scholarly journals Effect of Lower Extremity Exercise on The Borg Scale in Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 40 (4) ◽  
pp. 238-242
Author(s):  
Ghamal Arif Hanafiah ◽  
Amira P Tarigan ◽  
Pandiaman Pandia ◽  
Putri C Eyanoer
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Lower Extremity ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Borg Scale ◽  
Obstructive Pulmonary Disease

scholarly journals Changes in Diaphragm Thickness and 6-min Walking Distance Improvement After Inspiratory Muscle Training in Patients With Chronic Obstructive Pulmonary Disease

2021 ◽  
Author(s):  
Tomomi Ichiba ◽  
Tetsuo Miyagawa ◽  
Toru Tsuda ◽  
Takeshi Kera
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Inspiratory Muscle ◽  
Walking Distance ◽  
Chronic Obstructive ◽  
Borg Scale ◽  
Muscle Training ◽  
Obstructive Pulmonary Disease ◽  
Significant Difference ◽  
Before And After

Abstract Background: The Global Initiative for Chronic Obstructive Lung Disease guidelines (http://www.goldcopd.org, accessed January 16, 2020) reported the use of inspiratory muscle training (IMT) as a part of comprehensive respiratory rehabilitation programs for patients with chronic obstructive pulmonary disease (COPD). However, some studies have indicated that the effect of such training is uncertain. Moreover, it is unclear whether IMT effects are caused by improvement in central or peripheral factors. Few studies examining IMT effects have used new evaluation items. We aimed to clarify the effects of IMT by additionally measuring the airway-occlusion pressure at 0.1 s after the start of inspiratory flow (P0.1), as an index of respiratory central output, and by evaluating diaphragm movement based on the thickness of the diaphragm muscle (Tdi) using ultrasound.Methods: Thirteen patients with COPD participated in the study. IMT was performed using the POWER breathe® Medic Plus breathing trainer in combination with each participant’s outpatient rehabilitation regimen. Starting at 20% of the maximal inspiratory pressure (PImax) and increasing to 50%, the participants performed 30 IMT repetitions twice a day for 2 months. Respiratory muscle strength, P0.1, 6-min walking distance (6MWD), and Tdi were measured before and after IMT. Dyspnea, lower limb fatigue (assessed using the Borg Scale), and respiratory rate (RR) were measured before and after the 6-min walk test (6MWT). Results: PImax and 6MWD significantly increased after training. Tdi at resting inspiration and expiration and maximal inspiration also significantly increased after training. In addition, the Borg Scale scores for dyspnea and leg fatigue and the RR of the 1-min recovery period after the 6MWT significantly decreased. There was no significant difference in P0.1.Conclusions: We examined the combined effects of IMT, incorporating the evaluation of P0.1 and Tdi. We found that the PImax, 6MWD, and Tdi significantly increased, but no significant difference was observed in P0.1 after training. These results suggest that the effects of IMT may be attributed to the improved peripheral factors rather than to the central factors.

scholarly journals Impact of preventive measures on improving functional state of persons with chronic obstructive pulmonary disease in industrial city conditions

2021 ◽  
Vol 284 ◽  
pp. 01004
Author(s):  
Elena Maksimikhina
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Functional State ◽  
Preventive Measures ◽  
Stress Test ◽  
Adult Population ◽  
Chronic Obstructive ◽  
Borg Scale ◽  
Obstructive Pulmonary Disease

The article presents data on the dynamics of the incidence of chronic obstructive pulmonary disease in the adult population of Cherepovets. 23 people aged 42-74 years were examined. In the course of the study, preventive measures were proposed to reduce the increase in morbidity and improve the quality of life of people with COPD. To assess the functional state of individuals with chronic obstructive pulmonary disease, a 6-minute stress test (6-MCT) was used, and the degree of dyspnea was assessed using the Borg scale. In the process of implementing preventive measures, their effectiveness and significant improvement in the functional state of persons with chronic obstructive pulmonary disease are shown.

Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Oral Cavity ◽  
Pulmonary Disease ◽  
Thermal Sensation ◽  
Sensory Function ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Age Related ◽  
Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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