The Effect of Pursed-Lip Breathing on Functional Capacity of Stable Chronic Obstructive Pulmonary Disease Patient Assessed by Six Minutes Walk Test
Dimas Hudy Ariadie(1*), Sumardi Sumardi(2), Herni Retnowulan(3)
(1) 
(2) 
(3) 
(*) Corresponding Author
Abstract
Background. The number of people with Chronic Obstructive Pulmonary Disease (COPD) in Indonesia isestimated to continue grow and currently has reached 4.8 million sufferers resulting in a large socio-economic burden. Management of COPD requires a comprehensive approach involving rehabilitation activities such as Pursed Lip Breathing (PLB) in order to increase the functional capacity of sufferers. Assessment of physical functional capacity of COPD patients can be evaluated through the Six Minute Walk Test / 6-minutes walk test, which can also assess changes in post-intervention functional capacity such as pulmonary rehabilitation
programs.
Aims. This study aimed to determine the effect of pulmonary rehabilitation with PLB technique for 4 weeks on the achievement of distance through a six-minute road test in COPD patients who received standard therapy.
Methods. An experimental, Randomized Controlled Trial (RCT) study was conducted on stable COPD patients with classification of Global Initiative for Chronic Obstructive Lung Disease stage II (GOLD 2) and GOLD 3 ( Stage III). The study was conducted at the Rumah Sakit Khusus Paru (RSKP) Respira Bantul, Yogyakarta. Subjects were taken randomly as a treatment Pursed Lips Breathing (PLB) or control group. The treatment group consisted of 38 subjects, doing PLB 8 minutes for 28 days (4 weeks) in a row. The placebo group consisted of 37 subjects only continuing the previous standard therapy. Six-minute walking test measurements were carried out in both groups before and after treatment and compared between the PLB and control groups. The difference in average delta range between groups that received PLB and controls was tested by unpaired t-test.
Results. There was a difference increase in the average delta range of the six-minute walk test which was not significant between the two study groups. The increase delta mean range in the six-minute walk test treatment group was greater (22.19 ± 45.54 meters) compared to the control group (18.54 ± 42.57 m), with a P = 0.720.
Conclusion. There was an improvement in functional capacity in the form of increased performance distance in the six-minute walk test for COPD patients who received standard therapy and pulmonary rehabilitation by pursed-lip breathing (PLB) technique.
Keywords
Full Text:
PDFReferences
References
American Thoracic Society Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. 2002. ATS statement: guidelines for the six minute walk test. Am
J Respir Crit Care Med, 166; 111-117
Bhat, R., Cote, G., Bittner, V., Gibbons K., Pouline F., Hill, K.,Hewitt, L. 2012. Volitional pursed lips breathing in patients with stable chronic obstructive pulmonary disease improves exercise capacity. Chronic Respiratory Disease; 10(1) 5–10.
Global Initiative for Chronic Obstructive Lung Disease (GOLD). 2015. Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease. Scientific Information and Recommendations for COPD programs. [Updated 2015]. Available from; URL: www.gold-copd.org.
Lamprecht, B., McBurnie, M. A., Vollmer, W.M., Gudmundson, G., Welte, T. 2011. COPD in Never smokers: Result from the
Population –based burden of obstructive lung disease study. Chest;10-1253.
Kemenkes RI. 2013 Riset Kesehatan Dasar. Riskesdas 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan
Kementerian Kesehatan RI 6. Miyamoto S, Nagaya N, Satoh T, Kyotani S, et. al. 2000. Clinical correlates and prognostic significance of six-minute walk test in patients with primary pulmonary hypertension. Am J Respir Crit Care Med;
:487–492
Nield, A.M., Hoo G.W.S., Roper, J.M., Santiago, S. 2007. Efficacy of Pursed-Lips Breathing: A Breathing Pattern Retraining Strategy For Dyspnea Reduction. Journal of Cardiopulmonary Rehabilitation and Prevention; 27:237/244.
Papathanasiou JV, Ilieva E, Marinov B. 2013. Six-Minute Walk Test: An Effective and Necessary Tool in Modern Cardiac
Rehabilitation. Hellenic J Cardiol; 54: 126-1309. Pradoyo, J., Felly, S., Kristanti, C.M., Soemantri, S. 2005. Transisi Epidemiologi di Indonesia. Pertemuan Rakornas Litbangkes, Bandung.
Sundoyo, A.W., Setiyohadi, B., Alwi, I., Simadibrata, K. M. 2010. Buku Ajar Ilmu Penyakit Dalam, Jilid I, Edisi V. Jakarta:
Interna Publishing
Visser, F.J., Ramlal, S., Dekhuijzen, P.N., Heijdra, Y.F. 2011. Pursed lips breathing improves inspiratory capacity in chronic obstructive pulmonary disease. Respiration;81(5): 372-8.
Zhang, Z.Q., Chen, R.C., Yang, Q.K.,Li, P., Wang, C.Z., Zhang, Z.H. 2008. A randomized controlled trial study of pulmonary rehabilitation with respiratory physiology as the guide on prognosis in patients with chronic obstructive pulmonary disease. Chinese Critical Care Medicine 20:607–10.
DOI: https://doi.org/10.22146/actainterna.61297
Article Metrics
Abstract views : 1854 | views : 1682Refbacks
- There are currently no refbacks.
Copyright (c) 2020 Acta Interna: The Journal of Internal Medicine
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Acta Interna The Journal of Internal Medicine Indexed by:
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.