Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

Authors

  • Sarawut Jansang Chulabhorn International College of Medicine, Thammasat University, Pathumthani 12121, Thailand
  • Parunkul Tungsukruthai Chulabhorn International College of Medicine, Thammasat University, Pathumthani 12121, Thailand
  • Sorachai Srisuma Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Kusuma Sriyakul Chulabhorn International College of Medicine, Thammasat University, Pathumthani 12121, Thailand
  • Aungkana Krajarng Chulabhorn International College of Medicine, Thammasat University, Pathumthani 12121, Thailand
  • Somboon Kietinun Chulabhorn International College of Medicine, Thammasat University, Pathumthani 12121, Thailand

DOI:

https://doi.org/10.48048/tis.2021.714

Keywords:

COPD, Pursed-lip breathing, Windmill toys, 6 minute-walk test

Abstract

Chronic obstructive pulmonary disease (COPD) is the third-highest cause of death in the world, also true in Thailand. There are various methods to treat COPD such as medication and non-drug therapies for respiratory rehabilitation. The aim of this study is to investigate the effectiveness of pursed-lip breathing (PLB) by using a windmill toy in COPD patients. The participants in this randomized controlled trial study were 60 to 75 years old. The total number of 46 participants were equally divided into 2 groups: The intervention group and the control group (23 participants each). The intervention group used breathing training through a windmill toy, whereas the control group received training in standard breathing patterns. The training was performed over sessions in 1 week. Lung function, respiratory muscle strength, and 6-minute walk test (6MWT) were recorded at baseline, and between 6 - 12 weeks (follow-up). The intervention group and the control group improved significantly in lung function and muscle strength (p < 0.05). In addition, 6MWT in the intervention group increased significantly when compared to the control group (p < 0.05) at week 12. In conclusion, the PLB using a windmill toy is a new form of breathing training that is effective in promoting the strength of the muscles used for breathing, lung performance, and cardiovascular function in COPD patients.

HIGHLIGHTS

  • The use of windmill toys is a new form of breathing exercise that is effective in strengthening
  • Using innovative models applied in medicine and public health to promote prevention of severe disease
  • The greatest benefit of pulmonary function training is that patients have a better quality of life and longer life

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

The Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017, Available at: http://www.goldcopd.org, accessed March 2017.

LF Cabral, TDC D'Elia, DDS Marins, WA Zin and FS Guimaraes. Pursed lip breathing improves exercise tolerance in COPD: A randomized crossover study. Eur. J. Phys. Rehabil. Med. 2015; 51, 79-88.

JB Gruenberger, J Vietri, DL Keininger and DA Mahler. Greater dyspnea is associated with lower health-related quality of life among European patients with COPD. Int. J. Chron. Obstruct. Pulmon. Dis. 2017; 12, 937-44.

EA Regan, D Curran-Everett, KF Hoth, GR Washko, J Black-Shinn, CE McEvoy, NA Hanania, CA Meldrum, AM Boriek and JW Ramsdell. Worsening quality of life in COPD is associated with increasing dyspnea, reduced walking distance and baseline expiratory gas trapping. Am. J. Respir. Crit. Care Med. 2015; 191, A2839.

S Jansang, T Mickleborough and D Suksom. Effects of pursed-lip breathing exercise using windmill

toy on lung function and respiratory muscle strength in the elderly. J. Med. Assoc. Thai. 2016; 99, 1046-51.

H Sahin, Y Varol, I Naz, N Aksel, F Tuksavul and A Ozsoz. The effect of pulmonary rehabilitation on COPD exacerbation frequency per year. Clin. Respir. J. 2018; 12, 165-74.

JI Kang, DK Jeong and H Choi. The effects of breathing exercise types on respiratory muscle activity and body function in patients with mild chronic obstructive pulmonary disease. J. Phys. Ther. Sci. 2016; 28, 500-5.

N Noonil, R Petsirasan and S Aekwarangkoon. Health-related quality of life and related factors in Thais with stable COPD. Walailak J. Sci. Tech. 2019; 16, 955-64.

D Pinkaew, J Leelarungrayub, K Wonglangka and J Klaphajone. Effect of artificial respiratory muscle training in patients with chronic obstructive pulmonary disease. Walailak J. Sci. Tech. 2018; 15, 669-78.

D Nikoletou, WD Man, N Mustfa, J Moore, G Rafferty, RL Grant, L Johnson and J Moxham. Evaluation of the effectiveness of a home-based inspiratory muscle training program in patients with chronic obstructive pulmonary disease using multiple inspiratory muscle tests. Disabil. Rehabi. 2016; 38, 250-9.

NS Kim, JH Seo, MH Ko, SH Park, SW Kang and YH Won. Respiratory muscle strength in patients with chronic obstructive pulmonary disease. Ann. Rehabil Med. 2017; 41, 659-66.

HD Morika, IK Sari, R Sandra and E Arman. The effect of pursed lip breathing exercise against decrease of breathing levels in chronic obstructive pulmonary disease. Int. J. Community Med. Publ. Health. 2019; 6, 4695-98.

NK Sari and Suhartono. Effect of self efficacy pursed lip breathing to decrease tightness and Improved oxygen saturation in patients with chronic obstructive pulmonary disease (COPD). Int. J. Med Res. Health Sci. 2016; 5, 17-21.

AF Mayer, M Karloh, KD Santos, CLD Araujo and AA Gu-lart. Effects of acute use of pursed-lips breathing during exercise in patients with COPD: A systematic review and meta-analysis. J. phys. 2018; 104, 9-17.

L Ps Mendes, KS Moraes, M Hoffman, D Sr Vieira, GA Ribeiro-Samora, SM Lage, RR Britto and VF Parreira. Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD. Comp. Stud. Respir. Care 2018; 64, 136-44.

R Gloeckl, T Schneeberger, I Jarosch and K Kenn. Pulmonary rehabilitation and exercise training in Chronic obstructive pulmonary disease. Dtsch Arztebl Int. 2018; 115, 117-23.

S Sakhaei, HE Sadagheyani, S Zinalpoor, AK Markani and H Motaarefi. The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Maced. J. Med. Sci. 2018; 6, 1851-6.

HAV Helvoort, LM Willems, PR Dekhuijzen, HWV Hees and YF Heijdra. Respiratory constraints during activities in daily life and the impact on health status in patients with early-stage COPD: A cross-sectional study. NPJ Prim. Care Respir. Med. 2016; 26, 16054.

H Ouyang. Effect of Chinese Tai chi exercise in COPD patients with moderate airflow limitation. Eur. Respir. J. 2012; 40, P3526.

MA Spruit, IM Augustin, LE Vanfleteren, DJA Janssen, S Gaffron, H Jan Pennings, F Smeenk, W Pieters, J J A M van den Bergh, AJan Michels, MT J Groenen, EP A Rutten, EF M Wouters and FM E Franssen. Differential response to pulmonary rehabilitation in COPD: Multidimensional profiling. Eur. Respir. J. 2015; 46, 1625-35.

AW Chan, A Lee, LK Suen and WW Tam. Tai chi Qigong improves lung functions and activity tolerance in COPD clients: A single blind, randomized controlled trial. Complement Ther. Med. 2011; 19, 3-11.

M Beaumont, P Forget, F Couturaud and G Reychler. Effects of inspiratory muscle training in COPD patients: A systematic review and meta-analysis. Clin. Respir. J. 2018; 12, 2178-88.

HY Chuang, HY Chang, YY Fang and SE Su‐Er Guo. The effects of threshold inspiratory muscle training in patients with chronic obstructive pulmonary disease: A randomised experimental study. J. Clin. Nurs. 2017; 26, 4830-8.

SHM Mehani. Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease. Clin. Interv. Aging 2017; 12, 1705-15.

MM Pulsakowska, K Wytrychowski and KR Piechura. The role of inspiratory muscle training in the process of rehabilitation of patients with COPD. Adv. Exp. Med. Biol. 2016; 885, 47-51.

K Klooster, NHT ten Hacken, JE Hartman, FC Sciurba, HAM Kerstjens and DJ Slebos. Determining the role of dynamic hyperinflation in patients with severe chronic obstructive pulmonary disease. Respiration 2015; 90, 306-13.

B McCarthy, D Casey, D Devane, K Murphy, E Murphy and Y Lacasse. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst. Rev. 2015; 2, CD003793.

AV Ovechkin, DG Sayenko, EN Ovechkina, SC Aslan, T Pitts and RJ Folz. Respiratory motor training and neuromuscular plasticity in patients with chronic obstructive pulmonary disease: A pilot study. Respir. Physiol. Neurobiol. 2016; 229, 59-64.

LM Gendron, A Nyberg, D Saey, F Maltais and Y Lacasse. Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease. Cochrane Database Syst. Rev. 2018; 10, CD012290.

H Duan, P Li, Z Wang, H Chen, T Wang, W Wu and X Liu. Effect of 12-week pulmonary rehabilitation on cognitive function in patients with stable chronic obstructive pulmonary disease: Study protocol for a single-center randomised controlled trial. BMJ Open 2020; 10, e037307.

CH Huang, GG Yang, YT Wu and CW Lee. Comparison of inspiratory muscle strength training effects between older subjects with and without chronic obstructive pulmonary disease. J. Fla. Med. Assoc. 2011; 110, 518-26.

DM Cardoso, R Gass, G Sbruzzi, DC Berton and MM Knorst. Effect of the expiratory positive airway pressure on dynamic hyperinflation and exercise capacity in patients with COPD: A meta-analysis. Sci. Rep. 2020; 10, 13292.

SS Miller. A Comparison of COPD patients’ quality of life using the harmonica as a means of pulmonary rehabilitation, Available at: http://hdl.handle.net/10755 /201965, accessed January 2012.

SB Bensten, E Langeland and AL Holm. Evaluation of self-management interventions for chronic obstructive pulmonary disease. J. Nurs. Manag. 2012; 20, 802-13.

Downloads

Published

2021-11-15

How to Cite

Jansang, S. ., Tungsukruthai, P. ., Srisuma, S. ., Sriyakul, K. ., Krajarng, A. ., & Kietinun, S. . (2021). Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients. Trends in Sciences, 18(23), 714. https://doi.org/10.48048/tis.2021.714