Aging Clinical Trial
Official title:
Respiratory Physical Therapy Based on Diaphragmatic Breathing Program In Institutionalized Older People
In the present study a program of respiratory physical therapy based on diaphragmatic
breathing is applied in institutionalized old people, evaluating lung function parameters
(FVC, FEV1, FEV1/FVC) and oxygen saturation.
The hypothesis is that a diaphragmatic breathing program applied in elderly people can
improve the respiratory system's function and consequently improve their daily life. This
program will include learning and performing a diaphragmatic-abdominal breathing, and
incorporating the new breathing pattern to a upper and lower limbs maintenance exercises as
well as to daily life activities.
Methods: randomized and controlled clinical study of respiratory parameters of
institutionalized old people. The subjects will be divided into 2 groups: 1) diaphragmatic
breathing program and upper and lower limbs maintenance exercises 2) control group which do
upper and lower limbs maintenance exercises. There will be 3 treatment sessions during 8
weeks, with evaluations before the study and after 8 weeks, which include: lung function
parameters (forced vital capacity, forced expiratory volume in one second, Tiffeneau Index)
and pulseoximeter (which includes oxygen saturation and cardiac frequency).
Introduction.The aging of the respiratory system includes physiological changes of the lung
as well as the osteoarticular and muscular tissues. Therefore, the European and North
American Respiratory Societies highlight in their recommendations the importance of
prevention of respiratory diseases. They also insist on the need to maintain the integrity of
the anatomical elements that participate in the thoraco-abdominal movements and on preventive
treatments in those at risk before the symptoms appear.
Objective. The main objective of this study is to apply a program of supervised breathing
program in old people with no respiratory health issues and evaluate the effects on
respiratory variables such as forced vital capacity (FVC) forced expiratory volume in one
second (FEV1) Tiffeneau Index (FEV1/FVC) and oxygen satutarion (SO2).
Material and Methods Sample: over 60 year old subjects, institutionalized and with no
respiratory condition.
Study design. Randomized clinical trial with 2 groups: Group 1. diaphragmatic breathing
program and upper and lower limbs maintenance exercises ; Group 2. control group which only
do upper and lower limbs maintenance exercises.
Evaluations. Clinical interview with anthropometric data and health characteristics.
There will be 2 evaluations: at the beginning of the study and at the end of the supervised
program (at 8 weeks).
In addition, it includes the following evaluation instruments:
- Mini-mental State Examination (MMSE)
- Spirometry: obtaining FVC, FEV1, FEV1/FVC.
- Pulse oxymetry: it measure the SaO2 and cardiac frequency.
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