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The Egyptian Journal of Bronchology
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Effectiveness of pulmonary rehabilitation on pulmonary function parameters and dyspnea in patients with stable chronic obstructive pulmonary disease

Egyptian Journal of Bronchology volume 12, pages 149–153 (2018)Cite this article

Abstract

Background

Chronic obstructive pulmonary disease (COPD) is a common preventable and treatable disease characterized by persistent airflow limitation that is usually progressive. The characteristic symptoms of COPD are chronic and progressive dyspnea, cough, and sputum production. Breathing exercises aim to reduce hyperinflation, improve respiratory muscle performance, and reduce dyspnea.

Aim

The aim of the study was to assess the effectiveness of breathing exercises among patients with stable COPD in improvement of pulmonary function parameters, 6-min walk distance, and dyspnea score.

Patients and methods

Randomized controlled design was used in this study. Patients recruited for this study were enrolled from the outpatient clinic of Department of Chest Diseases and Tuberculosis. Overall, 15 patients with stable COPD were enrolled in pulmonary rehabilitation group and underwent breathing exercises for 12 weeks. Moreover, 15 patients were enrolled in the control group. Statistical package for the social sciences (SPSS version 20) software was used for statistical analysis.

Results

In the breathing exercise group, there was a significant increase in the mean forced expiratory volume in first second (P=0.001), forced vital capacity (P=0.001), and inspiratory capacity (P=0.015). There was a significant decrease in the mean functional residual capacity (P=0.005), residual volume (P=0.001), and total lung capacity (P=0.001). There was no significant difference between the values of the previous parameters in the control group.

Conclusion

In stable COPD, breathing exercises improved pulmonary function parameters, 6-min walk distance, and dyspnea score.

References

  1. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for diagnosis, management, and prevention of chronic obstructive pulmonary disease. (Updated 2015). http://www.goldcopd.org.

  2. Holland AE, Hill CJ, Jones AY, McDonald CF. Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2012; 17:CD008250.

    Google Scholar 

  3. Redllch CA, Tarlo SM, Hankinson JL, Townsend MC, Eschenbacher WL, von Essan SG, et al. Official American Thoracic Society Technical Standards:spirometry in the occupational setting. Am J Respir Crit Care Med 2011;189:984–994.

    Google Scholar 

  4. Tydeman DE, Chandler AR, Graveling BM, Culot A, Harrison BD. An investigation into the effects of exercise tolerance training on patients with chronic airways obstruction. Physiotherapy 1984;70:261–264.

    CAS  PubMed  Google Scholar 

  5. Ward JA, Akers G, Ward DG, Pinnuck M, Williams S, Trott J, et al. Feasibility and effectiveness of a pulmonary rehabilitation program in a community hospital setting. Br J Gen Pract 2002;52:539–542.

    PubMed  PubMed Central  Google Scholar 

  6. Wedzicha JA, Bestall JC, Garrod R, Garnham R, Paul EA, Jones PW. Randomized controlled trial of pulmonary rehabilitation in severe chronic obstructive pulmonary disease patients, stratified with the MRC dyspnoea Scale. Eur Respir J 1998;12:363–369.

    Article  CAS  Google Scholar 

  7. Harver A, Mahler DA, Daubenspeck JA. Targeted inspiratory muscle training improves respiratory muscle function and reduces dyspnea in patients with chronic obstructive pulmonary disease. Ann Intern Med 1989;111:117–124.

    Article  CAS  Google Scholar 

  8. Lisboa C, Villafranca C, Leiva A, Cruz E, Pertuzé J, Borzone G. Inspiratory muscle training in chronic airflow limitation:effect on exercise performance. Eur Respir J 1997;10:537–542.

    CAS  PubMed  Google Scholar 

  9. Kervio G, Ville NS, Leclercq C, Daubert JC, Carré F. Intensity and daily reliability of the six-minute walk test in moderate chronic heart failure patients. Arch Phys Med Rehabil 2004;85:1513–1518.

    Article  Google Scholar 

  10. Kesten S, Casaburi R, Kukafka D, Cooper C. Improvement in self-reported exercise participation with the combination of tiotropium and rehabilitative exercise training in COPD patients. Int J COPD 2008;3:127–136.

    Article  CAS  Google Scholar 

  11. Redelmeier DA, Bayoumi AM, Goldstein RS, Guyatt GH. Interpreting small differences in functional status:the six minute walk test in chronic lung disease patients. Am J Respir Crit Care Med 1997;155:1278–1282.

    Article  CAS  Google Scholar 

  12. Bendstrup KE, Ingemann J, Holm S, Bengtsson B. Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease. Eur Respir J 1997;10:2801–2806.

    Article  CAS  Google Scholar 

  13. Yerg JE, Seals DR, Hagberg JM, Holloszy JO. Effect of endurance exercise training on the ventilatory function in older individuals. J Appl Physiol 1985;58:791–794.

    Article  Google Scholar 

  14. De-Torres JP, Pinto-Plata V, Ingenito E, Bagley P, Gray A, Berger R, Celli B. Power of outcome measurements to detect clinically significant changes in pulmonary rehabilitation of patients with COPD. Chest 2002;121:1092–1098.

    Article  Google Scholar 

  15. Seals DR, Chakraborty K, Das KM, Ganguly S, Ballav A. A low cost pulmonary rehabilitation program for COPD patients:is it any good? IJPMR 2006;17:26–32.

    Google Scholar 

  16. Liu YQ, Ling XY, Li YZ, Quing HS, Xu RM. Conspicuous effect on treatment of mild to moderate COPD by combining deep-breathing exercise with oxygen inhalation. Int J Clin Exp Med 2015;8:9918–9924.

    PubMed  PubMed Central  Google Scholar 

  17. Tout R, Tayara L, Halimi M. The effects of respiratory muscle training on improvement of the internal and external thoraco pulmonary respiratory mechanism in COPD patients. Ann Phys Rehabil Med 2013;56:193–211.

    Article  CAS  Google Scholar 

  18. Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis 1991;143:9–18.

    Article  CAS  Google Scholar 

  19. Mercken EM, Hageman GJ, Schols AM, Akkermans MA, Bast A, Wouters EF. Rehabilitation decreases exercise-induced oxidative stress in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005;172:994–1001.

    Article  Google Scholar 

  20. Stav D, Raz M, Shpirer I. Three years of pulmonary rehabilitation:inhibit the decline in airflow obstruction, improves exercise endurance time, and body-mass index, in chronic obstructive pulmonary disease. BMC Pulm Med 2009; 9:26.

    Article  Google Scholar 

  21. Estève F, Blanc-Gras N, Gallego J, Benchetrit G. The effects of breathing pattern training on ventilatory function in patient with COPD. Biofeedback Self Regul 1996; 21:311.

    Article  Google Scholar 

  22. Singh V, Khandelwal DC, Khandelwal R, Abusaria S. Pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci 2003;45:13–17.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University Hospital, Assiut, Egypt

    Atef F. Al Karn, Wafaa A. Hassan, Abdel A. Abo El Fadl & Manal A. Mahmoud

Authors
  1. Atef F. Al Karn
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  2. Wafaa A. Hassan
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  3. Abdel A. Abo El Fadl
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  4. Manal A. Mahmoud
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Corresponding author

Correspondence to Manal A. Mahmoud.

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Karn, A.F.A., Hassan, W.A., Fadl, A.A.A.E. et al. Effectiveness of pulmonary rehabilitation on pulmonary function parameters and dyspnea in patients with stable chronic obstructive pulmonary disease. Egypt J Bronchol 12, 149–153 (2018). https://doi.org/10.4103/ejb.ejb_43_16

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  • DOI: https://doi.org/10.4103/ejb.ejb_43_16

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