Motor control exercises of the lumbar-pelvic region improve respiratory function in obese men. A pilot study
| Autor: | Luca Puricelli, Lorena Piccinno, Martina Mascheroni, Emanuela Bezzoli, Franco Codecasa, Paolo Capodaglio, Veronica Cimolin, Dianne Andreotti, Lucia Pianta, Alberto Salvadori |
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| Rok vydání: | 2016 |
| Předmět: |
Central adiposity
Male medicine.medical_specialty medicine.medical_treatment Pilot Projects Pelvis 03 medical and health sciences abdominal muscles 0302 clinical medicine Lumbar Physical medicine and rehabilitation respiratory function exercise therapy posture rehabilitation medicine Humans Respiratory function Obesity 030212 general & internal medicine Respiratory system Muscle Skeletal Exercise Aerobic capacity Rib cage Rehabilitation business.industry Lumbosacral Region Motor control Middle Aged medicine.disease Respiratory Muscles Exercise Therapy Respiratory Function Tests Treatment Outcome Physical therapy Ataxia Respiratory Insufficiency business 030217 neurology & neurosurgery |
| DOI: | 10.6084/m9.figshare.4220325 |
| Popis: | Purpose: Obese subjects have decreased pulmonary function. The hypothesis of our study was that poor coordination of the lumbar-pelvic musculature secondary to obesity may hinder the synergic activation of the respiratory muscles. The aim of the paper was to evaluate whether specific motor control exercises of the lumbar-pelvic musculature were able to improve respiratory function. Method: Twenty obese male patients underwent a rehabilitation program including adapted physical activity and respiratory physiotherapy. Patients were randomly assigned to a Specific Motor Control Exercise Group (SG) and a Control Group (CG). SG followed a protocol according to the SMARTERehab concept aimed at improving posture, intra-abdominal pressure, rib cage mobility, and perception of correct muscle activation. CG performed an exercise training protocol to improve aerobic capacity and muscle strength. Result: After intervention, both groups showed similar changes in body weight, fat, and fat-free mass. Respiratory function indexes improved in SG due to improved proprioception and coordination of the deep lumbar-pelvic muscles. Conclusion: Our study provides preliminary evidence that breathing, postural control, and spinal stability are intertwined. Positive respiratory effects in obese men can be obtained by prescribing specific motor control exercises of the lumbar-pelvic muscles. Implications for rehabilitationObese subjects present with decreased pulmonary function and postural changes.Poor coordination of the lumbar-pelvic muscles affects posture and the synergic activation of the respiratory muscles.Specific motor control exercises of the lumbar-pelvic musculature can improve respiratory function.Breathing and postural control are intertwined: positive respiratory effects can be obtained by enhancing motor control of the lumbar-pelvic muscles. Obese subjects present with decreased pulmonary function and postural changes. Poor coordination of the lumbar-pelvic muscles affects posture and the synergic activation of the respiratory muscles. Specific motor control exercises of the lumbar-pelvic musculature can improve respiratory function. Breathing and postural control are intertwined: positive respiratory effects can be obtained by enhancing motor control of the lumbar-pelvic muscles. |
| Databáze: | OpenAIRE |
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