Pursed lip breathing improves exercise tolerance in COPD: A randomized crossover study

European Journal of Physical and Rehabilitation Medicine

Volumn 51, Issue 1, 2015, Pages 79-88

  Ferracini Cabral, L ^a   Da Cunha D'Elia, T ^b   De Sousa Marins, D ^b   Araujo Zin, W ^b   Silva Guimaraes F ^b,c  

^a FEDERAL UNIVERSITY OF JUIZ DE FORA   (Brazil)

^b FEDERAL UNIVERSITY OF RIO DE JANEIRO   (Brazil)

^c Centro Universitário Augusto Motta   (Brazil)

Author keywords

Exercise tolerance; Pulmonary disease chronic obstructive; Rehabilitation; Respiratory mechanics

Indexed keywords

ADULT; AGED; BREATHING; CONTROLLED STUDY; CROSSOVER PROCEDURE; EXERCISE TEST; EXERCISE TOLERANCE; FEMALE; HUMAN; MALE; MIDDLE AGED; PHYSIOLOGY; PLETHYSMOGRAPHY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RANDOMIZED CONTROLLED TRIAL; SPIROMETRY;

ADULT; AGED; CROSS-OVER STUDIES; EXERCISE TEST; EXERCISE TOLERANCE; FEMALE; HUMANS; MALE; MIDDLE AGED; PLETHYSMOGRAPHY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RESPIRATION; SPIROMETRY;

EID: 84923697974     PISSN: 19739087     EISSN: 19739095     Source Type: Journal    
DOI: None     Document Type: Article

References (35)

1. O'Donnell DE. Hyperinflation, dyspnea, and exercise intolerance in chronic obstructive pulmonary disease. Proc Am Thorac Soc 2006;3:180-4.
2. O'Donnell DE, Laveneziana P, Webb K, Neder JA. Chronic obstructive Pulmonary Disease: Clinical Integrative Physiology. Clin Chest Med 2014;35:51-69.
3. O'Donnell DE, Laveneziana P. Physiology and consequences of lung hyperinflation in COPD. Eur Respir Rev 2006;15:61-7.
4. O'Donnell DE, Revill SM, Webb KA. Dynamic hyperinflation and exercise intolerance in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001;164:770-7.
5. Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C et al. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation: Key Concepts and Advances in Pulmonary Rehabilitation. Am J Respir Crit Care Med 2013;188:e13-e64.
6. Somfay A, Porszasz SM, Casaburi R. Dose-response effect of oxygen on hyperinflation and exercise endurance in nonhypoxaemic COPD patients. Eur Respir J 2001;18:77-84.
7. O'Donnell De, Flüge T, Gerken F, Hamilton A, Webb K, Aguilaniu B et al. Effects of tiotropium on lung hyperinflation, dyspnea and exercise tolerance in patients with COPD. Eur Respir J 2004;23:832-40.
8. Berton DC, Reis M, Siqueira ACB, Barroco AC, Takara LS, Bravo DM et al. Effects of tiotropium and formoterol on dynamic hyperinflation and exercise endurance in COPD. Respir Med 2010;104:1288-96.
9. Kitaguchi Y, Fujimoto K, Komatsu Y, Hanaoka M, Honda T, Kubo K. Additive efficacy of short-acting bronchodilators on dynamic hyperinflation and exercise tolerance in stable COPD patients treated with long-acting bronchodilators. Respir Med 2013;107:394-400.
10. Palange P, Valli G, Onorati P, Antonucci R, Paoletti P, Rosato A et al. Effect of heliox on lung dynamic hyperinflation, dyspnea, and exercise endurance capacity in COPD patients. J Appl Physiol 2004;97:1637-42.
11. Laveneziana P, Valli G, Onorati P, Paoletti P, Ferrazza AM, Palange P. Effect of heliox on heart rate kinetics and dynamic hyperinflation during high-intensity exercise in COPD. Eur J Appl Physiol 2011;111:225-34.
12. Porszasz J, Emtner M, Goto S, Somfay A, Whipp BJ, Casaburi R. Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD. Chest 2005;128:2025-34.
13. Visser FJ, Ramlal S, Dekhuizen PN, Heijdra YF. Pursed-lips breathing improves inspiratory capacity in chronic obstructive pulmonary disease. Respiration 2011;81:372-8.
14. Bianchi R, Gigliotti F, Romagnoli I, Lanini B, Castellani C, Binazzi B et al. Patterns of chest wall kinematics during volitional pursed-lip breathing in COPD at rest. Respir Med 2007;101:1412-8.
15. Garrod R, Dallimore K, Cook J, Davies V, Quade K. An evaluation of the acute impact of pursed lips breathing on walking distance in nonspontaneous pursed lips breathing chronic obstructive pulmonary disease patients. Chron Respir Dis 2005;2:67-72.
16. Faager G, Stahle A, Larsen LL. Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease. Clin Rehabil 2008;22:675-83.
17. Bhatt SP, Luqman-Arafath TK, Gupta AK, Mohan A, Stoltzfus JC, Dey T et al. Volitional pursed lips breathing in patients with stable chronic obstructive pulmonary disease improves exercise capacity. Chron Respir Dis 2013;10:5-10.
18. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A et al. ATS/ERS Task Force Standardisation of Lung Function Testing: Standardisation of spirometry. Eur Respir J 2005;26:319-38.
19. Knudson RJ, Lebowitz MD, Holberg CJ, Burrows B. Changes in normal maximal expiratory flow-volume curve with growth and aging. Am Rev Respir Dis 1983;127:725-34.
20. Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res 1999;32:719-27.
21. Neder JA, Nery LE, Castelo A, Andreoni S, Lerario MC, Sachs A et al. Prediction of metabolic and cardiopulmonary responses to maximum cycle ergometry: a randomised study. Eur Respir J 1999;14:1304-13.
22. Sackner MA, Watson H, Belsito AS, Feinerman D, Suarez M, Gonzales G et al. Calibration of respiratory inductive plethysmograph during natural breathing. J Appl Physiol 1989;66:410-20.
23. Sartene R, Dartus C, Bernard JL, Mathieu M, Goldman MD. Comparison of thoracoabdominal calibration methods in normal subjects. J Appl Physiol 1993;75:2142-50.
24. Thoman RL, Stoker GL, Ross JC. The efficacy of PLB in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1966;93:100-6.
25. Mueller RE, Petty TL, Filley GF. Ventilation and arterial blood gas changes induced by pursed lips breathing. J Appl Physiol 1970;28:784-9.
26. Breslin EH. The pattern of respiratory muscle recruitment during pursed-lips breathing COPD. Chest 1992;101:75-8.
27. Spahija J, Marchie M, Grassino A. Effects of imposed pursedlips breathing on respiratory mechanics and dyspnea at rest and during exercise in COPD. Chest 2005;128:640-50.
28. Tobin MJ, Chadha TS, Jenouri G, Birch SJ, Gazeroglu HB, Sackner MA. Breathing patterns. 2. Diseased subjects. Chest 1983;84:286-94.
29. Gilbert R, Anchincloss JR J, Peppi D. Relationship of rib cage and abdomen motion to diaphragm function during quiet breathing. Chest 1981;80:607-12.
30. Alves GS, Britto RR, Campos FC, Vilaça ABO, Moraes KS, Parreira VF. Breathing pattern and thoracoabdominal motion during exercise in chronic obstructive pulmonary disease. Braz J Med Biol Res 2008;41:945-50.
31. Puente-Maestu L, Villar F, De Miguel J, Stringer WW, Sanz P, Sanz ML et al. Clinical relevance of constant power exercise duration changes in COPD. Eur Respir J 2009;34:340-5.
32. Van't Hul A, Gosselink R, Kwakkel G. Constant-load cycle endurance performance: test-retest reliability and validity in patients with COPD. J Cardiopulm Rehabil 2003;23:143-50.
33. Yan S, Kaminski D, Sliwinski P. Reliability of inspiratory capacity for estimating end-expiratory lung volume changes during exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1997;156:55-9.
34. O'Donnell DE, D'Arsigny C, Webb KA. Effects of hyperoxia on ventilatory limitation during exercise in advanced chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001;163:892-8.
35. Krowka MJ, Enright L, Rodarte J, Hyatt RE. Effect of effort on measurement of forced expiratory volume in one second. Am Rev Respir Dis 1987;136:829-33.