Effects of acute use of pursed-lips breathing during exercise in patients with COPD: a systematic review and meta-analysis

Mayer, Anamaria Fleig; Karloh, Manuela; Santos, Karoliny dos; Araújo, Cintia Laura Pereira de; Gulart, Aline Almeida

doi:10.1016/j.physio.2017.08.007

Cited by 52 publications

(50 citation statements)

References 21 publications

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“…In some previous works, it is also explained that PLB is widely taught in respiratory physical therapy and pulmonary rehabilitation programs to improve the quality of life associated with COPD (Mayer et al, 2018). These results do not support the effectiveness of PLB in improving exercise performance, dyspnea, and oxygen saturation.…”

Section: Discussionmentioning

confidence: 84%

“…Group 2 was given pursed-lip breathing exercise. Treatment given stressed in expiration process that was performed calmly, aiming to ease the process of exhaling the air that was trapped in the respiratory (Fregonezi, Resqueti, & Rous, 2004), (Mayer et al, 2018). All groups were given 12 weeks' time and the exercises were done as much as 3 times a week.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…There is evidence that maximal inspiratory exercise (MIE) can improve chest wall expansion by showing the mechanical changes that occur in COPD in dyspnea reduction after the provision of forced inspiratory exercise (Taube et al, 2011). Another breathing exercise routinely done by lung rehabilitation is a pursed-lip breathing (PLB) exercise because it is considered capable of relieving dyspnea (Spahija, Marchie, & Grassino, 2005), (Mayer et al, 2018). Previous studies of MIE and PLB still have not shown results from measurements…”

Section: Introductionmentioning

confidence: 99%

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2019

JPES

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Impact of COPD is the presence of chest wall disorders and thoracic mobility disorders, it is necessary for physiotherapists to provide breathing exercises to patients with COPD. Respiratory training methods used in this study are maximal inspiratory exercise (MIE) and pursed-lip breathing (PLB) for chest wall expansion in patients with chronic obstructive pulmonary disease (COPD). This study aims to identify the difference between MIE and PLB in 30 patients with COPD. From the current observations performed in 12 weeks with 3 times per week dosing, it was found that each MIE and PLB group an increased chest wall expansion after treatment. The main results showed that the values of MIE (3.1 ± 0.57) and PLB (2.1 ± 0.72) differed significantly after treatment. The value of MIE was higher than PLB's. This value is value of inspiration and expiration during the breathing process taken before and after treatment. This proves that MIE is better for increasing chest wall expansion in patients with COPD.

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Section: Discussionmentioning

confidence: 84%

Section: Statistical Analysesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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2019

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“…This requires a lower physiotherapist-patient ratio compared to 'regular' supervision of exercise training, which may be an organizational challenge. Obviously, the first step here is to teach patients to use pursed-lips breathing, which may partly prevent dynamic lung hyperinflation [61]. Besides stationary biking (instead of treadmill walking), water-based walking seems also a valid option for COPD patients with obesity and/ or arthrosis of hip/knee/lower back [62].…”

Section: Different Modes Of Exercise Trainingmentioning

confidence: 99%

An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease

Wouters

Posthuma

Koopman

et al. 2020

Expert Review of Respiratory Medicine

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Introduction: Pulmonary rehabilitation (PR) is one of the core components in the management of patients with chronic obstructive pulmonary disease (COPD). In order to achieve the maximal level of independence, autonomy, and functioning of the patient, targeted therapies and interventions based on the identification of physical, emotional and social traits need to be provided by a dedicated, interdisciplinary PR team. Areas covered: The review discusses cardiopulmonary exercise testing in the selection of different modes of training modalities. Neuromuscular electrical stimulation as well as gait assessment and training are discussed as well as add-on therapies as oxygen, noninvasive ventilator support or endoscopic lung volume reduction in selected patients. The potentials of pulsed inhaled nitric oxide in patients with underlying pulmonary hypertension is explored as well as nutritional support. The impact of sleep quality on outcomes of PR is reviewed. Expert opinion: Individualized, comprehensive intervention based on thorough assessment of physical, emotional, and social traits in COPD patients forms a continuous challenge for health-care professionals and PR organizations in order to dynamically implement and adapt these strategies based on dynamic, more optimal understanding of underlying pathophysiological mechanisms.

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“…13,14 According to Mayer, PLB is effective in reducing ventilation and minute respiratory rate during exercise in patients with COPD. 15 The purpose of the study was to study the effect of pursed lip breathing exercise on reducing the level of shortness of breath in chronic obstructive pulmonary disease at the West Sumatra Special Lung Hospital.…”

mentioning

confidence: 99%

The effect of pursed lip breathing exercise against decrease of breathing levels in chronic obstruction pulmonary disease

Morika¹,

Sari²,

Sandra³

et al. 2019

Int J Community Med Public Health

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Background: Chronic obstructive pulmonary disease (COPD) is a disease that is a problem throughout the world where its prevalence, morbidity and mortality are increasing every year. The high number of COPD visits is due to persistent and progressive shortness of breath complaints. Existing pharmacological therapies for COPD have not shown improvement in the long-term decline in pulmonary function that is a hallmark of COPD. It is very necessary for companion therapy that is non-pharmacological treatment is expected to be able to complete pharmacological treatment in reducing shortness of breath of COPD patients with pursed-lip breathing exercise.Methods: This study uses a quassy experiment design with two group pretest and posttes design approaches. This study was in obstructive pulmonary disease patients in the lung hospital in West Sumatra with an intervention group of 16 and a control of 16 respondents. Data analysis using univariate and bivariate using independent t-test statistics.Results: The results showed the average decrease in shortness of breath in the control group without pretest 3.19 and posttest 2.56 in the pretest pursed lip breathing exercise intervention group 3.19 and posttest performed 1.69. Test statistic p-value 0.026.Conclusions: There is an effect of pursed lip breathing exercise on reducing the level of shortness of breath in patients with chronic obstructive pulmonary disease.

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Effects of acute use of pursed-lips breathing during exercise in patients with COPD: a systematic review and meta-analysis

Cited by 52 publications

References 21 publications

Untitled

Untitled

An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease

The effect of pursed lip breathing exercise against decrease of breathing levels in chronic obstruction pulmonary disease

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