Effects of breathing exercises using home-based positive pressure in the expiratory phase in patients with COPD

2019 ◽  
Vol 95 (1127) ◽  
pp. 476-481 ◽  
Author(s):  
Qibin Lin ◽  
Leying Zhuo ◽  
Zhenjie Wu ◽  
Chengye Li ◽  
Meixi Zhou ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Spontaneous Breathing ◽  
Standard Treatment ◽  
Randomised Trial ◽  
Intervention Group ◽  
Positive Pressure ◽  
Resistive Load ◽  
Breathing Exercise ◽  
Breathing Exercises ◽  
Home Based

BackgroundPatients with chronic obstructive pulmonary disease (COPD) commonly have higher intrinsic positive end-expiratory pressure (PEEPi). A breathing exercise programme strategy employing an appropriate PEEP may improve their pulmonary functional capacity, exercise tolerance and health-related quality of life. Breathing with an expiratory resistive load, which is a method of modulating spontaneous breathing against PEEPi, has not been fully studied in patients with COPD. The objective of this study was to investigate the role of changing spontaneous breathing in home-based conditions and regulating spontaneous breathing with breathing exercises in patients with COPD.MethodsThis was a prospective randomised trial including 64 patients with a diagnosis of stage III or IV COPD. Patients were randomised into two groups: standard treatment and standard treatment combined with breathing exercise rehabilitation. The effects of the treatments on the COPD assessment test (CAT) score, 6‐minute walk test (6MWT) results and pulmonary function were compared at 0, 6, 12 and 18 months within and between the two groups.ResultsAll outcomes showed no significant differences between the two groups at the beginning of the study, while the 6MWT and CAT scores exhibited clinically and statistically significant improvements (p<0.001) by the end of the study. At month 18, the change in the predicted percentage of forced expiratory volume in 1 s (FEV1%pred) differed between the two groups (p<0.05). In addition, there were statistically significant differences in the 6MWT results, CAT scores and FEV1%pred values between the baseline and month 18 (p<0.0001) in the intervention group.ConclusionsImprovements in 6MWT results, pulmonary function and CAT scores are associated with a successful response to breathing against PEEPi in patients with COPD.Trial registrationThis trial was registered at research registry.com (identifier research registry 4816).

scholarly journals Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Gopala Krishna Alaparthi ◽  
Alfred Joseph Augustine ◽  
R. Anand ◽  
Ajith Mahale
Keyword(s):  
Abdominal Surgery ◽  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Exercise Group ◽  
Control Group ◽  
Diaphragmatic Breathing ◽  
Breathing Exercise ◽  
Breathing Exercises ◽  
Incentive Spirometry

Objective.To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery.Methodology.We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group. All of them underwent evaluation of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow Rate (PEFR), and diaphragm excursion measurement by ultrasonography before the operation and on the first and second postoperative days. With the level of significance set atp<0.05.Results.Pulmonary function and diaphragm excursion showed a significant decrease on the first postoperative day in all four groups (p<0.001) but was evident more in the control group than in the experimental groups. On the second postoperative day pulmonary function (Forced Vital Capacity) and diaphragm excursion were found to be better preserved in volume incentive spirometry and diaphragmatic breathing exercise group than in the flow incentive spirometry group and the control group. Pulmonary function (Forced Vital Capacity) and diaphragm excursion showed statistically significant differences between volume incentive spirometry and diaphragmatic breathing exercise group (p<0.05) as compared to that flow incentive spirometry group and the control group.Conclusion. Volume incentive spirometry and diaphragmatic breathing exercise can be recommended as an intervention for all patients pre- and postoperatively, over flow-oriented incentive spirometry for the generation and sustenance of pulmonary function and diaphragm excursion in the management of laparoscopic abdominal surgery.

scholarly journals EFEKTIVITAS LATIHAN PERNAFASAN RELAKSASI TERHADAP KELELAHAN PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI

2020 ◽  
Vol 8 (01) ◽  
pp. 144-158
Author(s):  
Vervando Janter Sumilat ◽  
Prabawati Prabawati ◽  
Sudibyo Supardi
Keyword(s):  
Cancer Patients ◽  
Intervention Group ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Breathing Exercise ◽  
Chemotherapy Drugs ◽  
Breathing Exercises ◽  
Significant Difference

Abstract Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue. Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer

scholarly journals Neonatal resuscitation using a laryngeal mask airway: a randomised trial in Uganda

2017 ◽  
Vol 103 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Nicolas J Pejovic ◽  
Daniele Trevisanuto ◽  
Clare Lubulwa ◽  
Susanna Myrnerts Höök ◽  
Francesco Cavallin ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Laryngeal Mask Airway ◽  
Low Income ◽  
Spontaneous Breathing ◽  
Randomised Trial ◽  
Neonatal Resuscitation ◽  
Face Mask ◽  
Laryngeal Mask ◽  
Positive Pressure ◽  
Link Type

ObjectiveMortality rates from birth asphyxia in low-income countries remain high. Face mask ventilation (FMV) performed by midwives is the usual method of resuscitating neonates in such settings but may not always be effective. The i-gel is a cuffless laryngeal mask airway (LMA) that could enhance neonatal resuscitation performance. We aimed to compare LMA and face mask (FM) during neonatal resuscitation in a low-resource setting.SettingMulago National Referral Hospital, Kampala, Uganda.DesignThis prospective randomised clinical trial was conducted at the labour ward operating theatre. After a brief training on LMA and FM use, infants with a birth weight >2000 g and requiring positive pressure ventilation at birth were randomised to resuscitation by LMA or FM. Resuscitations were video recorded.Main outcome measuresTime to spontaneous breathing.ResultsForty-nine (24 in the LMA and 25 in the FM arm) out of 50 enrolled patients were analysed. Baseline characteristics were comparable between the two arms. Time to spontaneous breathing was shorter in LMA arm than in FM arm (mean 153 s (SD±59) vs 216 s (SD±92)). All resuscitations were effective in LMA arm, whereas 11 patients receiving FM were converted to LMA because response to FMV was unsatisfactory. There were no adverse effects.ConclusionA cuffless LMA was more effective than FM in reducing time to spontaneous breathing. LMA seems to be safe and effective in clinical practice after a short training programme. Its potential benefits on long-term outcomes need to be assessed in a larger trial.Clinical trial registryThis trial was registered in https://clinicaltrials.gov, with registration number NCT02042118.

scholarly journals A study to assess the effectiveness of breathing exercises on selected pulmonary parameters on patients with chronic obstructive pulmonary disease at selected hospitals Chennai

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1939-1944
Author(s):  
Ambiga K
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Function ◽  
Pulmonary Disease ◽  
Hold Time ◽  
Sampling Technique ◽  
Control Group ◽  
Chronic Obstructive ◽  
Breathing Exercise ◽  
Obstructive Pulmonary Disease ◽  
Breathing Exercises

The most frequent chronic lung disease characterized by increased resistivity to airflow as a result of airway obstruction. A study to assess the effectiveness of breathing exercises on selected pulmonary parameters on patients with chronic obstructive pulmonary disease. To assess the pulmonary function before administering breathing exercises, to assess the pulmonary function after administering breathing exercises. The research design used in this study was quasi-experimental, two groups before and after design. Non-probability convenient sampling technique was followed to allow the samples to an experimental and control group. The tool contains 3 parts part A-demographic variables, part B-measurement of pulmonary parameters and part C-self-instructional module on breathing exercises. The practicing of breathing exercise was found to be effective in improving the pulmonary parameters. Younger age patients gained more breathing hold time after practicing breathing exercise. Non-smokers gained more chest expansion and PEFR after practicing breathing exercise. The results of the study were concluded that selected breathing exercises (Pursed lip and Diaphragmatic Breathing Exercise) given to the COPD patients was effective to improve in their pulmonary parameters.

scholarly journals Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19- a quasi-experimental study

2021 ◽  
Author(s):  
Manzur Kader ◽  
Md. Afzal Hossain ◽  
Vijayendar Reddy ◽  
Nirmala K. Panagodage Perera
Keyword(s):  
Oxygen Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Short Term ◽  
Breathing Exercise ◽  
Breathing Exercises ◽  
Quasi Experimental ◽  
The Mean ◽  
Respiratory Recovery ◽  
Respiratory Rehabilitation

Abstract Background:Coronavirus disease 2019 (COVID-19) is a highly infectious respiratory tract disease. The most common clinical manifestation of severe COVID-19 is acute respiratory failure. Respiratory rehabilitation can be a crucial part of treatment but data lack for patients with COVID-19. This study investigates the effects of short-term respiratory rehabilitation (i.e., breathing exercises) on respiratory recovery among hospitalised patients with COVID-19. Methods: This quasi-experimental, pre-post-test study recruited 110 patients hospitalised with COVID-19. All patented received standardised care, and 65 patients also received the intervention (i.e., breathing exercises). Data on peripheral oxygen saturation (SpO2), respiratory rate (breaths/minute) and heart rate (beats/minute) and oxygen therapy requirement (litre/min) were collected at baseline and 4-5 days after the baseline assessment. Analysis of variance on repeated measures was applied to compare the outcomes of two-time points. Results: The mean (±Standard deviation, SD) age of the intervention group was 49.5 (±10.4) years and 73.8% were men. The mean (±SD) age of the control group was 49.3 (±7.9) years and 62.2% were men. After 4-5 days of respiratory rehabilitation SpO2 (96.7% ±2.1 vs 90.4% ±1.5), P<0.01), respiratory rate (20.5 ±2.4 vs 23.0 ±2.2) breaths/minute, P<0.01), heart rate (80.5 ±9.2 vs 91.2 ±8.6) beats/minute, P<0.01), and oxygen therapy requirement (0.4 ±0.98 vs 1.4 ±2.0) litre/min, P<0.01) improved in the intervention group compared to the control group. The mean days of hospitalisation for the intervention group and the control group were 7.1 days vs. 14.6 days, respectively. Conclusions:Our results indicate that breathing exercise, even for a short period, is effective in improving certain respiratory parameters in patients with COVID-19. As a non-invasive and cost-effective respiratory rehabilitation intervention, breathing exercise can be a useful tool for a health care system overwhelmed by the COVID-19 pandemic. These results should be considered preliminary until they are replicated in larger samples in different settings.

scholarly journals Effect of Balloon-Blowing on Dyspnea and Oxygenation in Noncritical Adult Covid19 Patients: A Pilot Study

2021 ◽  
Author(s):  
Mohammad Bargahi ◽  
Soheil Soltani ◽  
Nafiseh Rastgoo ◽  
Farzane Aryanejad ◽  
Sohrab Esmaielzade ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Scientific Evidence ◽  
Intervention Group ◽  
Chest Physiotherapy ◽  
Peripheral Oxygen Saturation ◽  
Breathing Exercise ◽  
Breathing Exercises ◽  
Significant Difference ◽  
Common Causes ◽  
And Control

Dyspnea and decreased O2 saturation are the most common causes of hospitalization in noncritical covid-19 patients. Breathing exercises and chest physiotherapy are used for managing the patients. These treatments are however not well supported by scientific evidence. In a randomized controlled trial, 80 patients were randomly assigned to planned breathing-exercise (n=40) and control groups (n=40). The participants in the intervention group were instructed to blow into a balloon five times a day while lying down. Other therapies were similar in both groups. The severity of dyspnea at rest/after activity and peripheral oxygen saturation (SpO2) with/without O2 therapy were compared between the two groups on the first, second, and third days. The study findings showed no statistically significant difference in SpO2 with/without O2 therapy on the first, second, and third days between the two groups. Although the severity of dyspnea showed no significant difference between the two groups, the mean score of dyspnea at rest (2.72+-2.25 vs. 1.6+-1.21, p=0.007) and after activity (4.53+-2.04 vs. 3.52+-1.66, P=0.017) improved in the intervention group on the third day. Balloon-blowing exercise improves dyspnea in noncritical Covid-19 patients, but it does not significantly improve oxygenation. Keywords: breathing exercises, balloon-blowing, BBE, chest physiotherapy, covid-19, dyspnea, oxygenation, pulmonary rehabilitation.

scholarly journals The Assisted Breathing before Cord Clamping (ABC) Study Protocol

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 336
Author(s):  
Michael P. Meyer ◽  
Elizabeth Nevill
Keyword(s):  
Blood Transfusion ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Intervention Group ◽  
High Risk Group ◽  
Positive Pressure ◽  
Transfusion Rate ◽  
Delayed Cord Clamping ◽  
Cord Clamping

Major physiologic changes occur during the transition after birth. For preterm infants, current understanding favours allowing the initial changes to occur prior to cord clamping. Amongst other improved outcomes, systematic reviews have indicated a significant reduction in neonatal blood transfusions following delayed cord clamping. This may be due to a placental transfusion, facilitated by the onset of respiration. If breathing is compromised, placental transfusion may be reduced, resulting in a greater red cell transfusion rate. We designed a randomised trial to investigate whether assisting respiration in this high-risk group of babies would decrease blood transfusion and improve outcomes. The Assisted Breathing before Cord Clamping (ABC) study is a single-centre randomised controlled trial. Preterm infants < 31 weeks that have not established regular breathing before 15 s are randomised to a standard or intervention group. The intervention is intermittent positive pressure ventilation via T piece for 30 s, whilst standard management consists of 30 s of positioning and gentle stimulation. The cord is clamped at 50 s in both groups. The primary outcome is the proportion of infants in each group receiving blood transfusion during the neonatal admission. Secondary outcomes include requirement for resuscitation, the assessment of circulatory status and neonatal outcomes.

scholarly journals Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19- a quasi-experimental study

2021 ◽  
Author(s):  
Manzur Kader ◽  
Md. Afzal Hossain ◽  
Vijayendar Reddy ◽  
Nirmala K. Panagodage Perera
Keyword(s):  
Oxygen Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Short Term ◽  
Breathing Exercise ◽  
Breathing Exercises ◽  
Quasi Experimental ◽  
The Mean ◽  
Respiratory Recovery ◽  
Respiratory Rehabilitation

Abstract Background:Coronavirus disease 2019 (COVID-19) is a highly infectious respiratory tract disease. The most common clinical manifestation of severe COVID-19 is acute respiratory failure. Respiratory rehabilitation can be a crucial part of treatment but data lack for patients with COVID-19. This study investigates the effects of short-term respiratory rehabilitation (i.e., breathing exercises) on respiratory recovery among hospitalised patients with COVID-19. Methods: This quasi-experimental, pre-post-test study recruited 110 patients hospitalised with COVID-19. All patented received standardised care, and 65 patients also received the intervention (i.e., breathing exercises). Data on peripheral oxygen saturation (SpO2), respiratory rate (breaths/minute) and heart rate (beats/minute) and oxygen therapy requirement (litre/min) were collected at baseline and 4-5 days after the baseline assessment. Analysis of variance on repeated measures was applied to compare the outcomes of two-time points. Results: The mean (±Standard deviation, SD) age of the intervention group was 49.5 (±10.4) years and 73.8% were men. The mean (±SD) age of the control group was 49.3 (±7.9) years and 62.2% were men. After 4-5 days of respiratory rehabilitation SpO2 (96.7% ±2.1 vs 90.4% ±1.5), P<0.01), respiratory rate (20.5 ±2.4 vs 23.0 ±2.2) breaths/minute, P<0.01), heart rate (80.5 ±9.2 vs 91.2 ±8.6) beats/minute, P<0.01), and oxygen therapy requirement (0.4 ±0.98 vs 1.4 ±2.0) litre/min, P<0.01) improved in the intervention group compared to the control group. The mean days of hospitalisation for the intervention group and the control group were 7.1 days vs. 14.6 days, respectively. Conclusions:Our results indicate that breathing exercise, even for a short period, is effective in improving certain respiratory parameters in patients with COVID-19. As a non-invasive and cost-effective respiratory rehabilitation intervention, breathing exercise can be a useful tool for a health care system overwhelmed by COVID-19 pandemic. These results should be considered preliminary until they are replicated in larger samples in different settings.

scholarly journals The effect of Pursed Lips Breathing Exercises on the Oxygen Saturation Levels of Patients with Chronic Obstructive Pulmonary Disease in Persahabatan Hospital, Jakarta

2021 ◽  
pp. 35-64
Author(s):  
. Sumedi ◽  
Koshy Philip ◽  
Muhammad Hafizurrachman
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Oxygen Saturation ◽  
Pulmonary Disease ◽  
Intervention Group ◽  
Lung Ventilation ◽  
Control Group ◽  
Chronic Obstructive ◽  
Breathing Exercise ◽  
Obstructive Pulmonary Disease ◽  
Breathing Exercises

Patients with chronic obstructive pulmonary disease can face increased resistance of airflow, air trapping, and lung hyperinflation. This condition can also cause decreased lung ventilation functions. Using a pursed lips breathing exercise can strengthen respiratory muscles that can improve oxygen saturation by maintaining airflow to bronchus and its branches and alveolus which then can prevent collapse in bronchiolus. The purpose of the study was to identify the effect of pursed lips breathing exercises on the oxygen saturation levels in patients with chronic obstructive lung disease in Persahabatan hospital, Jakarta. The design was quasi experimental, with a control group pre-post test design. A random sampling technique was used in the study. The exercise was provided to the intervention group for six days. The findings showed that the lung ventilation function is significantly different between preand post-intervention for both groups (p=0.00). Further, the average lung ventilation function in the intervention group is significantly different from that of the control group after intervention (p=0.012). In addition, while there is a significant relationship between subject age and the increase of the lung ventilation score (p=0.001), there was no relationship between height and the increase of oxygen saturation (p=0.091) and no significant relationship between sex and the increase of oxygen saturation (p=0.346). Based on these findings, the pursed lips breathing exercise is recommended to patients with chronic obstructive lung disease in order to improve the level of oxygen saturation.   Keywords: Oxygen saturation, Pursed lips breathing exercise, Chronic Obstructive Pulmonary Disease.

Sign in / Sign up

Export Citation Format

Share Document