Authors :
Rucha Suresh Deore; Dr. Sadaf Patel; Dr. Richa Kashyap; Dr. Nishant Singh
Volume/Issue :
Volume 11 - 2026, Issue 3 - March
Google Scholar :
https://tinyurl.com/3hvs23sf
Scribd :
https://tinyurl.com/r8jztb83
DOI :
https://doi.org/10.38124/ijisrt/26mar325
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Pregnancy is associated with various anatomical and physiological changes, particularly affecting the respiratory
system. During the third trimester, lung volumes and pulmonary function parameters such like Peak Expiratory Flow Rate
(PEFR) are reduced. Breathing exercises are considered beneficial during third trimester of pregnancy.
Objective:
To compare the effectiveness of balloon blowing exercise and Liuzijue exercise on Peak Expiratory Flow Rate (PEFR)
in third-trimester pregnant women.
Methods:
A comparative experimental study was conducted on third-trimester pregnant women. The participants were randomly
divided into two groups: Group A (Balloon Blowing Exercise, n = 20) and Group B (Liuzijue Exercise, n = 20). PEFR was
measured using a peak expiratory flow meter before and after the intervention period.
Results:
Both groups showed a statistically significant improvement in PEFR following the intervention. On comparison, Group
B demonstrated a significantly greater improvement in PEFR than Group A (p < 0.05), indicating the superior effectiveness
of Liuzijue exercise.
Conclusion:
Liuzijue exercise was found to be more effective in enhancing respiratory function involving controlled breathing,
diaphragmatic activation, and relaxation.
Keywords :
Pregnancy, Third Trimester, Peak Expiratory Flow Rate, Balloon Blowing Exercise, Liuzijue Exercise, Antenatal Physiotherapy.
References :
- Zannat MR, Nessa A. Peak expiratory flow rate (PEFR) in first and third trimester of pregnancy. Mymensingh Med J. 2016;25(4):597–600.
- Kanniappan V, Manivannan V. Efficacy of balloon blowing exercise on peak expiratory flow rate in young adult smokers. J Lifestyle Med. 2020;10(2):116–120. doi:10.15280/jlm.2020.10.2.116.
- Bansal DM, Goyal DM, Dhillon DJK, Kaur DP. Longitudinal study of peak expiratory flow rate in pregnant women. Natl J Integr Res Med. 2012;3(1):34–38. doi:10.70284/njirm.v3i1.1962.
- Brancazio LR, Laifer SA, Schwartz T. Peak expiratory flow rate in normal pregnancy. Obstet Gynecol. 1997;89(3):383–386. doi:10.1016/S0029-7844(96)00512-1.
- Puranik BM, Kurhade GA, Kaore SB, Patwardhan SA, Kher JR. PEFR in pregnancy: a longitudinal study. Indian J Physiol Pharmacol. 1995;39(2):135–139.
- Tang Y, Jiang J, Shen P, Li M, You H, Liu C, Chen L, Wang Z, Zhou C, Feng Z. Liuzijue is a promising exercise option for rehabilitating discharged COVID-19 patients. Medicine (Baltimore). 2021;100(6):e24564. doi:10.1097/MD.0000000000024564.
- Zhang QL, Ge M, Chen C, Fan FD, Jin Y, Zhang N, Wang L. Comparison of effects of Liuzijue exercise and conventional respiratory training on patients after cardiac surgery: a randomized controlled trial.
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- Sunyal DK, Amin MR, Ahmed A, Begum S, Begum M, Rahman N. Peak expiratory flow rate in pregnant women. J Bangladesh Soc Physiolog. 2008;2:20–23. doi:10.3329/jbsp.v2i0.979.
- Fadia A, Dhadse M. A comparative study of static pulmonary function tests in Indian pregnant and non-pregnant women. Int J Res Med Sci. 2016;4(2):545–548. doi:10.18203/232.
- Yin H, Cheng O, Zhang X, Quan F, Zhang Y, Zuo H, Zhou J, Xie SQ. Effects of Liuzijue Qigong on respiratory function among patients with Parkinson's disease: a randomized clinical trial. BMC Complement Med Ther. 2025;25(1):63. doi:10.1186/s12906-025-04773-6.
- Liu X, Wu W, Li N, Li P, Wang Z, Shan C. Effects of water-based Liuzijue exercise on peak exercise capacity, functional exercise capacity, and quality of life in people with COPD. Clin Respir J. 2021 May 17;15(??):956–??. doi:10.1111/crj.13399.
Background:
Pregnancy is associated with various anatomical and physiological changes, particularly affecting the respiratory
system. During the third trimester, lung volumes and pulmonary function parameters such like Peak Expiratory Flow Rate
(PEFR) are reduced. Breathing exercises are considered beneficial during third trimester of pregnancy.
Objective:
To compare the effectiveness of balloon blowing exercise and Liuzijue exercise on Peak Expiratory Flow Rate (PEFR)
in third-trimester pregnant women.
Methods:
A comparative experimental study was conducted on third-trimester pregnant women. The participants were randomly
divided into two groups: Group A (Balloon Blowing Exercise, n = 20) and Group B (Liuzijue Exercise, n = 20). PEFR was
measured using a peak expiratory flow meter before and after the intervention period.
Results:
Both groups showed a statistically significant improvement in PEFR following the intervention. On comparison, Group
B demonstrated a significantly greater improvement in PEFR than Group A (p < 0.05), indicating the superior effectiveness
of Liuzijue exercise.
Conclusion:
Liuzijue exercise was found to be more effective in enhancing respiratory function involving controlled breathing,
diaphragmatic activation, and relaxation.
Keywords :
Pregnancy, Third Trimester, Peak Expiratory Flow Rate, Balloon Blowing Exercise, Liuzijue Exercise, Antenatal Physiotherapy.