Evidence underlying breathing retraining in people with stable chronic obstructive pulmonary disease.
The efficacy of pursed-lip breathing (PLB) and diaphragmatic breathing (DB) in the rehabilitation of people with chronic obstructive pulmonary disease (COPD) remains unclear. This review examines the evidence regarding the usefulness of these techniques in improving the breathing of people with stab...
| Publicado en: | Physical Therapy Vol. 84; no. 12; pp. 1189 - 1198 |
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| Autores principales: | , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106581251&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106581251 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Dec2004 vid: 84 iid: 12 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 106581251 2005036912 10.1093/ptj/84.12.1189 NLM15563259 106581251 ppf: 1189 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Evidence underlying breathing retraining in people with stable chronic obstructive pulmonary disease. aug: au: Dechman G Wilson CR affil: Associate Professor, Physical Therapy Department, Husson College, 1 College Cir, Bangor, ME 04401; dechmang@husson.edu sug: subj: Pulmonary Disease, Chronic Obstructive Rehabilitation Breathing Exercises Respiration Work of Breathing Oxygen Consumption Physical Therapy Methods ab: The efficacy of pursed-lip breathing (PLB) and diaphragmatic breathing (DB) in the rehabilitation of people with chronic obstructive pulmonary disease (COPD) remains unclear. This review examines the evidence regarding the usefulness of these techniques in improving the breathing of people with stable COPD. The studies included in our review of the literature used either PLB or DB in isolation, contained a clear description of the methods, and used outcomes that were measured with what we considered to be appropriate procedures. Pursed-lip breathing slows the respiratory rate, and evidence suggests that this decreases the resistive pressure drop across the airways and, therefore, decreases airway narrowing during expiration. This decrease in airway narrowing may account for the decreased dyspnea some people experience when using this technique. Diaphragmatic breathing has negative and positive effects, but the latter appear to be caused by simply slowing the respiratory rate. Evidence supports the use of PLB, but not DB, for improving the breathing of people with COPD. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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