The effect of respiratory muscle training in individuals with low back pain : a systematic review

Poster Presentation
Paper ID : 1338-12THCONG
Oral / Poster Presentation File: Slide1.JPG 
Authors
1Masters student/Department of Corrective Exercises and Sport Injury, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran
2Associate professor of sport Rehabilitation/ Department of Corrective Exercises and Sport Injury, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran
Abstract
People with respiratory disorders are susceptible to low back pain (LBP), while people with LBP are also susceptible to respiratory diseases. A reduced chest wall expansion can be due to dysfunctions in the contractions of the core muscles; however, respiratory function is often ignored in people with LBP. The aim of this study was to review the current evidence on the effects of the exercises of inspiratory muscle training on LBP .
Four electronic databases(MEDLINE/PubMed , PEDro , SPORTDiscuss and Cochrane Library) were systematically searched up to December 2019 for intervention studies focused on the effects of inspiratory muscle training on people with LBP. A comprehensive literature search was performed using the keywords "breathing exercise , low back pain , respiratory muscle training, diaphragm, inspiratory muscle , inhalation , exhalation" and their combination.
Based on the search keywords, 158 articles were found. Regarding the selection criteria, 13 articles were selected .The results of available evidence indicate that respiratory muscle training has been effective on back pain, abdominal transverse muscle thickness, disability improvement and respiratory parameters .Moreover, Training this muscle improves its endurance and increases the core stability.
Based on the evidence reviewed it is concluded that, respiratory muscle training can be considered an effective method of improving respiratory function, inspiratory muscle strength, and exercise tolerance in patients with LBP. Further research is needed to determine optimum dosages and duration of effect. Therefore , respiratory muscle training should be considered as a part of the treatment program in LBP. Future research should focus on comparing different types of breathing programs and their effects on chronic, non-specific LBP and function.
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