡子参数方面的改善明显优于仅包括 12 次运动训练的 6 周干预方案（p<0.01）。
在哮喘管理的肺康复方案中加入核心稳定性训练可显著提高吸气肌力量、身体活动水平、功能运动能力和动态平衡。
