Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects
Braz. j. phys. ther. (Impr.)
;
18(4): 291-299, 08/2014. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-718141
ABSTRACT
BACKGROUND:
Diaphragmatic breathing (DB) is widely used in pulmonary rehabilitation (PR) of patients with chronic obstructive pulmonary disease (COPD), however it has been little studied in the scientific literature. The Pilates breathing (PB) method has also been used in the rehabilitation area and has been little studied in the scientific literature and in COPD.OBJECTIVES:
To compare ventilatory parameters during DB and PB in COPD patients and healthy adults.METHOD:
Fifteen COPD patients (COPD group) and fifteen healthy patients (healthy group) performed three types of respiration natural breathing (NB), DB, and PB, with the respiratory pattern being analyzed by respiratory inductive plethysmography. The parameters of time, volume, and thoracoabdominal coordination were evaluated. After the Shapiro-Wilk normality test, ANOVA was applied followed by Tukey's test (intragroup analysis) and Student's t-test (intergroup analysis; p<0.05).RESULTS:
DB promoted increase in respiratory volumes, times, and SpO2 as well as decrease in respiratory rate in both groups. PB increased respiratory volumes in healthy group, with no additional benefits of respiratory pattern in the COPD group. With respect to thoracoabdominal coordination, both groups presented higher asynchrony during DB, with a greater increase in the healthy group.CONCLUSIONS:
DB showed positive effects such as increase in lung volumes, respiratory motion, and SpO2 and reduction in respiratory rate. Although there were no changes in volume and time measurements during PB in COPD, this breathing pattern increased volumes in the healthy subjects and increased oxygenation in both groups. In this context, the acute benefits of DB are emphasized as a supporting treatment in respiratory rehabilitation programs. .
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Respiration
/
Muscle diaphragme
/
Broncho-pneumopathie chronique obstructive
Type d'étude:
Essai clinique contrôlé
/
Étude observationnelle
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Braz. j. phys. ther. (Impr.)
Thème du journal:
MEDICINA FISICA E REABILITACAO
Année:
2014
Type:
Article
/
descriptif de projet
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade Federal de São Carlos (UFSCar)/BR
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