Abstract

Review Article

Effectiveness of Intercostal Stretch Technique on Pulmonary Conditions: A Narrative Review

Kamrun Nahar Chowdhury*

Published: 13 September, 2024 | Volume 8 - Issue 2 | Pages: 048-052

Background: The Intercostal Stretch Technique is one of the physiotherapy techniques that is used to solve different respiratory problems. It is used for increasing chest expansion and diaphragm excursion improvement and also intra-thoracic lung volume. 
Aim: The study aims to evaluate the effectiveness of the intercostal stretch technique.
Methodology: A narrative review. In this study, an RCT study was used to review the intervention.
Results: Several articles are used to discuss the effectiveness of the intercostal stretch technique. In stable COPD, diaphragmatic breathing and the intercostal stretch technique both work equally well to improve chest expansion and functional capacity while lowering dyspnea. Research has shown that IC stretch outperforms the anterior basal lift technique in lowering heart and respiratory rates while increasing oxygen saturation. According to this study, IC stretching in conjunction with breathing control may improve dynamic lung parameters, particularly FEV1/FVC%, more than breathing control alone. Patients with COPD have an increased functional exercise capacity and reduced dyspnea when aerobic training and respiratory muscle stretching are combined. 
Conclusion: Different articles demonstrated that IC stretch improved lung function, expired tidal volume, decreased dyspnea, and increased chest expansion.

Read Full Article HTML DOI: 10.29328/journal.jprr.1001059 Cite this Article Read Full Article PDF

Keywords:

Intercostal stretching; Chronic obstructive pulmonary disease; ICU

References

  1. Keuning B, Kouwenberg T. Kenneth Saladin: Anatomy & Physiology. De Osteopaat Magazine. 2009.
  2. D'Angelo E, Sant'Ambrogio G. Direct action of contracting diaphragm on the rib cage in rabbits and dogs. J Appl Physiol. 1974;36(6):715-719. Available from: https://doi.org/10.1152/jappl.1974.36.6.715
  3. Remmers JE. Inhibition of inspiratory activity by intercostal muscle afferents. Respiration Physiol. 1970;10(3):358-383. Available from: https://doi.org/10.1016/0034-5687(70)90055-1
  4. De Troyer A, Kirkwood PA, Wilson TA. Respiratory action of the intercostal muscles. Physiol Rev. 2005;85(2):717-56. Available from: https://doi.org/10.1152/physrev.00007.2004
  5. Mohan V, Aziz KBK, Kamaruddin K, Leonard JH, Das S, Jagannathan MG. Effect of intercostal stretch on pulmonary function parameters among healthy males. EXCLI J. 2012;11:284-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4942790/
  6. Chang A, Paratz J, Rollston J. Ventilatory effects of neurophysiological facilitation and passive movement in patients with neurological injury. Aust J Physiother. 2002;48(4):305-310. Available from: https://doi.org/10.1016/s0004-9514(14)60170-7
  7. Ashwini D, Bhagyashri S, Medha D. Comparison of intercostal stretch technique versus diaphragmatic breathing on dyspnoea, chest expansion, and functional capacity in stable COPD. Int J Sci Res Publ. 2017;7(5):256-260. Available from: https://www.ijsrp.org/research-paper-0517/ijsrp-p6528.pdf
  8. Vestbo J, Hurd SS, Agustí AG, Jones PW, Vogelmeier C, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2013;187(4):347-365. Available from: https://doi.org/10.1164/rccm.201204-0596pp
  9. Wada JT, Borges-Santos E, Porras DC, Paisani DM, Cukier A, Lunardi AC, et al. Effects of aerobic training combined with respiratory muscle stretching on the functional exercise capacity and thoracoabdominal kinematics in patients with COPD: a randomized and controlled trial. Int J Chron Obstruct Pulmon Dis. 2016;11:2691-700. Available from: https://doi.org/10.2147/copd.s114548
  10. Gupta P, Nambi G, Gupta G, Nagar R, Mehta P, Makwana A. Effect of intercostal stretch technique and anterior basal lift technique on respiratory rate, saturation of peripheral oxygen, and heart rate among ICU patients. Int J Health Sci Res. 2014;4(1):26-31. Available from: https://www.ijhsr.org/IJHSR_Vol.4_Issue.2_Feb2014/6.pdf
  11. Sharma R, Narwal R, Kumar S. Comparison of proprioceptive neuromuscular facilitation vs resistance training of respiratory muscles on the respiratory rate of patients in ICU during weaning off period. Physiother Occup Ther. 2010;4(4):125-130. Available from: https://www.semanticscholar.org/paper/Comparison-of-proprioceptive-neuromuscular-vs-of-on-Sharma-Narwal/c9fbb91795370f6c606af9e17fb74aac069171f4

Figures:

Similar Articles

Recently Viewed

  • Synthesis of Carbon Nano Fiber from Organic Waste and Activation of its Surface Area
    Himanshu Narayan*, Brijesh Gaud, Amrita Singh and Sandesh Jaybhaye Himanshu Narayan*,Brijesh Gaud,Amrita Singh,Sandesh Jaybhaye. Synthesis of Carbon Nano Fiber from Organic Waste and Activation of its Surface Area. Int J Phys Res Appl. 2019: doi: 10.29328/journal.ijpra.1001017; 2: 056-059
  • Obesity Surgery in Spain
    Aniceto Baltasar* Aniceto Baltasar*. Obesity Surgery in Spain. New Insights Obes Gene Beyond. 2020: doi: 10.29328/journal.niogb.1001013; 4: 013-021
  • Tamsulosin and Dementia in old age: Is there any relationship?
    Irami Araújo-Filho*, Rebecca Renata Lapenda do Monte, Karina de Andrade Vidal Costa and Amália Cinthia Meneses Rêgo Irami Araújo-Filho*,Rebecca Renata Lapenda do Monte,Karina de Andrade Vidal Costa,Amália Cinthia Meneses Rêgo. Tamsulosin and Dementia in old age: Is there any relationship?. J Neurosci Neurol Disord. 2019: doi: 10.29328/journal.jnnd.1001025; 3: 145-147
  • Case Report: Intussusception in an Infant with Respiratory Syncytial Virus (RSV) Infection and Post-Operative Wound Dehiscence
    Lamin Makalo*, Orlianys Ruiz Perez, Benjamin Martin, Cherno S Jallow, Momodou Lamin Jobarteh, Alagie Baldeh, Abdul Malik Fye, Fatoumatta Jitteh and Isatou Bah Lamin Makalo*,Orlianys Ruiz Perez,Benjamin Martin,Cherno S Jallow,Momodou Lamin Jobarteh,Alagie Baldeh,Abdul Malik Fye,Fatoumatta Jitteh,Isatou Bah. Case Report: Intussusception in an Infant with Respiratory Syncytial Virus (RSV) Infection and Post-Operative Wound Dehiscence. J Community Med Health Solut. 2025: doi: 10.29328/journal.jcmhs.1001051; 6: 001-004
  • The prevalence and risk factors of chronic kidney disease among type 2 diabetes mellitus follow-up patients at Debre Berhan Referral Hospital, Central Ethiopia
    Getaneh Baye Mulu, Worku Misganew Kebede, Fetene Nigussie Tarekegn, Abayneh Shewangzaw Engida, Migbaru Endawoke Tiruye, Mulat Mossie Menalu, Yalew Mossie, Wubshet Teshome and Bantalem Tilaye Atinafu* Getaneh Baye Mulu,Worku Misganew Kebede,Fetene Nigussie Tarekegn,Abayneh Shewangzaw Engida,Migbaru Endawoke Tiruye,Mulat Mossie Menalu,Yalew Mossie,Wubshet Teshome,Bantalem Tilaye Atinafu*. The prevalence and risk factors of chronic kidney disease among type 2 diabetes mellitus follow-up patients at Debre Berhan Referral Hospital, Central Ethiopia. J Clini Nephrol. 2023: doi: 10.29328/journal.jcn.1001104; 7: 025-031

Read More

Most Viewed

Read More

Help ?