The Effects of Diaphragmatic Mobilization Techniques on Respiratory Functions, Sleep Quality, Anxiety and Depression in Persons: Application in Obese Persons

Abstract

Aim: The effects of mobilization approaches in weight-related respiratory problems in people diagnosed with obesity are not clearly known. In this study, the effects of dia-phragmatic mobilization methods on respiratory functions, fatigue, sleep quality, anxiety and depression in obese individuals were emphasized. Methods: Within the scope of our study, people aged between 18-65 years and a body mass index (BMI) of 30 kg/m2 and above were included in the process, sociodemographic information was recorded, and randomized diaphragmatic mobilization group (n=20) and control group (n=20) were included. The study was continued by dividing into two groups. Diaphragmatic mobilization approaches (diaphragmatic translation technique, di-aphragm stretching technique, diaphragm eight technique) were applied to the treated group for an average of 15-20 minutes, 2 sessions per week, for a total of 4 weeks. No effects were seen in obese subjects in the control group. Necessary evaluations were made within the group before and after the study. Result: In the comparison of the difference values of both groups within the scope of our study, spirometric measurements were FEF (25-75%), MVV (%), (L) parameters, respir-atory muscle strength measurement in all parameters, fatigue, sleep quality, depression, SF-36; A statistically significant difference was found in physical function and energy sub-parameters (p<0.05). Conclusion: As a result, it has been seen that diaphragm mobilization techniques are a safe and feasible approach that can improve the respiratory functions, sleep and quality of life of obese individuals and minimize the symptoms of fatigue. Summary Statement What is already known about this topic? • Respiratory functions, sleep and quality of life of obese individuals are not good and they experience fatigue very often. What this paper adds? • Demonstrated the effect of diaphragm mobilization techniques. The implications of this paper: • As a result, it has been revealed that diaphragm mobilization techniques are a good indication in obese individuals.