Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 1-7 |
| Number of pages | 7 |
| Journal | Disability and Rehabilitation |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- abdominal muscles
- Central adiposity
- exercise therapy
- posture
- rehabilitation
- respiratory function
ASJC Scopus subject areas
- Rehabilitation
Cite this
Motor control exercises of the lumbar-pelvic region improve respiratory function in obese men. A pilot study. / Bezzoli, Emanuela; Andreotti, Dianne; Pianta, Lucia; Mascheroni, Martina; Piccinno, Lorena; Puricelli, Luca; Cimolin, Veronica; Salvadori, Alberto; Codecasa, Franco; Capodaglio, Paolo.
In: Disability and Rehabilitation, 2018, p. 1-7.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Motor control exercises of the lumbar-pelvic region improve respiratory function in obese men. A pilot study
AU - Bezzoli, Emanuela
AU - Andreotti, Dianne
AU - Pianta, Lucia
AU - Mascheroni, Martina
AU - Piccinno, Lorena
AU - Puricelli, Luca
AU - Cimolin, Veronica
AU - Salvadori, Alberto
AU - Codecasa, Franco
AU - Capodaglio, Paolo
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - abdominal muscles
KW - Central adiposity
KW - exercise therapy
KW - posture
KW - rehabilitation
KW - respiratory function
UR - http://www.scopus.com/inward/record.url?scp=84994885417&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994885417&partnerID=8YFLogxK
U2 - 10.1080/09638288.2016.1244292
DO - 10.1080/09638288.2016.1244292
M3 - Article
AN - SCOPUS:84994885417
SP - 1
EP - 7
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
ER -