Abstract
[Purpose] Elderly smokers have a reduced chest diameter due to weakening of the          respiratory muscles, and this results in decreased ventilation, leading to a vicious          circle. Therefore, the present study investigated the effects of an intervention program          to enhance the pulmonary function and muscle activity of elderly smokers. [Subjects and          Methods] Participants were randomly assigned to one of two experimental groups or a          control (CG) group. The experimental groups performed exercises three times per week for          six weeks, whereas the CG performed no exercises. One of the experimental groups performed          a Feedback Breathing Exercise (FBE) for 15 minutes, and the other repeated three sets of          Balloon-Blowing Exercises (BBE) with sufficient rest of more than one minute between sets.          [Results] In the experimental groups, FVC, FEV1/FVC, PEF and muscle activity of the rectus          abdominis significantly improved after four weeks, but no significant differences were          observed in FEV1 or VC after six weeks. [Conclusion] The results show that FBE and BBE          improved the pulmonary functions of elderly smokers, demonstrating the potential benefits          of the development of various training methods using balloons, and group programs,          including recreational factors, for increasing respiratory muscles strength.