Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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A comparison of vital capacity values and respiratory muscles activities on pelvic tilt position

  • Jang, Seo-Young (Physical Therapy Room, Department of Rehabilitation Medicine, Seoul Medical Center) ;
  • Lee, Su-Young (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • Received : 2015.11.11
  • Accepted : 2015.11.19
  • Published : 2015.12.26
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Abstract

Objective: The purpose of this study was to examine the effect on vital capacity (VC) and inspiratory muscle activation according to the anterior and posterior pelvic tilt positions. Design: One group pretest-posttest design. Methods: Twenty-six healthy adult men and women, age 19 to 27 years, volunteered to participate in this study. Forced vital capacity (FVC), and forced expiratory volume in 1 second ($FEV_1$) were measured by desktop spirometer in the pelvic positions during respiration, and muscle activation was recorded from sternocleidomastoid, upper trapezius, external intercostal, rectus abdominis, and external oblique muscles by surface electromyography (EMG) at the same time. EMG values were normalized by maximum muscle contractions (% maximum voluntary isometric contraction). Subjects were to breathe in as much air as possible and then exhale as quickly as possible in both anterior and posterior pelvic tilt positions. To measure lung capacity, inspiration was measured for 5 seconds and expiration was measured for 7 seconds with data collection taken place during the middle three seconds. Lung capacities were measured in each position three times. Results: For the results of this study, there was a significant increase in both FVC and $FEV_1$ values during the anterior pelvic tilting compared to the posterior pelvic tilting posture (p<0.05). The sternocleidomastoid, upper trapezius muscle, rectus abdominus and external oblique muscle activation was significantly increased during anterior pelvic tilt compared to the posterior pelvic tilt position (p<0.05). Conclusions: These findings suggest that pelvic anterior tilt position could be more effective for vital capacity and respiratory muscles activation during respiration.

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References

  1. Lee HK, Koo HM, Kim CY, Baek HS, Sim JM, Jung HK. Pathology. Paju: Soomoonsa; 2010.
  2. Park CI, Park ES, Kim C, Shin JS. Pulmonary function test in spinal cord injury. Ann Rehabil Med 1990;14:19-26.
  3. Haas A, Lowman EW, Bergofsky EH. Impairment of respiration after spinal cord injury. Arch Phys Med Rehabil 1965;46:399-405.
  4. Nam HC, Jang JH, Im KI. Influence of sling stability exercise to have on pain lumbar stability in patients with back pain. Sports Sci Phys Ther 2009;5:37-48.
  5. Campbell EJ, Green JH. The behaviour of the abdominal muscles and the intra-abdominal pressure during quiet breathing and increased pulmonary ventilation; a study in man. J Physiol 1955; 127:423-6. https://doi.org/10.1113/jphysiol.1955.sp005268
  6. Park JM, Rah UW, Lee JH. Phonation time and pulmonary function in spinal cord injured patients. J Korean Acad Rehabil Med 1993;17:436-43.
  7. Cotes JE. Lung function: assessment and application in medicine. 5th ed. Oxford: Blackwell Scientific; 1993. p. 74.
  8. Stahl WR. Scaling of respiratory variables in mammals. J Appl Physiol 1967;22:453-60. https://doi.org/10.1152/jappl.1967.22.3.453
  9. Knudson RJ, Lebowitz MD, Holberg CJ, Burrows B. Changes in the normal maximal expiratory flow-volume curve with growth and aging. Am Rev Respir Dis 1983;127:725-34.
  10. Cook CD, Hamann JF. Relation of lung volumes to height in healthy persons between the ages of 5 and 38 years. J Pediatr 1961;59:710-4. https://doi.org/10.1016/S0022-3476(61)80007-3
  11. Doershuk CF, Lough MD, Stern RC. Pediatric respiratory therapy. 3rd ed. Chicago: Year Book MP Inc; 1985. p. 226-89.
  12. Wilson MG, Edwards DJ. Diagnostic value of lungs of children. JAMA 1922;78:1107-10. https://doi.org/10.1001/jama.1922.02640680011003
  13. Binder RE, Mitchell CA, Schoenberg JB, Bouhuys A. Lung function among black and white children. Am Rev Respir Dis 1976;114:955-9.
  14. Bracco P, Deregibus A, Piscetta R. Effects of different jaw relations on postural stability in human subjects. Neurosci Lett 2004; 356:228-30. https://doi.org/10.1016/j.neulet.2003.11.055
  15. Legaye J, Duval-Beaupere G. Sagittal plane alignment of the spine and gravity: a radiological and clinical evaluation. Acta Orthop Belg 2005;71:213-20.
  16. Neumann DA. Kinesiology of the musculoskeletal system. 2nd ed. St. Louis: Mosby; 2010.
  17. Toppenberg RM, Bullock MI. The interrelation of spinal curves, pelvic tilt and muscle lengths in the adolescent female. Aust J Physiother 1986;32:6-12. https://doi.org/10.1016/S0004-9514(14)60638-3
  18. Lindseth RE, Stelzer L Jr. Vertebral excision for kyphosis in children with myelomeningocele. J Bone Joint Surg Am 1979;61: 699-704. https://doi.org/10.2106/00004623-197961050-00008
  19. Harrison DE, Cailliet R, Harrison DD, Janik TJ. How do anterior/ posterior translations of the thoracic cage affect the sagittal lumbar spine, pelvic tilt, and thoracic kyphosis? Eur Spine J 2002;11:287-93. https://doi.org/10.1007/s00586-001-0350-1
  20. Nielsen KG, Holte K, Kehlet H. Effects of posture on postoperative pulmonary function. Acta Anaesthesiol Scand 2003; 47:1270-5. https://doi.org/10.1046/j.1399-6576.2003.00240.x
  21. De Troyer A, Kirkwood PA, Wilson TA. Respiratory action of the intercostal muscles. Physiol Rev 2005;85:717-56. https://doi.org/10.1152/physrev.00007.2004
  22. Drysdale CL, Earl JE, Hertel J. Surface electromyographic activity of the abdominal muscles during pelvic-tilt and abdominal- hollowing exercises. J Athl Train 2004;39:32-6.
  23. Song JY, Sim HV, Current ME, Lee YR. A comparison of vital capacity values with healthy subjects in standing and head-down positions. KAUPT 1996;3:40-7.
  24. Lee KH. Use of office spirometry in primary: care clinics. J Korean Med Assoc 2006;49:612-22. https://doi.org/10.5124/jkma.2006.49.7.612
  25. Irwin S, Tecklin JS. Cardiopulmonary physical therapy. 2nd ed. St. Louis: Mosby; 1990. p. 524.
  26. O'Sullivan PB, Grahamslaw KM, Kendell M, Lapenskie SC, Moller NE, Richards KV. The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine (Phila Pa 1976) 2002;27:1238-44. https://doi.org/10.1097/00007632-200206010-00019
  27. Hansson GA, Nordander C, Asterland P, Ohlsson K, Stromberg U, Skerfving S, et al. Sensitivity of trapezius electromyography to differences between work tasks: influence of gap definition and normalisation methods. J Electromyogr Kinesiol 2000;10: 103-15. https://doi.org/10.1016/S1050-6411(99)00030-9
  28. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain. 5th ed. Oxford: Lippincott Williams and Wilkins; 2005.
  29. Lin F, Parthasarathy S, Taylor SJ, Pucci D, Hendrix RW, Makhsous M. Effect of different sitting postures on lung capacity, expiratory flow, and lumbar lordosis. Arch Phys Med Rehabil 2006;87:504-9. https://doi.org/10.1016/j.apmr.2005.11.031
  30. Allen SM, Hunt B, Green M. Fall in vital capacity with posture. Br J Dis Chest 1985;79:267-71. https://doi.org/10.1016/0007-0971(85)90047-6
  31. Kreitzer SM, Saunders NA, Tyler HR, Ingram RH Jr. Respiratory muscle function in amyotrophic lateral sclerosis. Am Rev Respir Dis 1978;117:437-47.
  32. Harber P, SooHoo K, Tashkin DP. Is the MVV:FEV1 ratio useful for assessing spirometry validity? Chest 1985;88:52-7. https://doi.org/10.1378/chest.88.1.52
  33. Kera T, Maruyama H. The effect of posture on respiratory activity of the abdominal muscles. J Physiol Anthropol Appl Human Sci 2005;24:259-65. https://doi.org/10.2114/jpa.24.259
  34. McCreary CR, Chilibeck PD, Marsh GD, Paterson DH, Cunningham DA, Thompson RT. Kinetics of pulmonary oxygen uptake and muscle phosphates during moderate-intensity calf exercise. J Appl Physiol (1985) 1996;81:1331-8. https://doi.org/10.1152/jappl.1996.81.3.1331

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