Effects of Core Stability Combined With Diaphragmatic Strengthening Exercises Among Asthmatic Patients

This study evaluated the effects of core stabilization exercises and diaphragmatic strengthening on thoracic kyphosis angle, diaphragmatic excursion, chest expansion, lung functioning (FEV1/FVC ratio), and quality of life in individuals with mild intermittent or mild persistent asthma. Thirty-seven participants from Fauji Foundation Hospital Rawalpindi underwent assessments before and after an 18-session treatment regimen over three weeks. The measures included diaphragmatic excursion, thoracic kyphotic angle, chest expansion, spirometry, and asthma quality of life questionnaire. Statistical analysis was performed using SPSS version 21

Inclusion criteria

• Age group: 18-34 years old
• Both males and females
• Individuals diagnosed with well controlled mild intermittent asthma or mild persistent asthma, at least six months prior based on referral from pulmonologist.
• Individuals who have weak core muscles
• Participating to the study in a voluntary basis

Exclusion criteria

• Level 3 and above asthmatics or status asthmaticus
• Any congenital deformities of chest wall
• Demonstrated neuromuscular or neurological deficit/disease of chest wall.
• Cardiopulmonary diseases including coronary artery disease, heart failure NYHA classification, valvular heart disease, cardiomyopathy, arrythmias, interstitial lung disease, COPD, pulmonary embolism, pulmonary hypertension, cancers, etc.
• Any recent cardiothoracic or abdominal surgery or sternotomy
• Recent history of the blunt chest wall or abdominal trauma
• Unstable hemodynamic parameters (arterial pressure >140mmhg systolic and >90mmhg for diastolic
• Pregnancy
• Previous or parallel participation in interventional programs
• Any psychiatric illnesses