Immediate Effects of Thoracic Expansion Exercises on Breath-Holding Capacity in Adolescents: A Quasi-Experimental Study

Astri Anita, Siti Rakhmatia Paramita Th. Kum, Dewi Nurindah Panai

Abstract


Introduction: Breath-holding time (BHT) is a practical indicator of respiratory endurance and thoracic function. Thoracic expansion exercises (TEE) are widely implemented to enhance chest mobility and ventilatory performance, particularly among adolescents involved in physical training. This study evaluated the short-term effects of TEE on breath-holding time.

Method: A quasi-experimental pre–post design was employed with 30 participants aged 14–19 years. The sample consisted of 18 males (60%) and 12 females (40%), with a mean age of 16 ± 0.95 years. BHT was assessed before and after the intervention using a standardized digital timer. Participants completed a structured TEE protocol involving repeated deep-inhalation cycles with controlled thoracic expansion. Statistical analysis was performed using a paired-samples t-test at a 95% confidence level.

Results: Mean BHT increased from 39.77 seconds at baseline to 47.04 seconds post-intervention. The paired t-test indicated a significant improvement following TEE (t = –4.194, p < 0.05), demonstrating that the exercise effectively enhanced respiratory endurance in the short term.

Conclusion: TEE produces a significant immediate improvement in breath-holding capacity among adolescents. These findings support the integration of TEE into school-based or training programs aimed at optimizing respiratory function. Longitudinal studies are warranted to examine long-term effects.

 

Keywords: Adolescent health, breathing exercises, physiotherapy, quasi‑experimental study, respiratory endurance


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References


Zamuner AR, Catai AM, Silva E. Respiratory adaptations across adolescence: implications for exercise and training. Pediatr Pulmonol. 2021;56(3):678–687.

Strachan DP, Cook DG. Effect of cigarette smoking on the pulmonary function of children and adolescents. Thorax. 1990;45(12):982–987.

Webera P, Menezes AMB, Gonçalves H, de Oliveira PD, Wendt A, Perez-Padilla R, et al. Smoking exposure trajectories and pulmonary function in early adulthood in a Brazilian cohort. Pulmonol. 2023; 000(xxx):1-9.

Weiner P, Goldstein L, Barak A. Breath-holding time as a measure of ventilatory function and oxygen reserve in young adults. J Pulm Rehabil. 2019;32(2):95–101.

Sylvester KP, Clayton N, Cliff I, Hepple M, Kendrick A, Kirkby J, et al. ARTP statement on pulmonary function testing: discussion of the Jones and Meade breath-holding method. BMJ Open Respir Res. 2020;7(1):e000575.

Chuachan S, Jitmana R, Promsri U, Thongdaeng P, Kosura N, Chittithavorn V. Impact of respiratory muscle-stretching exercise on chest expansion and shoulder mobility post-thoracotomy: a randomized controlled trial. J Cardiothorac Surg. 2025;21(1):11.

McConnell A. Respiratory muscle training: theory and practice. 2nd ed. London: Routledge; 2020.

Fregonezi GA, Resqueti VR, Aliverti A. Thoracic expansion and respiratory mechanics: clinical relevance and assessment. J Appl Physiol. 2020;128(1):210–219.

Goulart CD, Luna NM. Breath-hold performance and respiratory control: mechanisms and influencing factors. Eur J Appl Physiol. 2022;122(2):299–311.

Park J, Lee K, Choi S. Immediate effects of thoracic expansion exercises on pulmonary function and breath-holding capacity in adolescents. Int J Environ Res Public Health. 2021;18(14):7422.

World Health Organization. Tobacco and lung health. Geneva: WHO Press; 2020.

Harper LM, Brown R, Evans K. Circadian influence on respiratory performance and exercise capacity. Chronobiol Int. 2020;37(6):855–864.

de Almeida JP, Moura J, Fregonezi GA. Respiratory training and thoracic mobility: effects on chest wall mechanics and ventilatory efficiency. Respir Physiol Neurobiol. 2023;314:104534.




DOI: https://doi.org/10.37905/jmhsj.v5i1.36254

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