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Clinical Changes of Respiratory Parameters in Institutionalized Older Adults after a Physiotherapy Program Combining Respiratory and Musculoskeletal Exercises

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Clinical Changes of Respiratory Parameters in Institutionalized Older Adults after a Physiotherapy Program Combining Respiratory and Musculoskeletal Exercises

dc.contributor.author	Arnal Gómez, Anna
dc.contributor.author	Saavedra Hernández, Manuel
dc.contributor.author	Martínez Millana, Antonio
dc.contributor.author	Espí López, Gemma Victoria
dc.date.accessioned	2023-05-15T17:29:42Z
dc.date.available	2023-05-15T17:29:42Z
dc.date.issued	2022
dc.identifier.citation	Arnal Gómez, Anna Saavedra Hernández, Manuel Martínez Millana, Antonio Espí López, Gemma Victoria 2022 Clinical Changes of Respiratory Parameters in Institutionalized Older Adults after a Physiotherapy Program Combining Respiratory and Musculoskeletal Exercises Healthcare 10 9 1680
dc.identifier.uri	https://hdl.handle.net/10550/86615
dc.description.abstract	Nowadays pulmonary diseases are an increasingly important cause of morbidity and mortality. Diaphragmatic breathing is a controlled-breathing technique that aims to optimize thoracoabdominal movements. The aim of this study was to apply a respiratory and musculoskeletal physiotherapy program in institutionalized older adults and to assess the effects on their pulmonary function tests and oxygen saturation. A randomized double-blind clinical trial was conducted with thirty institutionalized older adults, randomly assigned to a control group (CG), who conducted musculoskeletal exercises; or an experimental group (EG) who, in addition, carried out diaphragmatic breathing, administered for eight weeks, three times/week. Outcomes were pulmonary function variables (forced vital capacity, FVC; forced expired volume at 1 s, FEV1; the FEV1/FVC ratio) and oxygen saturation (SpO2) before and after treatment. Normality of the distributions was tested with Saphiro-Wilk and the pre-post improvement was assessed with a two-sample Mann-Whitney test. Significance level was corrected for multiple comparisons using Benjamini-Hochberg correction (p < 0.04). There was a clinically significant improvement of FVC and FEV1 for the EG. Moreover, the EG showed a statistically significant increase of SpO2 (p = 0.028) after treatment when compared to CG. A physiotherapy program combining breathing and musculoskeletal exercises, improved respiratory parameters in institutionalized older adults.
dc.language.iso	eng
dc.relation.ispartof	Healthcare, 2022, vol. 10, num. 9, p. 1680
dc.subject	Persones grans
dc.subject	Fisioteràpia
dc.subject	Aparell respiratori Malalties
dc.title	Clinical Changes of Respiratory Parameters in Institutionalized Older Adults after a Physiotherapy Program Combining Respiratory and Musculoskeletal Exercises
dc.type	journal article
dc.date.updated	2023-05-15T17:29:42Z
dc.identifier.doi	10.3390/healthcare10091680
dc.identifier.idgrec	158525
dc.rights.accessRights	open access