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Objective:To explore the effects of respiratory training on pulmonary and motor function for patients with Parkinson's disease. Methods:From January, 2018 to November, 2019, 60 inpatients with idiopathic Parkinson's disease from the Second Rehabilitation Hospital of Shanghai were randomly divided into control group (n = 30) and experimental group (n = 30). All the patients accepted routine rehabilitation, while the experimental group accepted respiratory training with Power Breathe in addition. They were measured the pulmonary function, and assessed with Unified Parkinson's Disease Rating Scale (UPDRS) part II and III, and modified Barthel Index (MBI) before and four weeks after treatment. Results:The scores of UPDRS II and III, and MBI improved in both groups after treatment (|t| > 2.550, P < 0.05), while the forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and maximum expiratory flow rate at 50% vital capacity (MEF50) increased in the experimental group (|t| > 2.838, P < 0.01), but did not in the control group (|t| < 1.058, P > 0.05). FVC, FEV1, MEF50, MBI score and UPDRS II score improved more in the experimental group than in the control group (|t| > 2.191, P < 0.05). Conclusion:Respiratory training can improve pulmonary function for patients with Parkinson's disease, to further improve their activities of daily living. No synergistic effect is found on motor function.
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Objective:To evaluate the clinical effectiveness and safety of a respiratory training device (patent No.201320672057.6), which was developed and produced in China.Methods:Sixty patients with chronic respiratory diseases admitted in China-Japan Friendship Hospital from May 2019 to July 2019 were enrolled in the study. Patients were randomly divided into trial group ( n=30) and control group ( n=30), in the trial group, respiratory training device was used on the basis of conventional treatment, while in the control group, patients received conventional treatment only. Baseline data were collected at the time of enrollment, patients were followed up every 4 weeks, and the final data were collected at the 16th week. The primary outcomes were mMRC score, LCQ score and expectoration. The secondary outcomes were pulmonary function, respiratory muscle strength, SpO 2, FeNO, SGRQ score, times of acute exacerbation and adverse events. Results:There was no significant difference in proportion of decreased mMRC score between trial group and control group [36.0% (9/25) vs. 23.1% (6/26), Z=-1.044, P=0.301). On expectoration, the decrease rate of no-sputum patients in the trial group was significantly higher than that in the control group [28.0%(7/25) vs. 7.7%(2/26), Z=2.050, P=0.041]. In addition, 56%(14/25) patients in the trial group had a decrease in sputum volume compared to 19.2%(5/26)in the control group ( Z=-2.574, P=0.010). There was no statistical difference between the two groups before and after the follow-up in LCQ score( F=0.668, P=0.418). The PEF of pulmonary function in the trial group was significantly improved compared to the baseline( F=4.532, P=0.039); and R 35 was also significantly improved in the trial group( F=4.125, P=0.048). In terms of quality of life, the study found no statistical differences in SGRQ scores between baseline and follow-up. However, the SGRQ symptom score decreased significantly in trial group( F=7.481, P=0.009). There was no statistical difference in acute exacerbation between the two groups ( Z=0.297, P=0.766). No adverse events occurred during the follow-up period. Conclusions:This study evaluated the clinical effectiveness and safety of a respiratory training device developed in China. In terms of the clinical effectiveness, the device can reduce sputum, increase PEF, reduce R 35, indicating that there is a certain therapeutic effect. It is not clear that the device can reduce the severity of dyspnea and pulmonary function, improve quality of life, reduce the times of acute exacerbation. In terms of safety, the device did not show adverse effects during follow-up in this study.
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Objective:To explore the effect of staged respiratory training in pulmonary rehabilitation nursing of patients with high spinal cord injury.Methods:A total of 76 patients with high spinal cord injury in the Second Affiliated Hospital of Air Force Military Medical University from January 2018 to December 2019 were selected as the study subjects, and were divided into the control group and the observation group with random number table method, 38 cases each. The control group was given conventional respiratory training, while the observation group was given staged respiratory training. Both groups were intervened 6 days a week for 8 weeks. The differences of basic indexes, pulmonary ventilation function, respiratory muscle strength and incidence of pulmonary infection between the two groups before and after intervention were compared.Results:After 8 weeks of intervention, the blood oxygen saturation was 0.95±0.04 in the observation group and 0.90±0.04 in the control group, there was significant difference ( t value was 4.229, P<0.001). The percentages of predicted values of maximal vital capacity, forced expiratory vital capacity, forced expiratory volume in 1s, and maximal ventilation were (69.21±11.38)%, (61.83±11.53)%, (56.50±7.86)%, (51.62±8.73)% in the observation group after 8 weeks of intervention, and (56.70±14.65)%, (49.82±15.06)%, (45.61±10.32)%, (42.30±15.11)% in the control group, there was significant difference ( t values were 3.610-4.967, P<0.001). The inspiratory muscle strength index was (56.12±18.31) cmH 2O(1 cmH 2O= 0.098 kPa) in the observation group after intervention, and (46.61±11.62) cmH 2O in the control group, there was significant different ( t value was 2.806, P<0.01). The incidence of pulmonary infection was 5.26% (2/38) in the observation group and 15.78% (6/38) in the control group, there was no significant difference ( χ2 value was 2.235, P>0.05). Conclusions:Stage respiratory training can promote lung rehabilitation of patients with high spinal cord injury, which is worthy of promotion and application.
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Respiratory training can prevent and treat nonspecific low back pain, mainly by activating the deep stabilizing muscles of trunk, establishing appropriate intra-abdominal pressure and optimizing the proprioceptive input of lumbar back, so as to maintain the stability and control of the spine. At present, the commonly used breathing training methods in clinic mainly include diaphragmatic breathing, inspiratory muscle training and abdominal breathing. However, the formulation of respiratory training prescriptions and the comparative study of therapeutic effects among different respiratory training methods still need to be further explored.
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Objective@#To observe any curative effect on dysphagia of freehand respiratory training applied to hemiplegic stroke survivors.@*Methods@#Forty-eight hospitalized, hemiplegic stroke survivors were randomly divided into an observation group and a control group, each of 24. Both groups received routine stroke rehabilitation, including motor function training, exercise training, physical therapy and swallowing training. The observation group was additionally provided with barehanded breathing function training, mainly consisting of cough glottis exercise, lip constriction aspiration exercise, chest movement exercise, abdominal muscle contraction and relaxation exercise, as well as abdominal aspiration training. The intervention lasted for 6 weeks for both groups. Before and after the intervention the maximum breathing time, first and second forced volume (FEV1), forced vital capacity (FVC), maximum inspiratory pressure (PImax), standardized swallowing assessment (SSA), Kubota drinking water test (KDWT) and functional dysphagia scale (FDS) scoring were quantified for both groups.@*Results@#There was no significant difference between the two groups′ averages on any of the measurements before the intervention. Afterward, however, the average maximal breathing time, FEV1, FVC, and PImax of the observation group were all significantly higher than before the intervention and significantly higher than those of the control group. After treatment, the observation group′s average KDWT efficiency was not, however, significantly better than that of the control group. Moreover, after the treatment the average SSA and FDS of the observation group were significantly lower than those of the control group, as well as significantly better than before the treatment.@*Conclusion@#Barehanded breathing function training can supplement routine rehabilitation to significantly improve the breathing of stroke survivors.
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Objective To observe any curative effect on dysphagia of freehand respiratory training applied to hemiplegic stroke survivors. Methods Forty-eight hospitalized, hemiplegic stroke survivors were randomly divid-ed into an observation group and a control group, each of 24. Both groups received routine stroke rehabilitation, in-cluding motor function training, exercise training, physical therapy and swallowing training. The observation group was additionally provided with barehanded breathing function training, mainly consisting of cough glottis exercise, lip constriction aspiration exercise, chest movement exercise, abdominal muscle contraction and relaxation exercise, as well as abdominal aspiration training. The intervention lasted for 6 weeks for both groups. Before and after the inter-vention the maximum breathing time, first and second forced volume ( FEV1 ) , forced vital capacity ( FVC) , maxi-mum inspiratory pressure ( PImax ) , standardized swallowing assessment ( SSA ) , Kubota drinking water test (KDWT) and functional dysphagia scale (FDS) scoring were quantified for both groups. Results There was no significant difference between the two groups' averages on any of the measurements before the intervention. Afterward, however, the average maximal breathing time, FEV1 , FVC, and PImax of the observation group were all significantly higher than before the intervention and significantly higher than those of the control group. After treatment, the obser-vation group's average KDWT efficiency was not, however, significantly better than that of the control group. Moreo-ver, after the treatment the average SSA and FDS of the observation group were significantly lower than those of the control group, as well as significantly better than before the treatment. Conclusion Barehanded breathing function training can supplement routine rehabilitation to significantly improve the breathing of stroke survivors.
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Objective To explore the effect of electrical stimulation breathing training on cardiopulmonary function and quality of life of patients with non- small cell lung cancer during rehabilitation period. Methods A total of 136 patients with lung cancer who were treated in Harbin Medical University of Cancer Hospital from January 2017 to February 2018 were randomly divided into control group (67 cases) and experimental group (69 cases). Patients in the control group were given routine nursing and treatment, while patients in the experimental group were given electrical stimulation breathing training for 4 weeks on the basis of routine nursing and treatment. Cardiopulmonary function and quality of life were compared between the two groups at 4, 8 and 12 weeks after intervention. Results The 6-minute walking test results in experimental group for 4, 8 and 12 weeks were (483.36 ± 31.25), (494.61 ± 30.92) and (507.05 ± 32.79) m, which were significantly higher than those in control group (472.06±29.64), (482.85±31.15) and (490.18±32.01) m. The difference was significant (t=2.162, 2.209, 3.035, all P<0.01). Borg index in experimental group for 4, 8 and 12 weeks were 1.0 (0.5, 2.0), 0.5 (0.0, 1.0), 0.0 (0.0, 0.5) , which were significantly lower than those in control group 2.0 (1.0, 2.0), 1.0 (0.5, 2.0), 0.5 (0.5, 1.0), and 0.5 (0.5, 1.0). The difference was significant (Z=2.225, 2.692, 3.236, P<0.05). The scores of physiological function, physiological function, physical pain, general health, vitality, social function, emotional function, mental health of quality of life in experimental group for 12 weeks were (88.42 ± 13.52), (73.64 ± 19.83), (80.51 ± 15.32), (70.22 ± 14.92), (69.64 ± 13.09), (85.28 ± 16.95), (75.93 ± 18.22), (71.24±12.61), which were significantly higher than those in control group (83.14±14.15), (64.51± 20.14), (73.15±16.48), (64.68±15.27), (63.96±14.01), (73.59±17.54), (64.07±19.81), (66.35±13.61). The difference was statistically significant (t =2.636-3.636, P < 0.05). Conclusions Electric stimulation breathing training can improve the cardiopulmonary function and quality of life of patients with non-small cell lung cancer after surgery, and promote lung rehabilitation of patients after surgery, which is worthy of clinical promotion.
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Objective@#To explore the effect of electrical stimulation breathing training on cardiopulmonary function and quality of life of patients with non-small cell lung cancer during rehabilitation period.@*Methods@#A total of 136 patients with lung cancer who were treated in Harbin Medical University of Cancer Hospital from January 2017 to February 2018 were randomly divided into control group (67 cases) and experimental group (69 cases). Patients in the control group were given routine nursing and treatment, while patients in the experimental group were given electrical stimulation breathing training for 4 weeks on the basis of routine nursing and treatment. Cardiopulmonary function and quality of life were compared between the two groups at 4, 8 and 12 weeks after intervention.@*Results@#The 6-minute walking test results in experimental group for 4, 8 and 12 weeks were (483.36±31.25), (494.61±30.92) and (507.05±32.79) m, which were significantly higher than those in control group (472.06±29.64), (482.85±31.15) and (490.18±32.01) m. The difference was significant (t= 2.162, 2.209, 3.035, all P < 0.01). Borg index in experimental group for 4, 8 and 12 weeks were 1.0 (0.5, 2.0), 0.5 (0.0, 1.0), 0.0 (0.0, 0.5), which were significantly lower than those in control group 2.0 (1.0, 2.0), 1.0 (0.5, 2.0), 0.5 (0.5, 1.0), and 0.5 (0.5, 1.0). The difference was significant (Z= 2.225, 2.692, 3.236, P < 0.05). The scores of physiological function, physiological function, physical pain, general health, vitality, social function, emotional function, mental health of quality of life in experimental group for 12 weeks were (88.42±13.52), (73.64±19.83), (80.51±15.32), (70.22±14.92), (69.64±13.09), (85.28±16.95), (75.93±18.22), (71.24±12.61), which were significantly higher than those in control group (83.14±14.15), (64.51±20.14), (73.15±16.48), (64.68±15.27), (63.96±14.01), (73.59±17.54), (64.07±19.81), (66.35±13.61). The difference was statistically significant (t=2.636-3.636, P < 0.05).@*Conclusions@#Electric stimulation breathing training can improve the cardiopulmonary function and quality of life of patients with non-small cell lung cancer after surgery, and promote lung rehabilitation of patients after surgery, which is worthy of clinical promotion.
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The number of people with chronic diseases rises rapidly in recent years worldwide. Except for drug medication, mind-body exercises are indispensable for chronic disease management. Traditional Chinese practice (TCP), as an integrative intervention, is known as an effective means to keep in good health and fitness, as well as help regulate emotion. This paper introduces the domestic and overseas studies on effectiveness of TCP for chronic diseases, and explores the key action links from three aspects, including functional training of multiple-joint guided by consciousness, relieving psychological risk factors, improving respiratory and digestive function, blood and lymph circulation through respiratory training, and regulation of nerve, metabolic, and immune system. Finally, the authors discussed how to integrate TCP in the chronic disease management, and put forward that the practice methods and evaluation standard should be assessed academically.
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Objective To investigate the effect of respiratory training on sleep breathing parameters in cerebral infarction patients complicated with obstructive sleep apnea syndrome(OSAS). Methods From March 1st,2016 to August 30th,2017,60 young and middle-aged patients with cerebral infarction in bas-al ganglia complicated with OSAS in Wenzhou Hospital were divided into control group and respiratory training group with 30 cases in each group.All subjects underwent clinical data registration,and received conventional treatment and rehabilitation.The respiratory training group accepted manual respiratory training in addition,once a day,five times a week,for eight weeks.Before and after treatment,they were monitored to access apnea-hypop-nea index(AHI),maximum oral pressure,average oxyhemoglobin saturation(SaO2),the lowest SaO2,the oxygen desaturation index,duration of lowest SaO2,and time percentages of SaO2<90% and<80%. Results After treatment,the AHI,the maximum oral pressure,the average SaO2,the lowest SaO2and the time percentage of SaO2<90% were better in the respiratory training group than in the control group(t>3.086,P<0.01). Conclusion Respiratory training could improve the respiratory function, reduce the airway resistance, and relieve the nocturnal sleep apnea symptom. It may be one of the rehabilitation methods for brain injury complicated with OSAS.
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Objective To explore the effect of modified meridian breathing training on the lung function of acute stroke patients. Methods Sixty acute stroke patients were randomly divided into an intervention group and a control group, each of 30. In addition to the conventional neurological treatment, the control group received routine breathing training, while the intervention group was given modified meridian breathing training by professional reha-bilitation therapists once a day for 4 weeks. Forced vital capacity ( FVC) and forced expiratory volume in one second ( FEV1) , as well as the rate of pulmonary infection were assessed before and after the treatment. Results After 4 weeks of treatment, a significant increase was observed in the average FEV1 and FVC of both groups, but the im-provement in the intervention group was significantly greater than in the control group. There were 3 lung infections ( 10％) in the intervention group, which was significantly lower than the 7 cases ( 23. 3％) in the control group. Conclusion Modified meridian breathing training can improve the lung function of acute stroke patients and reduce the incidence of lung infection.
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Objective To observe the effect of phrenic nerve electrical stimulation combined with respiratory training on the pulmonary function,trunk stability and balance of stroke survivors.Methods Thirty-six stroke survivors were randomly divided into a control group and a training group,each of 28.Both groups were given routine rehabilitation treatment (including physical agent therapy and combined training of the limbs),while the training group was additionally provided with phrenic nerve electrical stimulation combined with respiratory training once a day for six weeks.Before and after the treatment,the forced vital capacity (FVC),forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) of both groups were recorded.The Sheikh trunk control scale (TCT) was used to quantify their trunk stability,and balance was quantified using the Berg balance function scale (BBS).Results After six weeks of treatment the average FVC,FEV1 and PEF values of the training group were significantly higher than before the treatment,and significantly better than those of the control group after the treatment.Moreover,significant improvement was observed in the average TCT and BBS scores of both groups after the intervention,with the training group's average significantly higher than that of the contrcl group.Conclusion Phrenic nerve electrical stimulation combined with respiratory training can further improve the pulmonary function and balance function of stroke survivors as a supplement to routine rehabilitation treatment.Therefore,it is worth popularizing in clinical practice.
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Objective To explore the effects of three kinds of respiratory training methods on pulmonary function and quality of life in patients with thoracic cancer radiotherapy. Methods A total of 76 patients with thoracic cancer were divided into the control group (20 cases), the retracting-lip breathing group (19 cases), the blowing balloons group (18 cases), and the resisting respiratory exercise group (19 cases) by the draw method. Based on conventional health services, the retracting-lip breathing group, the blowing balloons group, and the resisting respiratory exercise group were given respiratory training (one month), whereas the control group only followed routine nursing care. The pulmonary function and quality of life were measured at the first and the thirtieth day of radiotherapy by electronic pulmometer and quality of life instruments for cancer patients-general module respectively. Results The indicators of pulmonary function at thirtieth day of patients in each group were lower than those at the first day, the intragroup differences were significantly (t=2.17-6.32, P0.05). Scores of quality of life of the retracting-lip breathing group were (78.74±5.51) points, the blowing balloons group were (78.43 ± 7.41) points, the resisting respiratory exercise group were (79.11 ± 8.84) points, which were significantly increased than that of control group (73.01 ± 7.46) points(F=3.00, P < 0.05). Conclusions The pulmonary function of patients with thoracic cancer radiotherapy significantly reduces after radiotherapy. Three kinds of respiratory training show no effects on pulmonary function, but the quality of life of patients with thoracic cancer radiotherapy could be improved.
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Objective To observe the effect of respiratory training on post-stroke dysphagia.Methods Forty-two stroke survivors with dysphagia were randomly divided into a control group and an observation group,each of 21.Both groups were given routine swallowing training,while the observation group was additionally provided with respiratory training once a day for 4 weeks.Before and after the treatment,the Kubota drinking water test (KDWT) was administered and a videofluoroscopic swallowing study (VFSS) was performed to assess swallowing function.Forced vital capacity (FVC),forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) were also measured to assess the subjects' pulmonary function.Results After the treatment,the average KDWT and VFSS scores were significantly better in the observation group than in the control group.The effectiveness rate of the observation group (85.71％) was significantly higher than that of the control group (61.90％).After the intervention,the average FVC [(3.57-±0.48)L],FEV1[(2.83±0.49) L/s] and PEF [(5.36±1.04) L/s] of the observation group were significantly better than those before the treatment and those of the control group after the treatment.Conclusion Swallowing training supported by respiratory training is superior to swallowing training alone for improving the swallowing (and pulmonary) function of post-stroke dysphagia patients.Such combined treatment is worthy of application in clinical practice.
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Objective To investigate the effect of respiratory training apparatus on reducing pulmonary complications in patients undergoing gastric cancer surgery. Methods From March 2015 to October 2016,265 cases of radical gastrectomy were performed,134 cases in the control group,131 cases in the experimental group.The control group received routine pulmonary care,and the experimental group used respiratory training apparatus for respiratory exercises. The incidence of postoperative pulmonary complications and postoperative hospital stay were compared between the 2 groups. Results The incidence of pulmonary complications was 9.7% (13/134) in the control group, 3.1% (4/131) in experimental group, the difference was statistically significant (χ2=4.88, P<0.05). The postoperative hospitalization was (10.66 ± 3.38) d in experimental group, (13.66 ± 6.80) d in control group, there was statistical significant differences(t=4.53,P<0.01). Conclusions The use of breathing apparatus to train lung function can effectively reduce the incidence of postoperative pulmonary complications and shorten the postoperative hospital stay in patients with gastric cancer.
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Objective To investigate the effects of respiratory training on motor function in patients with acute stroke. Methods From 2012 to 2014, 80 patients with acute stroke were randomly assigned into treatment group and control group equally. The control group re-ceived routine rehabilitation training, while the treatment group received respiratory training in addition. All the patients were assessed with Fugl-Meyer Assessment (FMA) and modified Bathel Index (MBI) before and eight weeks after treatment. Results The scores of FMA and MBI improved more in the treatment group than in the control group (t>3.938, P<0.001) after treatment. Conclusion Respiratory training may promote the recovery of motor function in acute stroke patients.
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Objective To study the effect of Sopfrology childbirth method training,Kegel training and Lamaze respiratory training (SLK training) on depression and sexual life of perinatal pregnant woman..Methods The women in 24 weeks of pregnancy who came to the clinic to receive the pregancy test were divided into study group(n=232) and control group(n=126) according whether they voluntered to participate the study.All the women in two group were subjected to regular prenatal care and the women in study group received SLK training additionally.The depression,pelvic floor muscle tension and female sexual function index were evaluated by Self Rating Depression Scale(SDS),the Pelvic Floor Muscle Examination Grading Standards and the Female Sexual Function Inventory (FSFI) respectively.Results 6 months after delivery,the incidence of depression,SDS score,pelvic floor muscle tension score and live index standard rate in study group and the control group respectivelywere(10.3％ vs 18.3％),((43.6±5.1) vs(45.3±6.3)),((3.36±0.33) vs(2.46±0 89)),(81.5％ vs 65.9％),and the differences were statistically significant(P＜0.05).Conclusion SLK training program for perinatal women has the effects of preventing,treating prenatal depression and postpartum depression,improves pregnancy index and the quality of sexual life,worthy of further study.
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Objective To systematically evaluate the type and magnitude of effectiveness of pulmonary rehabilitation program on patients diagnosed with chronic obstructive pulmonary disease (COPD) in none-acute phases.Methods Two investigators independently searched three databases including Cochrane library,Pub Med and CNKI to collect randomized controlled trials about Pulmonary Rehabilitation Program on COPD Patients.A total of 17 trials were included.The quality of these RCTs was evaluated by two investigators and the combination of study results was conducted using RevMan 5.0.2 software.Results Pulmonary Rehabilitation Program could improve COPD patients' exercise tolerance,quality of life,lung function and blood oxygen level.It was also beneficial to patients' discomforts including dyspnea and fatigue.Conclusions The meta-analysis had identified a significant effect of pulmonary rehabilitation program on COPD patients,so nurses are suggested to integrate effective programs into clinical practice.
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Objective To quantify the effect of gradual respiratory functional training on the lung function and quality of life (QOL) of patients convalescing from Guillain-Barré syndrome (GBS). Methods Thirty-two GBS patients were randomly divided into two groups a control group which received routine nursing and a respiratory function training group.The training was in three stages:thoracic or/and abdominal respiration,deep breathing and respiratory exercise.After 2 and 4 months of treatment,the 16 min walk test and the SF-36 health questionnaire were used to evaluate the subjects' lung function,motor capacity and QOL. Results After 2 and 4 months of treatment,vital capacity (VC),forced vital capacity (FVC),forced expiratory volume in one second (FEV1) and maximal ventilatory volume (MVV) had all improved significantly in the training group.Their 6 min walk distances and QOL ( in all 8 domains) had also improved significantly.The average VC.FVC.FEV1 and MVV in the control group all decreased slightly but the decreases were not significant.Their 6 min walk distances had improved significantly,however,as had the physical function,mental health.psychological role,physical pain and integrated health domains of their QOL. Conclusion Training the respiratory functional of GBS patients during convalescence can prevent the lung function decay due to muscle weakness,and can also improve motor ability and QOL.
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INTRODUCTION: Asthma in older adults is frequently underdiagnosed, as reflected by approximately 60 percent of asthma deaths occurring in people older than age 65. OBJECTIVE: The present study evaluates the effects of a respiratory exercise program tailored for elderly individuals with asthma. We are not aware of any other reports examining breathing exercises in this population. METHODS: Fourteen patients concluded the 16-week respiratory exercise program. All the patients were evaluated with regard to lung function, respiratory muscle strength, aerobic capacity, quality of life and clinical presentation. RESULTS: After 16 weeks of this open-trial intervention, significant increases in maximum inspiratory pressure and maximum expiratory pressure (27.6 percent and 20.54 percent, respectively) were demonstrated. Considerable improvement in quality of life was also observed. The clinical evaluations and daily recorded-symptoms diary also indicated significant improvements and fewer respiratory symptoms. A month after the exercises were discontinued, however, detraining was observed. DISCUSSION: In conclusion, a respiratory exercise program increased muscle strength and was associated with a positive effect on patient health and quality of life. Therefore, a respiratory training program could be included in the therapeutic approach in older adults with asthma.