PMID- 29927211 OWN - NLM STAT- MEDLINE DCOM- 20180705 LR - 20181202 IS - 0125-2208 (Print) IS - 0125-2208 (Linking) VI - 99 IP - 9 DP - 2016 Sep TI - Effects of Pursed-Lip Breathing Exercise Using Windmill Toy on Lung Function and Respiratory Muscle Strength in the Elderly. PG - 1046-51 AB - BACKGROUND: Aging results in decline in lung function and reduction of respiration muscle strength. OBJECTIVE: To investigate whether pursed-lip breathing exercise, using windmill toy, can improve lung function, and respiratory muscle strength in the elderly. MATERIAL AND METHOD: Fifty-four older men and women (aged 60 to 75 years) were randomly assigned to three groups, control (CON, n = 18), diaphragmatic breathing exercise (DBE, n = 18), and pursed-lips breathing exercise (PBE, n = 18) group. The DBE group was subjected to deep breathing exercises by slowly inhaling and exhaling through the nose. The PBE group was subjected to a breathing maneuver that comprised of inhaling gently through the nose, and then slowly and gently squeeze air out through pursed-lips using windmill toy to control the airflow. Both breathing exercise groups (PBE and DBE) performed the maneuvers three times per week for 12 weeks. Shortness of breath, 6-minute walk distance (6MWD), lung function, and respiratory muscle strength were measured at pre- and post-test. RESULTS: Shortness of breath scores, the ratio of force vital capacity (FVC), forced expiratory volume in one second (FEV1), and maximal inspiratory pressure (MIP) were significantly increased (all p<0.05) in the PBE group compared to CON and DBE groups at weeks 12. However, no significant differences in maximum expiratory pressure (MEP) were observed in all three groups. CONCLUSION: Pursed-lips breathing exercise using a windmill toy is an effective breathing exercise intervention for improving lung function and respiratory muscle strength in the elderly. FAU - Jansang, Sarawut AU - Jansang S FAU - Mickleborough, Timothy AU - Mickleborough T FAU - Suksom, Daroonwan AU - Suksom D LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - Thailand TA - J Med Assoc Thai JT - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JID - 7507216 SB - IM MH - Aged MH - Breathing Exercises/*instrumentation/*methods MH - Female MH - Humans MH - Lip MH - Lung/physiopathology MH - Male MH - Muscle Strength/*physiology MH - Play and Playthings MH - Respiratory Function Tests/statistics & numerical data MH - Respiratory Muscles/*physiopathology MH - Treatment Outcome EDAT- 2016/09/01 00:00 MHDA- 2018/07/06 06:00 CRDT- 2018/06/22 06:00 PHST- 2018/06/22 06:00 [entrez] PHST- 2016/09/01 00:00 [pubmed] PHST- 2018/07/06 06:00 [medline] PST - ppublish SO - J Med Assoc Thai. 2016 Sep;99(9):1046-51.