The Effects of Different Breathing Exercises on Respiratory Muscle Strenght and Heart Rate Variability: Pilot Study

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ESRA KESKİN
Purpose:

This study aims to examine the effects of different breathing exercises on respiratory muscle strenght, heart rate variability and identify the most effective methods for improving  health.This study aims to examine the effects of different breathing exercises on respiratory muscle strenght, heart rate variability and identify the most effective methods for improving  health.

Methods:

This study included 15 participants aged 18-30 from Bandırma Onyedi Eylül University who were not engaged in regular sports activities, were not immobilized, and had no history of respiratory, cardiovascular, neurological, systemic, musculoskeletal, or renal diseases. Participants also had not undergone any surgical procedures in the last six months. The participants were randomized into three groups: pursed-lip breathing (diaphragmatic breathing), alternate nostril breathing, and square breathing exercises. Participants were assessed three times: at baseline, immediately after a face-to-face session, and following a six-week telerehabilitation program. They were instructed to perform 20-minute sessions four times a week for six weeks and to maintain a log of their exercises. Respiratory parameters were evaluated using the Cosmed Sony PX device, while heart rate data were assessed with the Polar H10 device.

Results:

There was no significant difference between the groups in terms of demographic data (p>0.05). The datas were analyzed using mixed-design ANOVA. The study found significant improvements in MIP and MEP over time (p 0.001 and p = 0.008, respectively), regardless of the type of breathing exercise. However, there were no significant differences between the different breathing exercises, nor any significant interaction effects for breathing type and time. HRV showed no significant changes, while HR significantly changed over time (p = 0.012). The interaction between breathing type and time was not statistically significant for any parameter.

Conclusion(s):

Breathing exercises significantly improved respiratory muscle strength (MIP and MEP) and heart rate over time, regardless of the exercise type. However, heart rate variability did not show any notable changes. These results suggest that regular breathing exercises enhance respiratory function and cardiovascular response over time.

Implications:

These findings imply that incorporating regular breathing exercises into rehabilitation programs may enhance respiratory muscle strength and cardiovascular health, potentially benefiting individuals with chronic respiratory or cardiovascular conditions.

Funding acknowledgements:
The author(s) would like to thank the Scientific and Technological Research Council of Turkey (TÜBİTAK) for the financial support provided for participation in the World Physiotherapy Congress 2025
Keywords:
Breathing exercises
telerehabilitation
heart rate
Primary topic:
Health promotion and wellbeing/healthy ageing/physical activity
Second topic:
Sustainable health
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Bandırma Onyedi Eylül University Non-Invasive Clinical Research Ethics Committee
Provide the ethics approval number:
2023-270, 2024-180
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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