• K. REKHA Saveetha College of Physiotherapy, Chennai, India
  • D. SAMUEL SUNDAR DOSS Tutor, Saveetha Medical College and Hospital, Chennai, India
  • MOHAMMED ABUBAKKER SIDDIUE BPT Student, Saveetha College of Physiotherapy, Chennai, India


Objective: To determine and compare the effects of Theraband exercises with Incentive Spirometer exercise in improving respiratory muscle strength among bronchial asthma.

Methods: In this study, 30 Individuals with Bronchial asthma were taken and assessed for FEV1/FVC, Maximum voluntary ventilation (MVV) using a computerized spirometer, dyspnea level graded using MMRC scale and diaphragm muscle strength assessed using manual muscle testing (MMT) as pre-test then the individuals were randomly allocated in two groups: Group A and Group B. Group A (n=15) received Theraband exercise and Group B (n=15) were treated with incentive spirometer for a total period of 4 w following which the outcome measures were repeated for post-test.

Results: Based on the obtained statistics, both the groups showed significant improvement within groups when comparing pre and post-test measures. On comparing the mean values of the post-test between the groups, theraband exercises showed clinically higher significant results than incentive spirometer exercises.

Conclusion: From the result, it shall been concluded that both theraband exercises and incentive spirometer exercises shows improvement in MVV, FEV1/FVC, reduced dyspnea and increased respiratory muscle strength. Hence, theraband exercises are effective compared to the incentive spirometer.

Keywords: Theraband Versus, Bronchial Asthma


1. Halim T, Alam MY Ali, MMSU Islam, F Ahammed, SH Rahman, RC Barman. A prospective study of bronchial asthma. Faridpur Med Coll J 2011;6:100-3.
2. Agarwal S, Pearce N, S Ebrahim. Prevalance and risk factors of self-reported asthma in Indian population. Int J Tuberc Lung Disease 2013;17:275-82.
3. Butter worth, Heinemann. Tidy?sphysiotherapy edited by Stuart B. Porter. 13th edition. Elsevier Science Limited; 2003. p. 303.
4. Paltiel Weiner, Yaizazgad, Rasemganan, Margalit Weiner. Inspiratory muscles training in patients with bronchial asthma. Chest 1992;102:1357-61.
5. Marjolein LJ Bruus, lianne J, Vander Giessen, Heleenmoed. The effectiveness of physiotherapy in patients with asthma: a systemic review of the literature. J Respir Med 2013;107:483-98.
6. GD Gale, DE Sanders. The barlett-edwards incentive spirometer: a preliminary assessment of its use in the prevention of the atelectasis after cardiopulmonary bypass. Can Anaesth Soc J 1977;24:408-16.
7. Tom J Overand, Catherine M Anderson, S Deborahlucy, Christina Bhatia, Birgitta I. Jonsson, Catherine Timmermans. The effects of incentive spirometry on postoperative pulmonary complications. Chest 2001;120:971–8.
8. Ruben D Restrepo, Richard Wettstein, Leowittnebel, Michael Trancy. AARC clinical practice guideline of Incentive spirometry. Respir Care 2011;56:1600–4.
9. Marco Uchida, Marco Makoto Nishida, Ricardo Aurelio Carval Hosampio, Toshio Moritani, Hidenori Aria. Theraband-elastic band tension: reference value for physical activity. J Phys Ther Sci 2016;28:1266–71.
10. Guy G Simoneau, Shellie M Bereda, Dennis C Sobush, Andrew J Satarsky. Biomechanics of elastic resistance in therapeutic exercise programs. J Orthopaedic Sports Phys Thera 2001;31:1624.
11. [Last accessed on 10 Dec 2019]
12. Shiny S James, K Rekha, Vaipyapuri Anandh. Effects of threshold inspiratory muscle trainer in bronchial asthma. Biomed J 2016;36:77-82.
13. N Aggarwal, K Chaudhry, SK Chhabra, GA D’Souza, D Gupta, SK Jindal, SK Katiyar, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Indian J Chest Diseases Allied Sci 2006;48:13-22.
14. Turner LA, Mickleborough TD, McConnell AK, Stager JM, Tecklenburg Lund S, Lindley MR. Effect of inspiratory muscle training on exercise tolerance in asthmatic individuals. Med Sci Sports Exercise 2011;43:2031-8.
15. Andre Nyberg, Didier Saey, Mickaël Martin, François Maltais. Muscular and functional effects of partitioning exercising muscle mass in patients with chronic obstructive pulmonary disease-a study protocol for a randomized controlled trial. Trials 2015;16:194.
16. Lawrence P Cahalin, Ross Arena. Impact of exercise training on adverse event risk and quality of life in patients with heart failure. Phys Ther 2012;92:1371-5.
17. Lars L Andersen, Christoffer H Andersen, Ole S Mortensen, Otto M Poulsen, Inger Birthe T Bjornlund, Mette K Zebis. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Phys Thera 2010;90:538-49.
18. Phillip A Page, John Lamberth, Ben Abadie, Robert Boling, Robert Collins, Russell Linton. Posterior rotator cuff strengthening using theraband® in a functional diagonal pattern in collegiate baseball pitchers. J Athletic Training 1993;28:346-54.
19. Sanjeev Kumar Khanna. Efficacy of incentive spirometer in improving pulmonary functions after upper abdominal surgery. Indian J Basic Appl Med Res 2013;3:328-34.
20. Harpreet Ranu, Michael Wilde, Brendan Madden. Pulmonary function tests. Ulster Med J 2011;80:84-90.
21. Donald A Mahler, Carolyn K Wells. Evaluation of clinical methods for rating Dyspnea. Chest J 1988;93:580-6.
19 Views | 8 Downloads
How to Cite
REKHA, K., D. S. S. DOSS, and M. A. SIDDIUE. “RESPIRATORY MUSCLE TRAINING WITH THERABAND VERSUS INCENTIVE SPIROMETER AMONG INDIVIDUALS WITH BRONCHIAL ASTHMA”. International Journal of Current Pharmaceutical Research, Vol. 12, no. 3, May 2020, pp. 117-20, doi:10.22159/ijcpr.2020v12i3.38319.
Original Article(s)