Distractive Auditory Stimuli Alleviate the Perception of Dyspnea Induced by Low-Intensity Exercise in Elderly Subjects With COPD.

BACKGROUND: Although recent studies have shown that distractive auditory stimuli (DAS) in the form of music increase adherence to exercise in subjects with COPD, the effect of DAS on dyspnea induced by low-intensity, constant-load exercise in elderly patients with COPD has not been elucidated. There...

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Publicado en:Respiratory Care Vol. 60; no. 5; pp. 689 - 695
Autores principales: Kazuya Shingai, Masashi Kanezaki, Hideaki Senjyu
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. May2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mary Ann Liebert, Inc.
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        atl: Distractive Auditory Stimuli Alleviate the Perception of Dyspnea Induced by Low-Intensity Exercise in Elderly Subjects With COPD.
      aug:
        au:
          Kazuya Shingai
          Masashi Kanezaki
          Hideaki Senjyu
        affil: Department of Rehabilitation Medicine, Tosei General Hospital, Seto, Aichi, Japan
      sug:
        subj:
          Acoustic Stimulation
          Dyspnea
          Exercise In Old Age
          Pulmonary Disease, Chronic Obstructive
          Human
          Male
          Outpatients
          Ergometry
          T-Tests
          Aged
          Oxygen Consumption
          Scales
          Japan
          Aged: 65+ years
          Male
      ab: BACKGROUND: Although recent studies have shown that distractive auditory stimuli (DAS) in the form of music increase adherence to exercise in subjects with COPD, the effect of DAS on dyspnea induced by low-intensity, constant-load exercise in elderly patients with COPD has not been elucidated. Therefore, the purpose of this study was to investigate the effect of DAS on the perception of dyspnea induced by low-intensity, constant-load exercise in elderly subjects with COPD. METHODS: We enrolled 16 male out-patients with COPD. Subjects completed cycling exercises with and without DAS at 40% maximum oxygen consumption. They were asked to rate their perception of dyspnea using the modified Borg scale every 3 min during exercise and every 1 min during the recovery period. RESULTS: Dyspnea perception during low-intensity exercise showed a significant correlation between the exercise condition (DAS and control) and exercise duration (P = .04). Exercise-induced dyspnea perception under the DAS condition was significantly lower than that under the control condition from 18 min after the start of exercise to 3 min after the end of exercise (18, 20, 21, 22, and 23 min, P = .01, P < .001, P = .009, P = .006, and P = .006, respectively). However, oxygen consumption and ventilation in response to low-intensity exercise did not significantly differ in the DAS and control conditions (P = .39 and .14, respectively) CONCLUSIONS: Our results suggest that DAS is a non-pharmacologic therapy that can be used to reduce the dyspneic sensation in elderly patients with COPD.
      pubtype: Academic Journal
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    language: English
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