Awareness, Knowledge, Attitude And Practice Of Physiotherapist Towards Diaphragmatic Breathing Techniques On Balance In Obese Individuals.

Authors

  • Shradha V Sawant
  • Dr Dhaval Patel
  • Swati Nerkar

DOI:

https://doi.org/10.69980/ajpr.v28i1.893

Keywords:

Diaphragmatic breathing, Balance control, Postural Stability, Obesity

Abstract

Obesity is linked with impaired postural stability, alters respiratory mechanism, contributing to balance dysfunction and increased risk of fall. Diaphragm plays a major role in stabilizing the trunk by regulating intra abdominal pressure. Although literature supports role of diaphragmatic breathing exercises in improving balance, the extent to which physiotherapist are aware, knowledgeable and practicing these technique in obese individuals remains unclear.

Objective: To evaluate the awareness, knowledge, attitude and practice of physiotherapists regarding the use of diaphragm breathing technique for balance rehabilitation in obese individuals. Methodology: A structured questionnaire survey was conducted amongst 117 licensed physiotherapists based on inclusion/exclusion criteria. Results: 98.3% of physiotherapist’s demonstrated awareness of diaphragmatic breathing as a therapeutic technique and 92.3% recognized that obesity affects balance and stability; only 29% reported applying this intervention specific for balance rehabilitation in obese population. Lack of standardized protocol and time constraints were reported barriers to implementation. Conclusion: Inspite strong awareness and positive attitudes, clinical application of diaphragmatic breathing technique for balance rehabilitation in obese individuals remains suboptimal amongst physiotherapists.

 

Author Biographies

Shradha V Sawant

PhD Scholar), Parul Institute of Physiotherapy, Parul University, Vadodara, Gujarat, India.

 

Dr Dhaval Patel

PhD), Parul University, Vadodara, Gujarat, India. 

 

Swati Nerkar

PT) Assistant Professor, K J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India, 

References

1. Zaida Jimenez, Teresa Vezza. Obesity: A global health challenge demanding urgent action. Biomedicines 2025 Feb 18;13(2):502

2. Rebecca Mitchell, Lara A Harvey, Stephan R. Lord et.al Associations between obesity and overweight and fall risk, health status and quality of life in older people. Australian and New Zealand Journal of Public health, Volume 38, Issue 1 February 2014, pages 13- 18.

3. Hyun Seo, Guyeol Jeong, Buongo Chun, Impact of Diaphragm Strengthening Core Training on Postural Stability in High-Intensity Squats , Life 2024, 14(12), 1612.

4. Paul Hoges, Inger Heijnen et.al Postural activity of diaphragm is reduced in humans when respiratory demand increases. J Physiol. 2001 Dec 15;537(Pt 3):999–1008.

5. Sana Masroor, Tarushi Tanvar et.al Effect of Adding Diaphragmatic Breathing Exercises to Core Stabilization Exercises on Pain, Muscle Activity, Disability, and Sleep Quality in Patients With Chronic Low Back Pain: A Randomized Control Trial. Journal of Chiropractic medicine, volume 22, Issue 4, December 2023, Pages 275-283.

6. Khadijeh Otadi , Noureddin Ansari, Shahriar Sharify et.al Effects of combining diaphragm training with electrical stimulation on pain, function, and balance in athletes with chronic low back pain: a randomized clinical trial. BMC sports science medicine and rehabilitation, 2021 Mar 4;13:20

7. Banafshef Amiri, Erika zemkova Trunk stability and breathing exercises superior to foam rolling for restoring postural stability after core muscle fatigue in sedentary employees. Scientific report. 2025 Apr 22;15(1):13909

8. Leonardo Cesanelli , Federico Cesanelli Obesity-related reduced spirometry and altered breathing pattern are associated with mechanical disadvantage of the diaphragm. Respiratory physiology and neurobiology. Volume 325 July 2024, 104267

9. Mohan Ganesan, Theresa Koos et.al · Dynamic Postural Instability in Individuals with High Body Mass Index, Journal of Novel Physiotherapies 2018, Vol 8(2): 387

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Published

2025-03-11