Effects of Ruesi Dadton (Self-Stretching for Chest Exercise) on Chest Expansion, Respiratory Muscle Strength and Pulmonary Function in 50-90-year-old Thais
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Published:
Aug 16, 2018
Keywords:
Ruesi Dadton self-stretching for chest exercise chest expansion respiratory muscle strength pulmonary function
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Abstract
This study aimed to evaluate the effect of Ruesi Dadton, or self-stretching (chest exercise posture), on chest expansion, respiratory muscle strength and pulmonary function in 25 healthy persons, aged 50 to 90 years, in Maha Sarakham’s Kaeng Loeng Chan subdistrict community. Each participant practised the chest-trouble therapy posture of Ruesi Dadton for 30 minutes, 3 times a week every other day for 4 weeks. Before and after exercise, the subjects were assessed for chest expansion, respiratory muscle strength and pulmonary function. Data were collected and then analyzed using descriptive statistics and t-test, using the significance level of 0.05. The findings revealed that after exercise the subjects had significant decreases (p<0.05) in heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP), and they also showed a significant increase (p<.001) in vital capacity (VC) compared to those before exercise. Moreover, after exercise, their forced vital capacity (FVC), maximal inspiratory pressure functional residual capacity, sniff nasal pressure (PImaxRV, Pnsn) and chest expansion values were significantly higher (p< 0.05) than before exercise. It is thus concluded that the practice of chest exercise posture of Ruesi Dadton helps improve chest expansion, respiratory muscle strength and pulmonary function for healthy Thais aged 50 years and over. Therefore, this posture of Ruesi Dadton should be an alternative exercise program for promoting pulmonary function in bed-bound elderly patients.
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References
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10. Lertsinthai P, Chidnok W, Kovithyanon K, Prompakdee K, Somboonsiri P. The effects of Ruesi Dadton on balance
performance, hip and trunk flexibility in healthy female students of Naresuan University. Thai Journal of Physical
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training) on muscle strength, respiration and exercise performance in females. Thai Journal of Physical
Therapy. 2007;29(3):126-36. (in Thai)
13. Department for Development of Thai Traditional and Alternative Medicine. çMove for healthé with 15 postures
of Ruesi Dadton, Thai self-stretching exercise. Bangkok: Post Publishing; 2013. (in Thai)
14. Woo SD, Kim TH, Lim JY. The effects of breathing with mainly inspiration or expiration on pulmonary
function and chest expansion. J Phys Ther Sci. 2016;28(3):927-31.
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of lung volumes. Eur Respir J. 2005;26(3):511-22.
29. Werawatganon D, Bongsebandhu-phubhakdi S, editors. Physiology. 1st ed. Vol. 2. Bangkok: Bangkok Medical
Publisher; 2013. 219 p. (in Thai)
30. Warujtangoon S, Wirunrattanakij Y. The immediate effects of respiratory muscle stretching on chest
expansion pulmonary function and respiratory muscle strength in healthy individuals. HCU Journal of Science
and Technology. 2015;36:131-42. (in Thai)
31. Ayurved Thamrong School, Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj
Hospital, Mahidol University. Ruesi Dadton or physical exercise with the postures of hermit doing body
contortion. Vol. 2, 1st ed. Bangkok: Supawanit Kanphim; 2014. 90 p. (in Thai)
32. Simons D, Travell J, Simons L. Myofascial pain and dysfunction: the trigger point manual, vol. 1-upper half
of body. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 1998. 1056 p.
33. Celli BR. Exercise in the rehabilitation of patient with respiratory disease. In: Hodgkin JE, Celli BR, Connors
GL, editors. Pulmonary rehabilitation guidelines to success. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2001. p. 147-60.
34. Worawuthangkul S. Updated guidelines for pulmonary rehabilitation programs. APHEIT Journal. 2012;18(1):160-9. (in Thai)
35. Tunkamnerdthai O, Auvichayapat P, Donsom M,Leelayuwat N. Improvement of pulmonary function with
arm swing exercise in patients with type 2 diabetes. Journal of Physical Therapy Science. 2015;27(3):649-54.
36. Putt MT, Watson M, Seale H, Paratz JD. Musclestretching technique increase vital capacity and range
of motion in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2008;89(6):1103-7.
37. Puckree T, Cerny F, Bishop B. Does intercostal stretch alter breathing pattern and respiratory muscle activity
in conscious adults?. Physiotherapy. 2002;88(2):89-97.
38. Moreno MA, Catai AM, Teodori RM, Borges BL, Cesar Mde C, Silva Ed. Effect of a muscle stretching program
using the global postural re-education method on respiratory muscle strength and thoracoabdominal
mobility of sedentary young males. J Bras Pneumol. 2007;33(6):679-86.
39. American college of sport medicine. ACSMûs healthrelated physical fitness assessment manual. 4th ed.
Philadelphia: Lippincott Williams and Wilkins; 2013. 196 p.
40. Enright S, Chatham K, Ionescu AA, Unnithan VB, Shale DJ. Inspiratory muscle training improves lung function
and exercise capacity in adults with cystic fibrosis. Chest. 2004;126(2):405-11.
41. Tantisuwat A, Thaveeratitham P. Effects of smoking on chest expansion, lung function, and respiratory muscle strength of youths. J Phys Ther Sci. 2014;26(2): 167-70.
42. Khaensarn R, editor. Physiology. 10th ed. Nonthaburi: Praboromarajchanok Institute, Ministry of Public Health;
2010. 671 p. (in Thai)
43. Johns D, Pierce R. Pocket guide to spirometry. 2nd ed. Australia: McGraw-Hill; 2007. 141 p.
44. Bernerdi L, Porta C, Spicuzza L, Bellwon J, Spadacini G, Frey AW, et al. Slow breathing increases arterial
baroreflex sensitivity in patients with chronic heart failure. Circulation. 2002;105(2):143-5.
45. Ngowsiri K, Tanmahasamut P, Sukonthasab S. Ruesi Dadton traditional Thai exercise promotes health related
physical fittness and quality of life in menopausal women. Complement Ther Clin Pract. 2014;20(3):164-71.
Medical Journal. 2014;14(4):571-9. (in Thai)
2. Lowery EM, Brubaker AL, Kuhlmann E, Kovacs EJ. The aging lung. Clin Interv Aging. 2013;8:1489-96.
3. Thompson LF. Failure to wean: exploring the influence of age-related pulmonary changes. Crit Care Nurs Clin North Am. 1996;8(1):7-16.
4. Hungsapruek S, editor. Physiology. 3rd ed. Bangkok: Ruankaew Kanphim; 1991. 422 p. (in Thai)
5. Vejbaesya C. Physiology of aging. 2nd ed. Bangkok: Supawanit Kanphim; 1995. (in Thai)
6. Janssens JP. Aging of the respiratory system: impact on pulmonary function tests and adaptation to exertion.
Clin Chest Med. 2005;26(3):469-84.
7. Davies GA, Bolton CE. Age-related changes in the respiratory system. In: Fillit HM, Rockwood K,
Woodhouse K, editors. Brocklehurstûs textbook of geriatric medicine and gerontology. 7th ed. Philadelphian PA: Elsevier Saunders; 2010. p. 97-100.
8. Samranpat W, Boonprakob Y, Eungpinichpong W, Puntumetakul R. The immediate effect of individual
posture of thai yoga stretching on back flexibility. Paper presented at: 12th national graduate research conference;
2009 Feb 12-13; Khonkaen university, Khonkaen. (in Thai)
9. Polboon N, Boonma S. The effect of modified yoga on flexibility of trunk and hip in female students of
Khonkaen university (masterûs thesis). Khonkaen: Khonkaen University; 2001. (in Thai)
10. Lertsinthai P, Chidnok W, Kovithyanon K, Prompakdee K, Somboonsiri P. The effects of Ruesi Dadton on balance
performance, hip and trunk flexibility in healthy female students of Naresuan University. Thai Journal of Physical
Therapy. 2005;27(3):52-71. (in Thai)
11. Chidnok W, Weerapun O, Wasuntarawat C, Khamchon N, Duangneth D, Khamrid N. Ventilatory and heart rate
responses during the Ruesi Dadton -stretching-exercise. Thai Journal of Physical Therapy. 2009;31(3):104-11. (in
Thai)
12. Chidnok W, Weerapun O, Wasuntarawat C, Lertsinthai P, Sripariwuth A. Effects of Ruesi Dadton (hermit
training) on muscle strength, respiration and exercise performance in females. Thai Journal of Physical
Therapy. 2007;29(3):126-36. (in Thai)
13. Department for Development of Thai Traditional and Alternative Medicine. çMove for healthé with 15 postures
of Ruesi Dadton, Thai self-stretching exercise. Bangkok: Post Publishing; 2013. (in Thai)
14. Woo SD, Kim TH, Lim JY. The effects of breathing with mainly inspiration or expiration on pulmonary
function and chest expansion. J Phys Ther Sci. 2016;28(3):927-31.
15. Calson BS. Normal chest excursion. Phys Ther. 1973;53(1):10-4.
16. Miller A. Pulmonary function test: a guide for the student and house officer. United States: Grune and Stratton;
1987. 275 p.
17. Burgos VR, Castelazo DG, Orozco JA, Garduno EJ, Clark P, Sanabria L. Chest expansion in healthy adolescents
and patients with the seronegative enthesopathy and arthropathy syndrome or juvenile ankylosing spondylitis.
J Rheumatol. 1993;20(11):1957-60. 18. Shore NS, Kazemi H. Examination of patient with respiratory disease. In: Kazemi H, editor. Disorders of the respiratory system. New York: Grune and Stratton; 1976. 165 p.
19. Weiss HR. The effect of an exercise program on vital capacity and rib mobility in patients with diopathic scoliosis. Spine. 1991;16(1):88-93.
20. Chow SC, Shao J, Wang H. Sample Size Calculations in Clinical Research. 2nd ed. New York: Chapman and
Hall/CRC; 2013.
21. Buranruk O. Effect of chi-kung exercise on chest expansion and lung volume in elderly people. KKU Research Journal. 2000;5(1):18-25. (in Thai)
22. Voraroom S, Phosuwan A, Jaiyangyeun U, Bunyasit P. The predictors of exercise behavior among health
volunteers, Sanam Chai, Mueang District, Suphan Buri Province. Journal of Nursing and Education. 2011;4(1):52-61.
23. Luangaram S, Paikok P, Sinthuchai D, Kaewkoed S. Chest expansion in Thai healthy men aged 18-23 years
in Phitsanulok province: a pilot study. Journal of Nursing and Health Sciences. 2012;6(2):56-61. (in Thai)
24. Chidnok W, Talsiri N, Pukhrua M, Keawthung C,Wiangkhan T. Intratester reliability of new simple
respiratory muscle strength testing device. Journal of Medicine Technology and Physical Therapy. 2014;26(3):282-7. (in Thai)
25. The Association of Occupational and Environmental Diseases of Thailand; Occupational and Environmental
Medicine Center, Nopparat Rajathanee Hospital, Department of Medical Services, Ministry of Public
Health. Guideline for standardization and interpretation of pulmonary function test by spirometry in occupational
health settings. Bangkok: Summacheeva Foundation; 2014.
26. American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle
testing. Am J Respir Crit Care Med. 2002;166(4):518- 624. 27. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi
R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38.
28. Wanger J, Clausen JL, Coates A, Pedersen OF, Brusasco V, Burgos F, et al. Standardisation of the measurement
of lung volumes. Eur Respir J. 2005;26(3):511-22.
29. Werawatganon D, Bongsebandhu-phubhakdi S, editors. Physiology. 1st ed. Vol. 2. Bangkok: Bangkok Medical
Publisher; 2013. 219 p. (in Thai)
30. Warujtangoon S, Wirunrattanakij Y. The immediate effects of respiratory muscle stretching on chest
expansion pulmonary function and respiratory muscle strength in healthy individuals. HCU Journal of Science
and Technology. 2015;36:131-42. (in Thai)
31. Ayurved Thamrong School, Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj
Hospital, Mahidol University. Ruesi Dadton or physical exercise with the postures of hermit doing body
contortion. Vol. 2, 1st ed. Bangkok: Supawanit Kanphim; 2014. 90 p. (in Thai)
32. Simons D, Travell J, Simons L. Myofascial pain and dysfunction: the trigger point manual, vol. 1-upper half
of body. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 1998. 1056 p.
33. Celli BR. Exercise in the rehabilitation of patient with respiratory disease. In: Hodgkin JE, Celli BR, Connors
GL, editors. Pulmonary rehabilitation guidelines to success. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2001. p. 147-60.
34. Worawuthangkul S. Updated guidelines for pulmonary rehabilitation programs. APHEIT Journal. 2012;18(1):160-9. (in Thai)
35. Tunkamnerdthai O, Auvichayapat P, Donsom M,Leelayuwat N. Improvement of pulmonary function with
arm swing exercise in patients with type 2 diabetes. Journal of Physical Therapy Science. 2015;27(3):649-54.
36. Putt MT, Watson M, Seale H, Paratz JD. Musclestretching technique increase vital capacity and range
of motion in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2008;89(6):1103-7.
37. Puckree T, Cerny F, Bishop B. Does intercostal stretch alter breathing pattern and respiratory muscle activity
in conscious adults?. Physiotherapy. 2002;88(2):89-97.
38. Moreno MA, Catai AM, Teodori RM, Borges BL, Cesar Mde C, Silva Ed. Effect of a muscle stretching program
using the global postural re-education method on respiratory muscle strength and thoracoabdominal
mobility of sedentary young males. J Bras Pneumol. 2007;33(6):679-86.
39. American college of sport medicine. ACSMûs healthrelated physical fitness assessment manual. 4th ed.
Philadelphia: Lippincott Williams and Wilkins; 2013. 196 p.
40. Enright S, Chatham K, Ionescu AA, Unnithan VB, Shale DJ. Inspiratory muscle training improves lung function
and exercise capacity in adults with cystic fibrosis. Chest. 2004;126(2):405-11.
41. Tantisuwat A, Thaveeratitham P. Effects of smoking on chest expansion, lung function, and respiratory muscle strength of youths. J Phys Ther Sci. 2014;26(2): 167-70.
42. Khaensarn R, editor. Physiology. 10th ed. Nonthaburi: Praboromarajchanok Institute, Ministry of Public Health;
2010. 671 p. (in Thai)
43. Johns D, Pierce R. Pocket guide to spirometry. 2nd ed. Australia: McGraw-Hill; 2007. 141 p.
44. Bernerdi L, Porta C, Spicuzza L, Bellwon J, Spadacini G, Frey AW, et al. Slow breathing increases arterial
baroreflex sensitivity in patients with chronic heart failure. Circulation. 2002;105(2):143-5.
45. Ngowsiri K, Tanmahasamut P, Sukonthasab S. Ruesi Dadton traditional Thai exercise promotes health related
physical fittness and quality of life in menopausal women. Complement Ther Clin Pract. 2014;20(3):164-71.