Document Detail


Pursed-lips breathing improves inspiratory capacity in chronic obstructive pulmonary disease.
MedLine Citation:
PMID:  20639621     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: In patients with severe chronic obstructive pulmonary disease (COPD), pursed-lips breathing (PLB) improves the pulmonary gas exchange and hyperinflation measured by electro-optic coupling. The response to PLB in inspiratory lung function tests is not known. Objectives: The purpose of this study was to measure the effect of PLB on inspiratory parameters. Methods: Thirty-five subjects with stable COPD and a forced expiratory volume in first second (FEV(1)) <50% of the predicted value were tested for the following primary parameters before and immediately after PLB, and 5 min later: forced inspiratory vital capacity, inspiratory capacity (IC), forced inspiratory volume in first second, maximal inspiratory flow at 50% of vital capacity, and peak inspiratory flow. Patients were also tested for the following secondary parameters: vital capacity, FEV(1), breathing frequency, end-tidal CO(2) tension, and oxygen saturation. Results: Of all the primary parameters only IC (p = 0.006) improved significantly; with regard to the secondary parameters, the mean oxygen saturation was improved by 1% (p = 0.005) and the mean end-tidal CO(2) tension and breathing frequency decreased significantly (p < 0.0001 for both) to 3.2 mm Hg and 3.1 breaths/min, respectively. After 5 min the effects diminished. Conclusion: Improved IC after PLB indicates less hyperinflation in patients with severe COPD; there was no effect on parameters of flow.
Authors:
Frank J Visser; Sunil Ramlal; P N Richard Dekhuijzen; Yvonne F Heijdra
Publication Detail:
Type:  Journal Article     Date:  2010-07-17
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  81     ISSN:  1423-0356     ISO Abbreviation:  Respiration     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  372-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 S. Karger AG, Basel.
Affiliation:
Department of Pulmonology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
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