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Breathing out Ankle Instability: Addressing Impairments in Diaphragm Function associated with Chronic Ankle Instability

Research Project

Project/Area Number 20K19433
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionRitsumeikan University

Principal Investigator

Terada Masafumi  立命館大学, スポーツ健康科学部, 講師 (50779064)

Project Period (FY) 2020-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2022: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2021: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords横隔膜 / 呼吸 / 足関節捻挫 / 足関節不安定症 / 横隔膜機能 / 呼吸トレーニング / 慢性足関節不安定症 / Ankle Instability / Ankle Sprain / Diaphragm / Breathing strategies / リハビリテーション / Neuropsychological
Outline of Research at the Start

Current intervention strategies for chronic ankle instability (CAI) has targeted musculoskeletal impairments and largely emphasized local behavioral corrections, but do not fully address global deficits associated with CAI. Therefore, our overarching objective is to present evidence of success of a mindful diaphragm breathing exercise-based intervention for CAI.

Outline of Final Research Achievements

The purpose of this study was to investigate the effectiveness of a diaphragmatic breathing exercise program in improving self-reported instability, dynamic postural control, diaphragm function, and breathing patterns among individuals with chronic ankle instability (CAI) and a history of lateral ankle sprain. A 6-week diaphragmatic breathing exercise program improved outcome measures related to self-reported instability, dynamic postural control, diaphragm function, and breathing patterns in the diaphragmatic breathing exercise program group while these outcome measures did not change in the control group. A 6-week MBEP may be effective in improving self-reported stability, dynamic balance, diaphragm function, and a biomechanics dimension of breathing patterns. Incorporating diaphragmatic breathing exercises in rehabilitation and prevention programs may have beneficial effects in individuals with CAI and a history of lateral ankle sprain.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は, 横隔膜の機能を改善することを目的とした呼吸エクササイズ処方により慢性足関節不安定症を有する者の横隔膜の機能が改善され,身体的・主観的機能が向上する可能性が高いと期待される.また, 本研究の成果は, 慢性足関節不安定症の継続による二次的障害の予防, 捻挫後の安定性の再獲得および向上に有効な治療プログラムを開発することにつながる.さらには, 本研究により得られた知見は, 効果的な足関節捻挫の再発予防のトレーニングやリハビリテーションの指導現場に提案することができ, 足関節捻挫再発予防の介入方法に対して新たな科学的知見を加えることができると考えられる.

Report

(4 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • Research Products

    (12 results)

All 2023 2022 2021 2020

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results) Presentation (9 results) (of which Int'l Joint Research: 6 results) Funded Workshop (1 results)

  • [Journal Article] Association of Diaphragm Contractility and Postural Control in a Chronic Ankle Instability Population: A Preliminary Study2023

    • Author(s)
      Terada M, Kosik KB, Gribble PA.
    • Journal Title

      Sports Health

      Volume: - Issue: 1 Pages: 1-1

    • DOI

      10.1177/19417381221147304

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Point Prevalence of the Biomechanical Dimension of Dysfunctional Breathing Patterns Among Competitive Athletes2022

    • Author(s)
      Shimozawa Yuka、Kurihara Toshiyuki、Kusagawa Yuki、Hori Miyuki、Numasawa Shun、Sugiyama Takashi、Tanaka Takahiro、Suga Tadashi、Terada Ryoko S.、Isaka Tadao、Terada Masafumi
    • Journal Title

      Journal of Strength and Conditioning Research

      Volume: 37 Issue: 2 Pages: 270-276

    • DOI

      10.1519/jsc.0000000000004253

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Presentation] A Mindfulness Breathing Exercise Program Improves Dynamic Postural Control in Collegiate Soccer Athletes With a History of Lateral Ankle Sprain2022

    • Author(s)
      Mizumoto K, Terada M, Isaka T.
    • Organizer
      The 73rd National Athletic Trainers' Association Clinical Symposia & AT Exp
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Six-Week Diaphragmatic Breathing Exercise Program Improves Diaphragm Function and Breathing Patterns in Collegiate Soccer Players with Lateral Ankle Sprain History2022

    • Author(s)
      Terada M, Mizumoto K, Isaka T
    • Organizer
      The 73rd National Athletic Trainers' Association Clinical Symposia & AT Exp
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The Association between Injury-Related Fear and Drop-Landing Kinetics in Dysfunctional Breathers with Chronic Ankle Instability2022

    • Author(s)
      Shimozawa Y, Terada M, Kurihara T, Sugiyama T, Kusagawa Y, Tanaka T, Hori M, Mori N, Ueta K, Isaka T
    • Organizer
      The 73rd National Athletic Trainers' Association Clinical Symposia & AT Exp
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 横隔膜機能を改善することを目的とした呼吸エクササイズの処方が足関節内反捻挫の既往歴を有する者の主観的足関節安定性及び動的姿勢制御に及ぼす影響2022

    • Author(s)
      野々山隼弥, 大久保咲帆美, 寺田昌史
    • Organizer
      第77回日本体力医学会大会
    • Related Report
      2022 Annual Research Report
  • [Presentation] ジュニア期における女性アスリートの呼吸パターンと感情・恐怖感の心理的状態の関係2021

    • Author(s)
      下澤結花, 寺田 昌史, 杉山 敬, 田中 貴大, 草川 祐生, 栗原 俊之, 堀 美幸, 森 菜々子, 上田憲嗣, 伊坂 忠夫
    • Organizer
      第10回日本アスレティックトレーニング学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] 足関節内反捻挫の既往歴を有する青年期アスリートにおける呼吸パターンと足底表在感覚機能および片脚着地動作時の力学的負荷との関連について2021

    • Author(s)
      寺田 昌史、栗原 俊之、杉山 敬、下澤 結花、草川 祐生、田中 貴大、堀 美幸、森 菜々子、上 田 憲嗣、伊坂 忠夫
    • Organizer
      第10回日本アスレティックトレーニング学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] Altered Postural Control in Dysfunctional Breathers With a History of Lateral Ankle Sprain.2021

    • Author(s)
      Terada M, Hori M, Kurihara T, Kusagawa Y, Shimozawa Y, Sugiyama T, Tanaka T, Isaka T.
    • Organizer
      72nd National Athletic Trainers' Association Clinical Symposia & AT Expo
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prevalence of Dysfunctional Breathing Patterns in Youth Female Athletes2021

    • Author(s)
      Shimozawa Y, Isaka T, Kurihara T, Kusagawa Y, Hori M, Numasawa S, Suga T, Sugiyama T, Shiroma R, Tanaka T, Terada M.
    • Organizer
      72nd National Athletic Trainers' Association Clinical Symposia & AT Expo
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Associations of Diaphragm Contractility with Postural Control, Health-Related Quality of Life, and Perceived Instability in a Chronic Ankle Instability Population2020

    • Author(s)
      Terada M, Kosik KB, Gribble PA
    • Organizer
      2020 National Athletic Trainers Association Virtual Clinical Symposia & AT Expo
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Funded Workshop] 9th International Ankle Symposium2022

    • Related Report
      2022 Annual Research Report

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Published: 2020-04-28   Modified: 2024-01-30  

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