Effects of Breathing Exercises in Patients With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis
Annals of Rehabilitation Medicine
; : 509-523, 2019.
Article
en En
| WPRIM
| ID: wpr-762653
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: To update evidence on the effects of breathing exercises (BEs) on ventilation, exercise capacity, dyspnea, and quality of life (QoL) in chronic obstructive pulmonary disease (COPD) patients. METHODS: Randomized controlled trials investigating the effects of BEs in COPD patients published through May 2018, were retrieved from five electronic databases (MEDLINE, CINAHL, Cochrane, Scopus, and ScienceDirect). Risk of bias and quality of evidence were assessed, using Cochrane Collaboration’s tool, and the Grading of Recommendation Assessment, Development, and Evaluation (GRADE) approach, respectively. RESULTS: Nineteen studies (n=745), were included. Quality of evidence, was low to moderate. When compared to the control groups, respiratory rate significantly (p≤0.001) improved in the pursed-lip breathing (PLB), ventilatory feedback (VF) plus exercise, diaphragmatic breathing exercise (DBE), and combined BEs. Additionally, PLB significantly improved tidal volume (p0.05). CONCLUSION: PLB, VF plus exercise, DBE, combined BEs, and singing could be used to improve ventilation and QoL. Based on low to moderate quality of evidence, use of these BEs to improve ventilation and QoL in COPD patients is conditional (Registration No. CRD42018102995).
Palabras clave
Texto completo:
1
Bases de datos:
WPRIM
Asunto principal:
Calidad de Vida
/
Respiración
/
Ventilación
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Ejercicios Respiratorios
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Sesgo
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Volumen de Ventilación Pulmonar
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Capacidad Inspiratoria
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Enfermedad Pulmonar Obstructiva Crónica
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Disnea
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Frecuencia Respiratoria
Tipo de estudio:
Clinical_trials
/
Systematic_reviews
Idioma:
En
Revista:
Annals of Rehabilitation Medicine
Año:
2019
Tipo del documento:
Article