lip breathing copd
216389655
Pursed lip breathing ventilation for the treatment of hypercapnic respiratory failure in COPD
Background: Long term non invasive ventilation (NIV) is recommended in patients with COPD and persistent hypercapnic respiratory failure. The reduction of arterial pCO2 by NIV may be associated with prolonged survival. Patients treated with high inspiratory pressures often experience a "deventilation syndrome" i.e. prolonged respiratory distress after mask removal. A new ventilation mode mimicking the technique of pursed lip breathing (PLB) has recently been developed. PLB ventilation (PLBV) implies a short pressure increase at the beginning of expiration followed by a down slope to the expiratory pressure. The impact of switching patients to PLBV is unknown. Methods: Monocentric, retrospective analysis of inpatients with stable COPD (GOLD III IV) and established NIV. Patients were included if their NIV was changed to PLBV and complete data for lung function testing, blood gas analysis and 6 minutes walk test before and 3 7 days after switch was available. Results: Out of 24 patients with complete data, n=16 were included. 8 were excluded due to acute exacerbations (n=2) no previously established NIV (n=8) or COPD not being the main diagnosis (n=2) The median inspirational pressure decreased from 19.5mbar to 13.8mbar (p Conclusions: Switching patients with COPD and persistent hypercapnic respiratory failure from conventional NIV to PLBV may result in substantial short term improvements of lung function and exercise tolerance.
Christoph Junger Karoline Iris Gaede Christian Herzmann Christoph Lange Maja Reimann Stephan Ruller
225711224
THE DIFFERENCE IN OXYGEN SATURATION VALUES OF COPD PATIENTS USING PURSED LIP BREATHING AND 6 MINUTES WALK EXERCISE
Background: Airway obstruction in COPD patients results in decreased oxygen saturation (SPO2) values. COPD non pharmacological therapy with pursed lip breathing and 6 minutes walk exercise can theoretically increase the functional capacity of the lungs and have an impact on the value of oxygen saturation in the blood of unknown difference. Therefore the study aims to determine the difference in oxygen saturation values between pursed lip breathing and 6 minutes walk exercise in COPD patients at the Central Pulmonary Health Center (BBKPM) Surakarta. Method: This research is a quasi experimental study using two groups of pre and post test design. COPD patients treated at BBKPM Surakarta became the study population whose samples were taken by purposive sampling technique of 60 respondents. Data were analyzed using the Shapiro Wilk normality test and then performed a parametric statistical test using the Mann Whitney test Results: The results showed that the average SPO2 value of pre and post in the pursed lip breathing intervention group increased 2.69% while for the intervention group 6 minutes walk exercise increased an average of 1.71% There is a significant difference in the average SPO2 value between pursed lip breathing and 6 minutes walk exercise which results sig (2 tailed) 0,000. Conclusion: The average SPO2 value of the pursed lip breathing intervention group was higher than the 6 minutes walk exercise group and it was proven that the difference was significant
Suyanto Suyanto Venia Evika Al Islami
221166339
The effects of pursed lip breathing combined with diaphragmatic breathing on pulmonary function and exercise capacity in patients with COPD: a systematic review and meta analysis.
BACKGROUND Pursed lip breathing (PLB) and diaphragmatic breathing (DB) are physical therapy interventions frequently adopted by patients with chronic obstructive pulmonary disease (COPD) This systematic review aimed to investigate the effects of PLB combined with DB on pulmonary function and exercise capacity in patients with COPD. METHODS Six databases were searched to collect relevant studies published before August 30, 2019 in English and Chinese. Randomized controlled trials (RCTs) with PLB combined with DB training as the exclusive intervention for COPD were identified. Mean difference (MD) or standardized mean difference (SMD) with 95% confidence interval (CI) was calculated. Heterogeneity was assessed by Cochran's Q test and I2 statistics. RESULTS A total of 15 RCTs were included, involving 1098 patients with COPD (570 in treatment groups and 528 in control groups) Significant improvements were found in forced expiratory volume in 1 s (FEV1) (SMD 0.47, 95% CI 0.27 0.67, P .001) forced vital capacity (FVC) (SMD 0.87, 95% CI 0.59 1.15, P .001) FEV1 as a proportion of FVC (FEV1/FVC) (MD 8.30, 95% CI 1.17 15.43, P .02) and 6 min walk test (6MWT) distance (MD 29.09, 95% CI 19.35 38.83, P .001) CONCLUSIONS The intervention of PLB combined with DB effectively promotes pulmonary function and exercise capacity in patients with COPD. The combined application of PLB and DB is an easy and low cost physical therapy intervention, which should be promoted as a daily essential practice of COPD.
Physiotherapy theory and practice
Ying Yang Liuyi Wei Shizhen Wang Li Ke Huimin Zhao Jing Mao Jie Li Zongfu Mao
225577286
EFFECTIVENESS OF PURSED LIP BREATHING EXERCISE ON DYSPNOEA AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS
Chronic Obstructive Pulmonary Disease is a progressive disease condition strongly associated with dyspnoea and exercise limitation in activities of daily life. So far there is no cure for this disease only effort to alleviate the symptoms. It is therefore of great importance to define effective Pursed Lip Breathing technique to relieve symptoms and to motivate patients to exercise. The objectives of the study were to assess the pre and post test dyspnoea score among chronic obstructive pulmonary disease (COPD) patients in experimental and control groups and also to evaluate the effectiveness of pursed lip breathing on the level of dyspnoea. Quasiexperimental design, pretest posttest non equivalent control group design was adopted, 160 samples were diagnosed as COPD, and falls mild to moderate dyspnea. Data collected through demographic variables and dyspnoea scores by using Modified (UCSD) the University Of California, San Diego Shortness of Breath Questionnaire. 15 items were measured while performing a variety of activities of daily living. Pursed lip breathing exercises are given in the intervention program for 5 days and the Results concluded that chronic obstructive pulmonary disease (COPD) patients in experimental group overall p value score (p<0.001) revealed highly significant differences in pre and post a comparison of reduction of dyspnoea score in the experimental and control group.
M Abhirami Dr C Nalini Jeyavantha Santha
231717624
Implementation Of Pursed Lip Breathing And Semi Fowler Position in COPD Patients Which Get Nebulizer in IGD: A Literature Review
Background: Chronic obstruction of pulmonary disease (COPD) is a pulmonary disease caused by the blockage of the air flow channel that occurs much in Indonesia due to the high exposure to the risk factors causing COPD such as the habit of smoking and unhealthy environment. The obstruction of the respiratory tract that occurs in COPD patients is usually characterized by shortness of breath. Various ways can be done to overcome shortness of breath is with pharmacological therapy in the form of nebulizer therapy. One of the effective non pharmacological therapies to reduce shortness of breath with pursed lip breathing therapy and the giving of semi Fowler position. Objectives: Identify the research articles that display the results of analysis of the introduction of pursed lip breathing and the provision of semi Fowler in COPD patients who get therapy nebulizer in IGD space Research Method: The search for articles is done electronically using a Sience Direct, NCBI and Google Scholar databases. The search for the article used is the last 5 years. Keyword in search "pursed lip breathing, position semi Fowler and chronic obstructive pulmonary disease" so obtained 5 research articles in review. Results: The feeding of pursed lip breathing and the giving of semi Fowler can effectively lower the shortness of breath in COPD patients. Step in the intervention of this combination by encouraging the patient to inhale the breath from the nose and the patient bent forward 30 to 40 degrees with the head lifted 16 to 18 degrees breathed slowly through the lips as much as 7 counts later afterwards the patient positions the Head 45 Conclusion: The feeding of pursed lip breathing and the giving of semi Fowler is proven to decrease the shortness of breath in COPD patients Keyword: pursed lip breathing, position semi fowler dan chronic obstructive pulmonary disease
Ariefkhoerulummah Nurgiyanta Galih Noor Alivian
214590267
The Effect of Six Minute Walk Test and Pursed Lip Breathing on Anxiety Caused by Dypsnea in Patients with Stable Chronic Obstructive Pulmonary Disease (COPD) at University of Sumatera Utara Hospital
Physiological changes due to inflammation in patients with stable chronic obstructive pulmonary disease (COPD) significantly reduce low levels of carbon dioxide in the blood which can trigger emotional symptoms of anxiety and decreased activity, physical exercise that can improve lung functional capacity and dyspnea management are recommended six minute walk test exercises and pursed lip breathing in patients with stable COPD. The objective of the research was to identify the effect six minute walk test and pursed lip breathing on anxiety caused by dypsnea in patients with stable COPD. The research used quasi experimental method with pre and post test control group design. The samples were 70 respondents; 35 respondents in the intervention group and 35 respondent in the control group, using State Trait Anxiety Inventory (STAI) instrument. The result of the research showed that there was the effect in the control group and intervention group in six minute walk test and pursed lip breathing on anxiety caused by dypsnea in patients with stable COPD at p value 0.000, and in the control group at p value 0.763. The conclusion was that six minute walk test and pursed lip breathing had significant effect on anxiety caused by dypsnea in patients with stable COPD.
Yudi Akbar Amira Permatasari Tarigan Yesi Ariani
216570643
COMPARISON OF TRAINING PURSED LIP BREATHING AND BALLOON BLOWING ON THE INCREASING OF RESPIRATORY MUSCLE STRENGTH, RESPIRATORY RATE AND THE INCREASING OF OXYGEN SATURATION IN COPD AT THE MAKASSAR COMMUNITY LUNG HEALTH CENTER
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is one of lung disorders that affect air movement from and out of the lung, this can lead to hypoxemia and hypercapnia due to the occurrence of respiratory muscle weakness and obstruction. As the result, it will increase airflow resistance, pulmonary hyperinflation also ventilation and perfusion imbalances One of the pulmonary non pharmacological treatments that can be given to COPD patients includes the pursed lip breathing exercise (PLB) technique and blowing balloons. This rehabilitation exercise aims to improve lung function, prevent damage, and improve quality of life. Method: This study was a Quasi Experimental study, with pre posttest design in two different comparison groups. Results: Increased breath muscle strength and significance difference on the third day after the intervention of balloon blowing (median 5870) and PLB (median 5830) obtained p value <0.001, while the seventh day after the balloon blew intervention (median 5980) and PLB median 5880) Significant differences were obtained with a value of p <0.001. Conclusion: Blowing balloons is very significant in increasing breath muscle strength in comparison to PLB in COPD patients,
Junaidin Junaidin
213655488
Mechanical non invasive pursed lip breathing ventilation for hypercapnic patients with COPD
Background: Long term non invasive ventilation (NIV) is recommended for patients with COPD and chronic hypercapnia. High inspiratory pressure NIV (hiNIV) and a maximum reduction of arterial pCO2 has been shown to prolong survival in patients with chronic hypercapnia. Often patients on hiNIV describe severe respiratory distress, known as "deventilation syndrome" after removal of the NIV mask in the morning. With the "VIGARO" mechanical pursed lip breathing ventilation (PLBV; FLO Medical, Melle, Germany) a new non invasive ventilation mode is available that mimics the pressure curve of pursed lip breathing in the expiration phase. The clinical impact of switching patients from NIV to PLBV has not been studied so far. Methods: We retrospectively analysed the effect of switching from conventional NIV to PLBV in patients with COPD GOLD stage III and IV. Patients were investigated by lung function testing, blood gas analysis and 6 minute walk test before and 3 7 days after conversion from conventional NIV to PBLV. Results: In 16 patients who switched from conventional NIV to PLBV, the mean inspiratory ventilation pressure needed to achieve a constant pCO2 was reduced from 19.1 mbar to 14.1 mbar (p Conclusion: Switching patients with COPD GOLD III and IV and chronic hypercapnic respiratory failure from conventional NIV to PLBV may substantially increased exercise tolerance and FVC in the short term.
Airway pharmacology and treatment
Christoph Junger Stephan Ruller Maja Reimann Lenka Krabbe Karoline Iris Gaede Christoph Lange Christian Herzmann
59390147
A Comparative Study between the Effect of Breathing Control and Pursed Lip Breathing Exercises in COPD Patients on Expiratory Flow Rate
The purpose of the study was to find out the effect of breathing control and pursed lip breathing in COPD patient on expiratory flow rate by the end of 1 week. Total 30 participants (including male and female) in group A and B ranging from 45 65 were randomly selected. Peak flow meter was used to assess the effect of breathing control and pursed lip breathing. Statistical analysis of the data was done and significant improvement in the expiratory flow rate with pursed lip breathing (p<0.0001) was noted. Hence, these results suggest that one week, significantly improves expiratory flow rate in COPD patients.
Sneha Potdar
86586979
Effectiveness of Pursed Lip Breathing To Changes Respiratory Rate In The Patients With COPD In Lung Room RSUD Dr R. Sosodoro Djatikoesomo Bojonegoro 2017
Shortness of breath in COPD occurs due to dynamic hyperinflation that increases weight with increased respiratory rate. Efforts that can be done on COPD that occur respiratory pattern disorders is pursed lip breathing exercises. The number of COPD patient was second rank after tuberculosis in 2016 in the lung room RSUD Dr R Sosodoro Djatikoesomo Bojonegoro total 160 patient. The study aims to determine Effectiveness of Pursed Lip Breathing To Changes Respiratory Rate In The Patients With COPD In Lung Room RSUD Dr R. Sosodoro Djatikoesomo Bojonegoro 2017. Research method using pra experimental one group pre post test design. The population is all COPD patients in the lung room of the month of may july total 30 patients. While the sample of 20 patients taken using purposive sampling technique. Take data using observation, then done editing, coding, scoring and tabulation of data analyzed by using crosstab. The result of cross tabulation was obtained after pursed lip breathing majority decreased respiratory rate that is 20 respondents (100% So it can be conclude that pursed lip breathing is effective to changes respiratory rate in the patients with COPD In Lung Room RSUD Dr R. Sosodoro Djatikoesomo Bojonegoro. Recommended for respondents should do pursed lip breathing exercise at least 2 twice a day every morning and afternoon with a durations of 10 minutes.
Sri Mulyani Evita Muslima Feris yohastuti