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The effect of pursed-lips breathing and diaphragm exercises on the quality of life of COPD patient assessed by six-minutes walk test

  • Mulyadi ,
  • Ida Muna Junita ,
  • Teuku Zulfikar ,
  • Nurrahmah Yusuf ,
  • Mulkan Azhary ,
  • Hotimah Masdan Salim ,


Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a chronic inflammation that causes a variety of pulmonary and systemic disorders. Pursed-lip breathing and diaphragmatic breathing exercises are useful techniques for improving ventilation, reducing the degree of breathlessness, enhancing performance, and improving quality of life. The aim of this study was to determine the effect of pursed-lip breathing and diaphragmatic breathing exercise on the value of the 6-min walk test and to improve quality of life by SGRQ in stable COPD patients.

Methods: This study was an experimental study using group control before and after examining 60 stable COPD patients at Dr. RSUD Lung Center. Zainoel Abidin from November 2019 to February 2020. Samples were extracted by systematic random sampling and divided into two groups. The intervention group received indacaterol bronchodilator therapy in addition to four weeks of apron and diaphragmatic breathing exercises. The control group received only indacaterol therapy. A 6-minute walk test was administered and a quality of life questionnaire was completed using the SGRQ. A t-test and Wilcoxon test were performed to assess differences between groups, level of significance p < 0.05).

Results: There was a significant effect on the 6-minute walk test in the intervention group compared with the control group (p = 0.001). There was a significant effect in improving quality of life using the SGRQ questionnaire in the intervention group compared with the control group (p = 0.001).

Conclusion: There was a significant effect on the six-minute walking test in the intervention group compared to the control group. There was a significant effect on improving the quality of life using the SGRQ questionnaire in the intervention group compared to the control group.

Keywords: COPD pursued-lips breathing diaphragmatic breathing exercise six-minute walk test SGRQ

References

  1. Broaddus VC, Murray JF, Nadel JA, Mason RJ Ernest JD, Lazarus SC et al. Murray and Nadel’s Textbook of Respiratory medicine. 6th ed. Elsevier; 2016.
  2. Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2007 Sep;176(6):532–55.
  3. (PDPI) PDPI. PPOK (Penyakit Paru Obstruktif Kronik). Jakarta: Universitas Indonesia; 2016.
  4. Borge CR, Hagen KB, Mengshoel AM, Omenaas E, Moum T, Wahl AK. Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews. BMC Pulm Med. 2014 Nov;14:184.
  5. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006 Jun;173(12):1390–413.
  6. Fishman JA, Grippi MA, Elias JA, Kotloff RM, Pack Al senior R. Fishman’s Pulmonary Disease and Disorder. 5th ed. 2015.
  7. Crapo RO, Casaburi R, Coates AL, Enright PL, MacIntyre NR, McKay RT, et al. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul;166(1):111–7.
  8. Bordoni B, Zanier E. Anatomic connections of the diaphragm: influence of respiration on the body system. J Multidiscip Healthc. 2013;6:281–91.
  9. Holland AE, Hill CJ, Jones AY, McDonald CF. Breathing exercises for chronic obstructive pulmonary disease. Cochrane database Syst Rev. 2012 Oct;10:CD008250.
  10. de Araujo CLP, Karloh M, Dos Reis CM, Palú M, Mayer AF. Pursed-lips breathing reduces dynamic hyperinflation induced by activities of daily living test in patients with chronic obstructive pulmonary disease: A randomized cross-over study. J Rehabil Med. 2015 Nov;47(10):957–62.
  11. Guyton, A., & Hall J. Textbook of Medical Physiology. 13th ed. University of Mississipi MedicalCenter Jackson; 2016.
  12. Divo M, Cote C, de Torres JP, Casanova C, Marin JM, Pinto-Plata V, et al. Comorbidities and risk of mortality in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2012 Jul;186(2):155–61.
  13. Bourdin A, Burgel P-R, Chanez P, Garcia G, Perez T, Roche N. Recent advances in COPD: pathophysiology, respiratory physiology and clinical aspects, including comorbidities. Eur Respir Rev an Off J Eur Respir Soc. 2009 Dec;18(114):198–212.
  14. Zhang W, Mehta AJ. The historical perspective on pursed lip breathing exercises and its role in pulmonary rehabilitation programs. Med Res Arch. 2018;6.
  15. Malik SS, Tassadaq N. Effectiveness of Deep Breathing Exercises and Incentive Spirometry on Arterial Blood Gases in Second Degree Inhalation Burn Patients. J Coll Physicians Surg Pak. 2019 Oct;29(10):954–7.
  16. B B. Proposal for a New Manual Evaluation Scale for the Diaphragm Muscle: Manual Evaluation of the Diaphragm Scale – MED Scale. Int J Complement Altern Med. 2017;7(6).
  17. Casanova C, Cote CG, Marin JM, de Torres JP, Aguirre-Jaime A, Mendez R, et al. The 6-min walking distance: long-term follow up in patients with COPD. Eur Respir J. 2007 Mar;29(3):535–40.
  18. Wiyono WH, Riyadi J, Yunus F, Ratnawati A, Prasetyo SB. The benefit of pulmonary rehabilitation against quality of life alteration and functional capacity of chronic obstructive pulmonary disease patient assessed using St George’s respiratory questionnaire and 6 minutes walking distance test. Med J Indones. 2006;15:165–72.
  19. Fernandes M, Cukier A, Feltrim MIZ. Efficacy of diaphragmatic breathing in patients with chronic obstructive pulmonary disease. Chron Respir Dis. 2011;8(4):237–44.
  20. Shaji H, Cecily J, Alotaibi AA. Effectiveness of Breathing Exercises on Pulmonary Function Parameters and Quality of Life of Patients with Chronic Obstructive Pulmonary Disease. Int J Heal Sci Res [Internet]. 2013;3(March 2015):11. Available from: www.ijhsr.org
  21. Dourado VS, Tanni SE, Antunes LCO, Paiva SAR, Campana AO, Renno ACM, et al. Effect of three exercise programs on patients with chronic obstructive pulmonary disease. Brazilian J Med Biol Res. 2009;42(3):263–71.

How to Cite

Mulyadi, Junita, I. M. ., Zulfikar, T. ., Yusuf, N. ., Azhary, M. ., & Salim, H. M. . (2022). The effect of pursed-lips breathing and diaphragm exercises on the quality of life of COPD patient assessed by six-minutes walk test. Bali Medical Journal, 11(3), 1116–1120. https://doi.org/10.15562/bmj.v11i3.3474
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