Breathing exercises for chronic obstructive pulmonary disease

Holland, Anne E; Hill, Catherine J.; Jones, Alice; McDonald, Christine F

doi:10.1002/14651858.cd008250.pub2

Cited by 132 publications

(154 citation statements)

References 55 publications

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“…However, in a meta-analysis by HOLLAND et al [74] it was concluded that breathing exercises improve functional exercise capacity in patients with COPD compared to no intervention despite the fact that there are no consistent effects on dyspnoea or health-related quality of life. Breathing exercises may be useful to improve exercise tolerance in selected individuals with COPD who are unable to undertake exercise training [74].…”

Section: Breathing Retraining (Or Breathing Exercises)mentioning

confidence: 99%

Practical recommendations for exercise training in patients with COPD

Gloeckl

Marinov

Pitta

2013

European Respiratory Review

219

131

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The aim of this article was to provide practical recommendations to healthcare professionals interested in offering a pulmonary rehabilitation programme for patients with chronic obstructive pulmonary disease (COPD). The latest research findings were brought together and translated into clinical practice. These recommendations focus on the description of useful assessment tests and of the most common exercise modalities for patients with COPD. We provide specific details on the rationale of why and especially how to implement exercise training in patients with COPD, including the prescription of training mode, intensity and duration, as well as suggestions of guidelines for training progression.

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Section: Breathing Retraining (Or Breathing Exercises)mentioning

confidence: 99%

Practical recommendations for exercise training in patients with COPD

Gloeckl

Marinov

Pitta

2013

European Respiratory Review

219

131

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“…In asthma, breathing retraining typically aims to eliminate over-breathing by developing a slow, shallow, controlled breathing pattern. The breathing strategies used in COPD, such as pursed lip breathing and diaphragmatic breathing [32], have not been tested in people with asthma and should not be routinely offered to this patient group.…”

Section: Asthmamentioning

confidence: 99%

How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD

Holland

Wadell

Spruit

2013

European Respiratory Review

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Dyspnoea, fatigue, reduced exercise tolerance, peripheral muscle dysfunction and mood disorders are common features of many chronic respiratory disorders. Pulmonary rehabilitation successfully treats these manifestations in chronic obstructive pulmonary disease (COPD) and emerging evidence suggests that these benefits could be extended to other chronic respiratory conditions, although adaptations to the standard programme format may be required. Whilst the benefits of exercise training are well established in asthma, pulmonary rehabilitation can also provide evidence-based interventions including breathing techniques and self-management training. In interstitial lung disease, a small number of trials show improved exercise capacity, symptoms and quality of life following pulmonary rehabilitation, which is a positive development for patients who may have few treatment options. In pulmonary arterial hypertension, exercise training is safe and effective if patients are stable on medical therapy and close supervision is provided. Pulmonary rehabilitation for bronchiectasis, including exercise training and airway clearance techniques, improves exercise capacity and quality of life. In nonsmall cell lung cancer, a comprehensive interdisciplinary approach is required to ensure the success of pulmonary rehabilitation following surgery. Pulmonary rehabilitation programmes provide important and underutilised opportunities to improve the integrated care of people with chronic respiratory disorders other than COPD. @ERSpublications The benefits of pulmonary rehabilitation can be extended to people with a broad range of chronic respiratory conditions

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“…Since pursed-lip breathing (PLB) is one of the most favored breathing techniques in patients with COPD [25], it remains unknown whether patients with IPF would also benefit from PLB. Although most studies that provided breathing retraining to IPF patients also used the PLB technique, the respiratory pathophysiologies of COPD and IPF are very different.…”

Section: Education and Breathing Retrainingmentioning

confidence: 99%

Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis - A Review

Kenn

Gloeckl

Behr³

2013

Respiration

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Among the various types of interstitial lung diseases, idiopathic pulmonary fibrosis (IPF) is the most common disorder and has a poor prognosis and a limited response to pharmacological treatment. In patients with IPF, functional exercise tolerance and quality of life have been shown to be significantly decreased. Current IPF guidelines suggest only a weak recommendation for pulmonary rehabilitation (PR). However, PR is regarded as a reasonable choice for the majority of patients with IPF. This review will summarize all of the available studies that have investigated the effects of PR in patients with IPF so far. Although only a small number of studies have been published to date, most studies have found significant short-term improvements in functional exercise capacity, quality of life, and level of perceived dyspnea. Long-term improvements or maintenance strategies of PR in IPF patients have not been adequately investigated yet. Up to now there is still no sufficient evidence for the recommendation of PR in IPF. However, physical training seems to be the major component of all PR programs. The current review will discuss potential exercise training regimens for patients with IPF and suggest additional useful modalities of a specific multidisciplinary PR program for IPF patients. Based on the current literature and our own experience, this article will try to highlight the importance of PR as an additional, beneficial therapeutic option for patients with IPF.

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Breathing exercises for chronic obstructive pulmonary disease

Abstract: Analysis 2.4. Comparison 2 Diaphragmatic breathing versus no breathing retraining, Outcome 4 Diaphragmatic mobility. Analysis 2.5. Comparison 2 Diaphragmatic breathing versus no breathing retraining, Outcome 5 Ratio of rib cage to abdominal motion during normal breathing.

Cited by 132 publications

References 55 publications

Practical recommendations for exercise training in patients with COPD

Practical recommendations for exercise training in patients with COPD

How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD

Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis - A Review

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