Combined heart rate variability and pulse oximetry biofeedback for chronic obstructive pulmonary disease: Preliminary findings

Applied Psychophysiology Biofeedback

Volumn 29, Issue 2, 2004, Pages 121-133

  Giardino, Nicholas D ^a,b   Chan, Leighton ^a   Borson, Soo ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF CINCINNATI   (United States)

Author keywords

Biofeedback; Chronic obstructive pulmonary disease; Heart rate variability; Pulse oximetry; Respiratory sinus arrhythmia

Indexed keywords

ADULT; AGED; ANXIETY; ARTICLE; BREATHING; BREATHING EXERCISE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DEPRESSION; DISABILITY; DYSPNEA; FEEDBACK SYSTEM; FEMALE; HEART RATE VARIABILITY; HOME; HUMAN; MALE; PULSE OXIMETRY; QUALITY OF LIFE; QUESTIONNAIRE; SELF REPORT; STATISTICAL SIGNIFICANCE; WALKING;

AGED; ANXIETY; BIOFEEDBACK (PSYCHOLOGY); DYSPNEA; ELECTROCARDIOGRAPHY; FEMALE; FORCED EXPIRATORY FLOW RATES; FUNCTIONAL RESIDUAL CAPACITY; HEART RATE; HUMANS; MALE; MIDDLE AGED; OXIMETRY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITY OF LIFE; QUESTIONNAIRES; RESPIRATORY MECHANICS; TREATMENT OUTCOME; WALKING;

EID: 3242809730     PISSN: 10900586     EISSN: None     Source Type: Journal    
DOI: 10.1023/B:APBI.0000026638.64386.89     Document Type: Article

References (51)

1. American Thoracic Society. (1995a). Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 152, S77-S121.
2. American Thoracic Society. (1995b). Standardization of spirometry, 1994 update. American Journal of Respiratory and Critical Care Medicine, 152, 1107-1136.
3. American Thoracic Society. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166, 111-117.
4. Arias, E., & Smith, B. L. (2003). Deaths: Preliminary data for 2001. In National vital statistics report (Vol. 51, Issue 5). Hyattsville, MD: National Center for Health Statistics.
5. Barach, A. L. (1973). Physiologic advantages of grunting, groaning, and pursed-lip breathing: Adaptive symptoms related to the development of continuous positive pressure breathing. Bulletin of the New York Academy of Medicine, 49, 666-673.
6. Bernardi, L., Gabutti, A., Porta, C., & Spicuzza, L. (2001). Slow breathing reduces chemoreflex response to hypoxia and hypercapnia, and increases baroreflex sensitivity. Journal of Hypertension, 19, 2221-2229.
7. Berntson, G. G., Bigger, J. T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M., et al. (1997). Heart rate variability: Origins, methods, and interpretive caveats. Psychophysiology, 34, 623-648.
8. Breslin, E. H. (1995). Breathing retraining in chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation, 15, 25-33.
9. Brown, T. E., Beightol, L. A., Koh, J., & Eckberg, D. L. (1993). Important influence of respiration on human R-R interval power spectra is largely ignored. Journal of Applied Physiology, 75, 2310-2317.
10. Casciari, R. J., Fairshter, R. D., Harrison, A., Morrison, J. T., Blackburn, C., & Wilson, A. F. (1981). Effects of breathing retraining in patients with chronic obstructive pulmonary disease. Chest, 79, 393-398.
11. Challapalli, S., Kadish, A. H., Horvath, G., & Goldberger, J. J. (1999). Differential effects of parasympathetic blockade and parasympathetic withdrawal on heart rate variability. Journal of Cardiovascular Electrophysiology, 10, 1192-1199.
12. Delk, K. K., Gevirtz, R., Hicks, D. A., Carden, F., & Rucker, R. (1994). The effects of biofeedback assisted breathing retraining on lung functions in patients with cystic fibrosis. Chest, 105, 23-28.
13. Dowson, C., Laing, R., Barraclough, R., Town, I., Mulder, R., Norris, K., et al. (2001). The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study. New Zealand Medical Journal, 114, 447-449.
14. Esteve, F., Blanc-Gras, N., Gallego, J., & Benchetrit, G. (1996). The effects of breathing pattern training on ventilatory function in patients with COPD. Biofeedback and Self Regulation, 21, 311-321.
15. Faling, L. J. (1986). Pulmonary rehabilitation - physical modalities. Clinics in Chest Medicine, 7, 599-618.
16. Giardino, N. D., Chan, L., & Borson, S. (2003). Respiratory sinus arrhythmia is associated with pulmonary gas exchange efficiency in chronic obstructive pulmonary disease. Manuscript submitted for publication.
17. Giardino, N. D., Glenny, R. W., Borson, S., & Chan, L. (2003). Respiratory sinus arrhythmia is associated with efficiency of pulmonary gas exchange in healthy humans. American Journal of Physiology: Heart and Circulatory Physiology, 284, H1585-H1591.
18. Goldberger, J. J., Ahmed, M. W., Parker, M. A., & Kadish, A. H. (1994). Dissociation of heart rate variability from parasympathetic tone. American Journal of Physiology, 266, H2152-H2157.
19. Goldberger, J. J., Challapalli, S., Tung, R., Parker, M. A., & Kadish, A. H. (2001). Relationship of heart rate variability to parasympathetic effect. Circulation, 103, 1977-1983.
20. Grossman, P., Karemaker, J., & Wieling, W. (1991). Prediction of tonic parasympathetic cardiac control using respiratory sinus arrhythmia: The need for respiratory control. Psychophysiology, 28, 201-216.
21. Hayano, J., & Yasuma, F. (2003). Hypothesis: Respiratory sinus arrhythmia is an intrinsic resting function of cardiopulmonary system. Cardiovascular Research, 58, 1-9.
22. Hayano, J., Yasuma, F., Okada, A., Mukai, S., & Fujinami, T. (1996). Respiratory sinus arrhythmia. A phenomenon improving pulmonary gas exchange and circulatory efficiency. Circulation, 94, 842-847.
23. Hirsch, J. A., & Bishop, B. (1981). Respiratory sinus arrhythmia in humans: How breathing pattern modulates heart rate. American Journal of Physiology, 241, 620-629.
24. Iellamo, F., Legramante, J. M., Pigozzi, F., Spataro, A., Norbiato, G., Lucini, D., et al. (2002). Conversion from vagal to sympathetic predominance with strenuous training in high-performance world class athletes. Circulation, 105, 2719-2724.
25. Jones, P. W. (1998). Testing health status ("quality of life") questionnaires for asthma and COPD. European Respiratory Journal, 11, 5-6.
26. Jones, P. W., Quirk, F. H., Baveystock, C. M., & Littlejohns, P. (1992). A self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. American Review Respiratory-Disease, 145, 1321-1327.
27. Lareau, S. C., Meek, P. M., & Roos, P. J. (1998). Development and testing of the modified version of the pulmonary functional status and dyspnea questionnaire (PFSDQ-M). Heart and Lung, 27, 159-168.
28. Lehrer, P., Carr, R. E., Smetankine, A., Vaschillo, E., Peper, E., Porges, S., et al. (1997). Respiratory sinus arrhythmia versus neck/trapezius EMG and incentive inspirometry biofeedback for asthma: A pilot study. Applied Psychophysiology and Biofeedback, 22, 95-109.
29. Lehrer, P., Smetankin, A., & Potapova, T. (2000). Respiratory sinus arrhythmia biofeedback therapy for asthma: A report of 20 unmedicated pediatric cases using the Smetankin method. Applied Psychophysiology and Biofeedback, 25, 193-200.
30. Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25, 177-191.
31. Mezzacappa, E. S., Kelsey, R. M., Katkin, E. S., & Sloan, R. P. (2001). Vagal rebound and recovery from psychological stress. Psychosomatic Medicine, 63, 650-657.
32. Miller, W. F. (1954). A physiologic evaluation of the effects of diaphragmatic breathing training in patients with chronic pulmonary emphysema. American Journal of Medicine, 17, 471-477.
33. Motley, H. L. (1963). The effects of slow deep breathing on the blood gas exchange in emphysema. American Review Respiratory Disease, 88, 485-492.
34. Mueller, R. E., Petty, T. L., & Filley, G. F. (1970). Ventilation and arterial blood gas changes induced by pursed-lips breathing. Journal of Applied Physiology, 28, 784-789.
35. Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard School of Public Health on behalf of the World Health Organization and the World Bank.
36. Nelesen, R. A., Yu, H., Ziegler, M. G., Mills, P. J., Clausen, J. L., & Dimsdale, J. E. (2001). Continuous positive airway pressure normalizes cardiac autonomic and hemodynamic responses to a laboratory stressor in apneic patients. Chest, 119, 1092-1101.
37. Pagani, M., Lucini, D., Pizzinelli, P., Sergi, M., Bosisio, E., Mela, G. S., et al. (1996). Effects of aging and of chronic obstructive pulmonary disease on RR interval variability. Journal of the Autonomic Nervous System, 59, 125-132.
38. Paul, G., Eldridge, F., Mitchell, J., & Fiene, T. (1966). Some effects of slowing respiration rate in chronic emphysema and bronchitis. Journal of Applied Physiology, 21, 877-882.
39. Salman, G. F., Mosier, M. C., Beasley, B. W., & Calkins, D. R. (2003). Rehabilitation for patients with chronic obstructive pulmonary disease: Meta-analysis of randomized controlled trials. Journal of General Internal Medicine, 18, 213-221.
40. Sargunaraj, D., Lehrer, P. M., Hochron, S. M., Rausch, L., Edelberg, R., & Porges, S. W. (1996). Cardiac rhythm effects of .125-Hz paced breathing through a resistive load: Implications for paced breathing therapy and the polyvagal theory. Biofeedback and Self Regulation, 21, 131-147.
41. Saul, J. P., Berger, R. D., Chen, M. H., & Cohen, R. J. (1989). Transfer function analysis of autonomic regulation. II. Respiratory sinus arrhythmia. American Journal of Physiology, 256, 153-161.
42. Silverman, E. K., & Speizer, F. E. (1996). Risk factors for the development of chronic obstructive pulmonary disease. Medical Clinics of North America, 80, 501-522.
43. Stein, P. K., Nelson, P., Rottman, J. N., Howard, D., Ward, S. M., Kleiger, R. E., et al. (1998). Heart rate variability reflects severity of COPD in PiZ alpha1- antitrypsin deficiency. Chest, 113, 327-333.
44. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17, 354-381.
45. Tiep, B. L., Burns, M., Kao, D., Madison, R., & Herrera, J. (1986). Pursed-lips breathing training using ear oximetry. Chest, 90, 218-221.
46. Vaschillo, E. G. (1984). Dynamics of slow-wave cardiac rhythm structure as an index of the functional state of an operant. Unpublished doctoral dissertation, Leningrad State University, Russia.
47. Vaschillo, E., Lehrer, P., Rishe, N., & Konstantinov, M. (2002). Heart rate variability biofeedback as a method for assessing baroreflex function: A preliminary study of resonance in the cardiovascular system. Applied Psychophysiology and Biofeedback, 27, 1-27.
48. Volterrani, M., Scalvini, S., Mazzuero, G., Lanfranchi, P., Colombo, R., Clark, A. L., et al. (1994). Decreased heart rate variability in patients with chronic obstructive pulmonary disease. Chest, 106, 1432-1437.
49. Wigal, J. K., Creer, T. L., & Kotses, H. (1991). The COPD Self-Efficacy Scale. Chest, 99, 1193-1196.
50. Yasuma, F., & Hayano, J. (2001). Augmentation of respiratory sinus arrhythmia in response to progressive hypercapnia in conscious dogs. American Journal of Physiology: Heart and Circulatory Physiology, 280, H2336-H2341.
51. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.