The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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The Effect of Types of Respiratory Exercise on Respiratory Muscle Activity and Health-Related Quality of Life of Patients with Severe Chronic Obstructive Pulmonary Disease

  • Kang, Jeong-Il (Department of Physical Therapy, Sehan University) ;
  • Jeong, Dae-Keun (Department of Physical Therapy, Sehan University) ;
  • Choi, Hyun (Department of Physical Therapy, Mokpo Mirae Hosipital)
  • Received : 2016.01.13
  • Accepted : 2016.02.22
  • Published : 2016.02.25
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Abstract

Purpose: This study intended to classify voluntary respiratory exercise and exercise using breathing training equipment to suggest proper respiratory exercise to relieve symptoms of patients with severe chronic obstructive pulmonary disease. Methods: Sixteen subjects were randomly selected for experimental group I, which performed feedback breathing exercise and 15 subjects were randomly selected for experimental group II, which performed a complex breathing exercise. The mediation program was performed 30 minutes a session, once a day, three times a week, for five weeks. This study analyzed before and after results within groups and between groups through measurement of respiratory muscle activity and health-related quality of life. Results: Activity of sternocleidomastoid muscle and scalene muscle increased meaningfully within experimental group I and activity of diaphragm increased significantly within experimental group II (p<0.05) and there was a meaningful difference in health-related quality of life within experimental group II (p<0.05). Significant differences in change of activity of respiratory muscle and health-related quality of life were observed between groups (p<0.05). Conclusion: This study showed conflicting results between activity of agonist and synergist in patients with severe chronic obstructive pulmonary disease according to types of respiratory exercise and that complex respiratory exercise is more effective in health-related quality of life. Therefore, it found that the more severity increase, the more self-respiratory technique is an effective program. Diversified approach methods will be needed to improve respiratory function and quality of life for patients, and continuous clinical studies will be needed in the future.

Keywords

References

  1. WHO. World Hearlth Organization.Chronic obstructive pulmonary disease (COPD). The global burden of disease: 2004 update, (2008).
  2. Kim YN. Comparison of effectiveness of breathing intervention program for improvement of pulmonary functions according to prevalence period in patients with COPD. J Kor Phys Ther. 2012:24(5):355-61. https://doi.org/10.1589/jpts.24.355
  3. Loring SH, Garcia-Jacques M, Malhotra A. Pulmonary characteristics in COPD and mechanisms of increased work of breathing. J Appl Physio. 2009;107(1):309-14. https://doi.org/10.1152/japplphysiol.00008.2009
  4. McKenzie DK, ButlerJE, GandeviaSC: Respiratory muscle function and activation in chronic obstructive pulmonary disease. J Appl Physiol. 2009:107(2);621-9. https://doi.org/10.1152/japplphysiol.00163.2009
  5. Marquis K, Debigare R, Lacasse Y et al. Midthigh muscle cross-sectional area is a better predictor of mortality than body mass index in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2002;166(6):809-13. https://doi.org/10.1164/rccm.2107031
  6. Ottenheijm CA, Jenniskens GJ, Geraedts MC et al. Diaphragm dysfunction in chronic obstructive pulmonary disease: A role for heparansulphate? Eur Respir J. 2007;30(1):80-9. https://doi.org/10.1183/09031936.00125106
  7. Orozco-Levi M. Structure and function of the respiratory muscles in patients with COPD: impairment or adaptation? Eur Respir J. 2003;46:41S-51S.
  8. Kang Jl, Jeong DK, Choi H. The effect of fatigue of patients with chronic obstructive pulmonary disease on depression and the health-related quality of Life. J Kor Phys Ther. 2014;26(4):263-8. https://doi.org/10.1589/jpts.26.263
  9. Duiverman ML, Boer EW, Eykern LA et al. Respiratory muscle activity and dyspnea during exercise in chronic obstructive pulmonary disease. Respir Physiol Neurobiol. 2009;167(2):195-200. https://doi.org/10.1016/j.resp.2009.04.018
  10. Watz H, Waschki B, Meyer T et al. Physical activity in patients with COPD. Eur Respir J. 2009;33: 262-72.
  11. Jones R. British thoracic society standards of care subcommittee on pulmonary rehabilitation. Thorax. 2001;56(11):827-34. https://doi.org/10.1136/thorax.56.11.827
  12. Moodie L, Reeve J, Elkins M. Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: A systematic review. Journal of Physical Theraphy. 2011;57(4):213-21.
  13. Kang Jl, Jeong DK, Park SK et al. Effects of chest resistance exercise on forced expiratory volume in one second and fatigue in patients with COPD. J Kor Phys Ther. 2011;23(2):37-43. https://doi.org/10.1589/jpts.23.37
  14. Jeong DK. The effects of breathing exercise on respiratory synergist muscle activity and SpO2 in patients with chronic obstructive pulmonary disease. J Kor Phys Ther. 2015;27(4):234-9. https://doi.org/10.18857/jkpt.2015.27.4.234
  15. Sartori R, Barbi E, Poli F et al. Respiratory training with a specific device in cystic fibrosis: a prospective study. J Cyst Fibros. 2008:7(4);313-9. https://doi.org/10.1016/j.jcf.2007.12.003
  16. Kisner C, Colby L.A (6th ed). Therapeutic exercise: Foundations and technique. Philadelphia : FA Davis Company. 2012;993-1031.
  17. Legrand A, Schneider E, Gevenois PA et al. Respiratory effects of the scalene and sternomastoid muscles in humans. J Appl Physiol. 2003;94: 1467-72. https://doi.org/10.1152/japplphysiol.00869.2002
  18. Guedes LU, Parreira VF, Diorio AC et al. Electromyographic activity of sternocleidomastoid muscle in patients with Parkinson's disease. J Electromyogr Kinesiol. 2009;19(4):591-7. https://doi.org/10.1016/j.jelekin.2008.01.005
  19. Gandevia SC, Leeper JB, McKenzie DK et al. Discharge frequencies of parasternal intercostal and scalene motor units during breathing in normal and COPD subjects. Am J Respir Crit Care Med. 1996;153:622-8. https://doi.org/10.1164/ajrccm.153.2.8564108
  20. Seo KC, Lee SE, , Lee JH et al. Comparison of posture on respiratory function in the stroke patients according to changes of position. J Korean soc phys med. 2011;6(4):381-9.
  21. Mariana ACM, Danielle SRV, Karoline SM et al. Chest wall volumes during inspiratory loaded breathing in COPD patients. Respir Physiol Neurobiol. 2013;188:15-20. https://doi.org/10.1016/j.resp.2013.04.017
  22. Tomich GM, Franca DC, Diorio AC et al. Breathing pattern, thoracoabdominal motion and muscular activity during three breathing exercises. Braz J Med Biol Res. 2007;40(10):1409-17. https://doi.org/10.1590/S0100-879X2006005000165
  23. Kim KS, Byun MK, Lee WH, et al. Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients with chronic obstructive pulmonary disease. Multidiscip. Resp. Med. 2012;7(1):7-9. https://doi.org/10.1186/2049-6958-7-7
  24. Toppin VAL, Harris MB, Anna K et al. Persistence of eupnea and gasping following blockade of both serotonin type 1 and 2 receptors in the in situ juvenile rat preparation. J Appl Physiol. 2007;103(1):220-7. https://doi.org/10.1152/japplphysiol.00071.2007
  25. Yamaguti WP, Claudino RC, Neto AP et al. Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Arch Phys Med Rehabil. 2012;93(4):571-7. https://doi.org/10.1016/j.apmr.2011.11.026
  26. Shebl A, Fadila D. Impact of pulmonary rehabilitation program on health outcomes of patients with chronic obstructive pulmonary disease. J Educ Pract. 2013;4(15):78-86.
  27. Puhan MA, Schunemann HJ, Buesching G et al. COPD patients' ability to follow exercise influences short-term outcomes of rehabilitation. Eur Respir J. 2008;31(2):304-10. https://doi.org/10.1183/09031936.00078707