Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety

Laurino, Renata André; Barnabé, Viviane; Saraiva-Romanholo, Beatriz Mangueira; Stelmach, Rafaël; Cukier, Alberto; Nunes, Maria do Patrocínio Tenório

doi:10.6061/clinics/2012(11)12

Cited by 25 publications

(13 citation statements)

References 31 publications

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“…Cox et al initially highlighted a role for rehabilitation in a small population of patients with asthma illustrating improvements in symptom control and quality of life (62) . Laurino et al highlighted that breathing retraining improved symptoms of asthma related to anxiety and subsequently improved quality of life (63) . Despite these small studies, the longer-term beneficial effects of a pulmonary rehabilitation program particularly on an elderly asthmatic population remain to be determined.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Advances in the Diagnosis and Management of Asthma in Older Adults

Al‐Alawi

Hassan

Chotirmall

2014

The American Journal of Medicine

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Global estimates on ageing predict an increased burden of asthma in the older population. Consequently, its recognition, diagnosis and management in clinical practice require optimization. This review aims to provide an update for clinicians highlighting advances in the understanding of the ageing process and immunosenescence together with their applicability to asthma from a diagnostic and therapeutic perspective. Ageing impacts airway responses, immune function and influences efficacy of emerging phenotype-specific therapies when applied to the elderly patient. Differentiating eosinophilic and neutrophilic disease accounts for atopic illness and distinguishes long-standing from late-onset asthma. Therapeutic challenges in drug delivery, treatment adherence and side effect profiles persist in the older patient while novel recording devices developed to aid detection of an adequate inhalation evaluates treatment effectiveness and compliance more accurately than previously attainable. Anti-cytokine therapies improve control of brittle asthma while bronchial thermoplasty is an option in refractory cases. Multi-dimensional intervention strategies prove best in the management of asthma in the older adult which remains a condition that is not rare but rarely diagnosed in this patient population.

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Advances in the Diagnosis and Management of Asthma in Older Adults

Al‐Alawi

Hassan

Chotirmall

2014

The American Journal of Medicine

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“…Research has shown positive outcomes when these exercises are used as treatment for anxiety or stress-related disorders. A study on patients with asthma found that breath retraining improved control of asthma symptoms, panic, and anxiety (Laurino et al 2012). In addition, a study on major depression found that mindfulness meditation was as effective as medication.…”

Section: Breathing and Meditation Techniques For Reducing Negative Emmentioning

confidence: 99%

Self-Regulation of Breathing as a Primary Treatment for Anxiety

Jerath¹,

Crawford²,

Barnes

et al. 2015

Appl Psychophysiol Biofeedback

182

125

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Understanding the autonomic nervous system and homeostatic changes associated with emotions remains a major challenge for neuroscientists and a fundamental prerequisite to treat anxiety, stress, and emotional disorders. Based on recent publications, the inter-relationship between respiration and emotions and the influence of respiration on autonomic changes, and subsequent widespread membrane potential changes resulting from changes in homeostasis are discussed. We hypothesize that reversing homeostatic alterations with meditation and breathing techniques rather than targeting neurotransmitters with medication may be a superior method to address the whole body changes that occur in stress, anxiety, and depression. Detrimental effects of stress, negative emotions, and sympathetic dominance of the autonomic nervous system have been shown to be counteracted by different forms of meditation, relaxation, and breathing techniques. We propose that these breathing techniques could be used as firstline and supplemental treatments for stress, anxiety, depression, and some emotional disorders.

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“…All studies rated QoL with various, in part overlapping tools. An experiment by Laurino et al (2012) with asthma patients and McCannon and Temel (2012) with lung cancer patients showed that there is a correlation between shortness of breath and QoL. Dyspnoea was measured (cp.…”

Section: Discussionmentioning

confidence: 99%

Inspiratory muscle training in patients with Amyotrophic Lateral Sclerosis: A systematic review

Eidenberger

Nowotny

2014

NRE

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BACKGROUND: Amyotrophic Lateral Sclerosis is a neurodegenerative disease with rapid involvement of the inspiratory muscles, leading to respiratory insufficiency. Death often occurs by aspiration and pneumonia. Endurance-and strength therapy within ALS are discussed controversially. OBJECTIVE: To review the current literature to assess the efficacy of inspiratory muscle training for ALS. METHOD: Systematic review, using databases as PubMed, PEDro, Cochrane and Google Scholar. INTERVENTION: Inspiratory muscle training vs. sham training or inspiratory muscle training alone. OUTCOME MEASURES: Inspiratory muscle strength, dyspnoea, quality of life and survival time. RESULTS: Four studies could be included in this review, two RCT´s, one pre-experimental study and one with a historical control group. In total 73 patients underwent inspiratory muscle training. CONCLUSION: Studies varied in onset of the training, the training protocol and the outcomes measured.At time, there is limited evidence that inspiratory muscle training leads to strengthening of inspiratory muscles in ALS. Improvements made were minor, in only a few parameters and also in control groups. Survival time was significantly longer in the experimental group in one study. Interesting suppositions (diaphragm training vs. other IM training, improvement of chest wall and lung compliance) need to be examined in robustly designed future trials, defining exact therapeutic windows and interventions.

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Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety

Cited by 25 publications

References 31 publications

Advances in the Diagnosis and Management of Asthma in Older Adults

Advances in the Diagnosis and Management of Asthma in Older Adults

Self-Regulation of Breathing as a Primary Treatment for Anxiety

Inspiratory muscle training in patients with Amyotrophic Lateral Sclerosis: A systematic review

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