The Effectiveness of Combined Breathing Exercises with Respiratory Muscle Stretching Exercises to Increase Chest Expansion in the Elderly

Abstract

Background: Aging is the stage that a person goes through from birth to old age. Some things that happen to older people cause them to enter a period of decline, weakness, gradual decline in social activity, and bring about enormous changes, starting with their cells and tissues and ending with their organ systems, including the respiratory system. Material and Methods: This was a systematic review and meta-analysis. The data was obtained though journal screened by Science Direct database, PubMed database, and Google Schoolar database with selecting articles published in 2012-2021. The keywords used were (“Respiratory Muscle Stretching Exercises”
OR “breathing exercises”) AND (“Older” AND “Elderly”) AND chest expansion, AND “Randomized controlled Trial”. Articles were colled by using PRISMA flow diagrams and analyzed using the revman 5.3 application. Result : A meta-analysis based on 3 articles shows that respiratory muscle stretching exercise can increase thoracic expansion in the elderly who meet the inclusion criteria by 0.26 times compared to other interventions or no intervention. (SMD 0.26; 95% CI= -0.05 to 0.56; p=0.42). which has been adjusted according to calculations according to PRISMA analytical measurement standards Conclusion : Prescribing RMSG for 4 weeks was beneficial in improving maximal chest exhalation and increase chest expansion in older.