scholarly journals Effects of Pilates Breathing on Chest Expansion, Dyspnoea and Functional Capacity in COPD Patients - An Experimental Study

2021 ◽  
Vol 8 (5) ◽  
pp. 249-262
Author(s):  
Gauri Wakde ◽  
Prajakta Patil
Keyword(s):  
Experimental Study ◽  
Functional Capacity ◽  
Treatment Strategies ◽  
Chronic Obstructive ◽  
Significant Treatment ◽  
Obstructive Pulmonary Disease ◽  
Chest Expansion ◽  
Diaphragmatic Muscle ◽  
Copd Patients ◽  
Maximum Utility

COPD is highly prevalent and not fully reversible. Hence there arises need for finding new significant treatment strategies for treating and preventing COPD. Pilates breathing is growing in both the area of fitness and rehabilitation, but there is scarcely any scientific research on Pilates breathing, particularly in the area related to respiration, with no research done in India. Pilates breathing if proved effective can be of great benefit in curing and rehabilitating respiratory conditions like COPD who present diaphragmatic muscle dysfunction, where it can be of maximum utility. Taking into consideration the progressive acceptance of the Pilates breathing and lack of its studies in COPD, the study was undertaken to study its effectiveness and inculcate it in routine rehabilitation of COPD patients if proven effective. Keywords: Pilates breathing, COPD, Chronic obstructive pulmonary disease, chest expansion, dyspnoea, functional capacity, experimental study.

scholarly journals Immediate effect of Chest Proprioceptive Neuromuscular Facilitation on Respiratory Rate, Chest Expansion and Peak Expiratory Flow Rate in patients with Chronic Obstructive Pulmonary Disease

2021 ◽  
Vol 9 (1) ◽  
pp. 3724-3729
Author(s):  
Hetal M Mistry ◽  
◽  
Rutuja V Kamble ◽  
Keyword(s):  
Respiratory Rate ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Respiratory Muscles ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Chest Expansion ◽  
Copd Patients ◽  
Expiratory Flow

Background: In Chronic Obstructive Pulmonary Disease (COPD), as result of dynamic hyperinflation, primary respiratory muscles go into weakness and length tension relationship of muscles is altered. This leads to decreased ability of primary respiratory muscles to generate muscle tension. COPD patients mostly use accessory muscle for breathing and there is lack of facilitation of intercostal muscle and weakness of diaphragm. Few studies are conducted to assess the immediate effect of Chest Proprioceptive Neuromuscular Facilitation (PNF) i.e. intercostal stretch among COPD patients. Therefore, there is need to find out immediate effect of chest PNF- intercostal stretch on respiratory rate (RR), chest expansion, peak expiratory flow rate (PEFR) among patient with COPD. Objective: To find out immediate effect chest PNF on respiratory rate, chest expansion and peak expiratory flow rate. Methodology: Ethical clearance and participant consent was taken. Study design was Qausi experimental study. The 65 subjects were taken by convenient sampling. Intercostal stretch was applied over 2nd and 3rd rib bilaterally for 10 breaths with 1 minute rest with a 10 repetitions and Outcome measures were assessed before and immediately after giving chest PNF. SPSS 16 software was used to analyse the data. The normality of the data was assessed using parametric paired t test. Significance level was set at 0.05 and 95% Confidence Interval. Outcome Measures: Respiratory rate, Chest expansion, Peak expiratory flow rate. Result: Immediate effect of chest PNF showed that there was statistically significant increase in PEFR and chest expansion at three level (P=0.000) and there was statistically significant decrease in RR (P=0.000). Conclusion: There is immediate effect of Chest PNF- intercostal stretch on, Respiratory rate, Chest expansion at three level that is axillary, nipple and xiphisternal and Peak expiratory flow rate. It is an easy to use, less time consuming, easy to understand and cost effective technique. KEY WORDS: Chest PNF, intercostal stretch, COPD.

scholarly journals Blinded to Their Own Daily Sufferings: the Lived Experience of Patients With Chronic Obstructive Pulmonary Disease in Ethiopia

2020 ◽  
Author(s):  
Mulugeta Tamire ◽  
Aschalew Worku ◽  
Adamu Addissie ◽  
Samuel Ayele ◽  
Tewodros Haile ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Treatment Strategies ◽  
Religious Life ◽  
Community Support ◽  
Male Participant ◽  
Female Participant ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Abstract Background: Worldwide, chronic obstructive pulmonary disease (COPD) continues to be an important contributor to morbidity, mortality and health-care costs. In Ethiopia, the physical, financial, emotional, social and religious life of patients living with COPD is poorly understood, information crucial for physicians in developing treatment strategies and government agencies in planning community support services. This study, the first of its kind, was designed to initiate understanding of the personal burden of living with COPD in Ethiopia.Methods: This was a qualitative research study using a phenomenographic approach. Twelve recruited COPD patients underwent in-depth interviews using a semi-structured open-ended interview guide. All audio-records were transcribed verbatim and translated to English for analysis using Atlas.ti software.Results: There were seven men and five women, whose ages ranged from 45 to 78 years. One male participant was a former smoker and one female participant had second-hand cigarette exposure. All 12 participants were unaware of their COPD diagnosis despite experiencing chronic symptoms of cough and shortness of breath, unresponsive to treatment, which affected their physical, financial, emotional, social and religious life. In addition, all participants attempted a variety of coping strategies to deal with their respiratory disease and many were optimistic about their future living with the disease. Conclusions: The findings of this study indicate an urgent need for improved awareness, diagnosis and treatment of COPD patients to lessen the burden of those living with the disease and more judiciously, utilize available resources in Ethiopia.

Effect of Inspiratory muscle training in hypercapnic chronic obstructive pulmonary disease patients during acute care: a randomised clinical trial

2020 ◽  
pp. 1-10
Author(s):  
T. Saher ◽  
J.A. Moiz ◽  
P. Bhati ◽  
M.S. Ali ◽  
D. Talwar
Keyword(s):  
Respiratory Failure ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Chronic Obstructive ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Weakness of respiratory muscles along with respiratory failure is a common finding in chronic obstructive pulmonary disease (COPD) patients which leads to dyspnoea and hence decreased functional capacity. Despite a sound theoretical rationale regarding the potential role of inspiratory muscles, the role of inspiratory muscle training (IMT) along with the conventional non-invasive ventilation (NIV) on important clinical outcomes has not been investigated in these patients during acute care. 34 hypercapnic stable COPD patients were randomly allocated to one of the interventions that lasted for 10 days: IMT with NIV (n=17), and NIV alone (n=17). IMT was administered 2 times in a day (15 min each time) by threshold loading at an intensity starting from 30% and progressed to 60% of their maximal inspiratory effort (PImax). NIV was given at an optimal pressure titrated for each patient for at least >8 h per day. Outcome measures (respiratory muscle strength, respiratory failure, dyspnoea, and functional capacity) were assessed before and after 10 days of intervention. Clinical characteristics and outcome variables of patients were similar between the groups at baseline. Addition of IMT led to a significantly greater increase in respiratory muscle strength (P=0.01), reduction in dyspnea (modified medical research council dyspnea scale, P=0.001); improved outcomes of respiratory failure (PaCO2, P=0.03; PaO2, P=0.002) and improved functional capacity (6 min walk distance, P=0.001) as compared to NIV alone. A short duration IMT program in addition to NIV was found to be effective in improving respiratory muscle strength, perception of dyspnoea, functional capacity and respiratory failure in hypercapnic COPD patients.

scholarly journals The role of phenotype on ventilation and exercise capacity in patients affected by COPD: a retrospective study

2020 ◽  
Vol 15 ◽  
Author(s):  
Rocco F. Rinaldo ◽  
Michele Mondoni ◽  
Sofia Comandini ◽  
Pietro Lombardo ◽  
Beatrice Vigo ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Exercise Capacity ◽  
Treatment Strategies ◽  
Cardiopulmonary Exercise Test ◽  
Peak Oxygen Consumption ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Exercise Limitation ◽  
Copd Patients ◽  
Significant Difference

Background: The idea of phenotype in chronic obstructive pulmonary disease (COPD) has evolved in the last decades, and the importance of peculiar treatment strategies has now been acknowledged. Although dyspnea and exercise limitation are hallmarks of COPD, this aspect has never been fully explored in literature in terms of disease phenotype. The aim of the present study was to explore the relevance of clinical COPD phenotypes on exercise ventilation and maximal capacity.Methods: In this observational cohort retrospective study we analyzed the data of 50 COPD patients who underwent cardiopulmonary exercise test, categorized as emphysematous (n=29), and non-emphysematous (n=21) according to a previously validated model.Results: We found a significant difference in terms of VE/VCO2 slope (median values 32.4 vs 28.0, p=0.015) and VE/VCO2 ratio at nadir (median values 37 vs 33, p=0.004), which resulted higher in emphysematous patients, who also presented lower PETCO2 values (median values 32.6 vs 35.6, p=0.008). In a subgroup of 31 tests which met the maximality criteria, emphysematous patients presented a significantly lower work rate at peak (median value 51 vs 72 % predicted, p=0.016), and showed a lower peak oxygen consumption, although at the limit of significance (median values of 63 vs 85 % predicted, p=0.051).Conclusions: This study extends our knowledge about the characterization of the COPD phenotypical expression of disease, showing that patients affected by emphysema are more prone to ventilatory inefficiency during exercise, and that this is likely to be an important cause of their overall reduced exercise capacity.

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.

ROLE OF PHARMACIST INTERVENTION ON COPD PATIENTS OF SELECTED AREAS IN CHITRADURGA: A KAP STUDY

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Melvin K Mathews ◽  
Abubaker Siddiq ◽  
Bharathi D R
Keyword(s):  
Illness Perceptions ◽  
Pharmacist Intervention ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Post Test ◽  
Knowledge Practice ◽  
And Control

Background: Chronic obstructive pulmonary disease (COPD) is preventable and treatable disease state characterized by air flow limitation that is not fully reversible. Severity of the symptoms is increased during exacerbations. Objectives: The purpose of the study is to assess and improve the knowledge regarding COPD among study subjects. Materials and Methods: A Cross-sectional interventional study was carried out among the peoples in selected areas of the Chitradurga city for a period of six months. Result: A total 207 subjects enrolled in the study in that 155 male and 52 females. In our study mean score of post test was more (5.87±1.68) when compare to pre-test (2.63±1.46) which show significant increase in their knowledge after educating them (p=0.000). A total of 207 subjects were enrolled into the study. SPSS Software was used to calculate the statistical estimation. Paired t-test was used to detect the association status of different variables. Conclusion: The relatively good level of COPD awareness needs to be maintained to facilitate future prevention and control of the disease. This study had identified that negative illness perceptions should be targeted, so that they will not avoid patients from seeking for COPD treatment and adhere to it. Key words: Cross sectional study, Knowledge, practice, COPD.

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