Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD

Detalhes bibliográficos
Autor(a) principal: Liliane Patrícia de Souza Mendes
Data de Publicação: 2019
Outros Autores: Karoline Simões Moraes, Mariana Hoffman, Danielle Soares Rocha Vieira, Giane Amorim Ribeiro Samora, Susan Martins Lage, Raquel Rodrigues Britto, Verônica Franco Parreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.4187/respcare.06319
http://hdl.handle.net/1843/40266
http://orcid.org/0000-0002-2602-3433
https://orcid.org/ 0000-0002-8818-2958
https://orcid.org/0000-0001-6222-6142
http://orcid.org/0000-0001-5102-369X
http://orcid.org/0000-0002-9533-3654
http://orcid.org/0000-0003-0374-9319
Resumo: CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
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spelling 2022-03-21T13:37:12Z2022-03-21T13:37:12Z2019642136144https://doi.org/10.4187/respcare.063191943-3654http://hdl.handle.net/1843/40266http://orcid.org/0000-0002-2602-3433https://orcid.org/ 0000-0002-8818-2958https://orcid.org/0000-0001-6222-6142http://orcid.org/0000-0001-5102-369Xhttp://orcid.org/0000-0002-9533-3654http://orcid.org/0000-0003-0374-9319CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorBACKGROUND: Breathing exercises, such as diaphragmatic breathing and pursed-lips breathing, play a role in some individuals with COPD and might be considered for those patients who are unable to exercise. However, in the literature are reports of some adverse effects of diaphragmatic breathing in patients with COPD. Thus, the purpose of this study was to assess the effects of diaphragmatic breathing and diaphragmatic breathing combined with pursed-lips on chest wall kinematics, breathlessness, and chest wall asynchrony in subjects with COPD, and also to assess whether the combination of both exercises reduces the adverse effects of diaphragmatic breathing while maintaining its benefits. METHODS: Seventeen subjects with COPD, mean ± SD, 65 ± 7 y of age, with a history of smoking and clinical stability without hospitalization or symptoms of exacerbation in the past 4 wk, were evaluated. On day 1, participants' characteristics were collected, and they learned diaphragmatic breathing and its combination with pursed-lips breathing. On day 2, the participants were evaluated by optoelectronic plethysmography with the participants in the seated position while performing breathing exercises. RESULTS: Diaphragmatic breathing and diaphragmatic breathing plus pursed-lips breathing promoted a significant increase in chest wall tidal volume and its compartments as well as a reduction in breathing frequency compared with quiet breathing. No significant changes were observed in dyspnea or end-expiratory volume of the chest wall. A significant increase in asynchrony (inspiratory-expiratory phase ratio) was observed during diaphragmatic breathing and diaphragmatic breathing plus pursed-lips breathing compared with quiet breathing, with no differences observed between the exercises. CONCLUSIONS: Despite the increase in asynchrony, both breathing exercises were able to improve chest wall volumes without affecting dyspnea. The combination of exercises maintained the benefits but did not reduce the adverse effects of diaphragmatic breathing.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIARespiratory CarePulmões - Doenças obstrutivasRespiraçãoExercícios respiratóriosRespiração bucalParede torácicaPulmão - TratamentoCOPDDiaphragmatic breathingPursed-lipsOptoelectronic plethysmographyBreathing patternChest wall motionAsynchronyEffects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPDinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://rc.rcjournal.com/content/64/2/136Liliane Patrícia de Souza MendesKaroline Simões MoraesMariana HoffmanDanielle Soares Rocha VieiraGiane Amorim Ribeiro SamoraSusan Martins LageRaquel Rodrigues BrittoVerônica Franco Parreiraapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/40266/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALEffects of Diaphragmatic Breathing With and Without Pursed-Lips Breathing in Subjects With COPD.pdfEffects of Diaphragmatic Breathing With and Without Pursed-Lips Breathing in Subjects With COPD.pdfapplication/pdf105736https://repositorio.ufmg.br/bitstream/1843/40266/2/Effects%20of%20Diaphragmatic%20Breathing%20With%20and%20Without%20Pursed-Lips%20Breathing%20in%20Subjects%20With%20COPD.pdfb0dcb34ed3c69fccb8004a35915a5e40MD521843/402662022-03-21 10:37:13.023oai:repositorio.ufmg.br:1843/40266TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-03-21T13:37:13Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
title Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
spellingShingle Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
Liliane Patrícia de Souza Mendes
COPD
Diaphragmatic breathing
Pursed-lips
Optoelectronic plethysmography
Breathing pattern
Chest wall motion
Asynchrony
Pulmões - Doenças obstrutivas
Respiração
Exercícios respiratórios
Respiração bucal
Parede torácica
Pulmão - Tratamento
title_short Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
title_full Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
title_fullStr Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
title_full_unstemmed Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
title_sort Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD
author Liliane Patrícia de Souza Mendes
author_facet Liliane Patrícia de Souza Mendes
Karoline Simões Moraes
Mariana Hoffman
Danielle Soares Rocha Vieira
Giane Amorim Ribeiro Samora
Susan Martins Lage
Raquel Rodrigues Britto
Verônica Franco Parreira
author_role author
author2 Karoline Simões Moraes
Mariana Hoffman
Danielle Soares Rocha Vieira
Giane Amorim Ribeiro Samora
Susan Martins Lage
Raquel Rodrigues Britto
Verônica Franco Parreira
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Liliane Patrícia de Souza Mendes
Karoline Simões Moraes
Mariana Hoffman
Danielle Soares Rocha Vieira
Giane Amorim Ribeiro Samora
Susan Martins Lage
Raquel Rodrigues Britto
Verônica Franco Parreira
dc.subject.por.fl_str_mv COPD
Diaphragmatic breathing
Pursed-lips
Optoelectronic plethysmography
Breathing pattern
Chest wall motion
Asynchrony
topic COPD
Diaphragmatic breathing
Pursed-lips
Optoelectronic plethysmography
Breathing pattern
Chest wall motion
Asynchrony
Pulmões - Doenças obstrutivas
Respiração
Exercícios respiratórios
Respiração bucal
Parede torácica
Pulmão - Tratamento
dc.subject.other.pt_BR.fl_str_mv Pulmões - Doenças obstrutivas
Respiração
Exercícios respiratórios
Respiração bucal
Parede torácica
Pulmão - Tratamento
description CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
publishDate 2019
dc.date.issued.fl_str_mv 2019
dc.date.accessioned.fl_str_mv 2022-03-21T13:37:12Z
dc.date.available.fl_str_mv 2022-03-21T13:37:12Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/40266
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.4187/respcare.06319
dc.identifier.issn.pt_BR.fl_str_mv 1943-3654
dc.identifier.orcid.pt_BR.fl_str_mv http://orcid.org/0000-0002-2602-3433
https://orcid.org/ 0000-0002-8818-2958
https://orcid.org/0000-0001-6222-6142
http://orcid.org/0000-0001-5102-369X
http://orcid.org/0000-0002-9533-3654
http://orcid.org/0000-0003-0374-9319
url https://doi.org/10.4187/respcare.06319
http://hdl.handle.net/1843/40266
http://orcid.org/0000-0002-2602-3433
https://orcid.org/ 0000-0002-8818-2958
https://orcid.org/0000-0001-6222-6142
http://orcid.org/0000-0001-5102-369X
http://orcid.org/0000-0002-9533-3654
http://orcid.org/0000-0003-0374-9319
identifier_str_mv 1943-3654
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Respiratory Care
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv EEF - DEPARTAMENTO DE FISIOTERAPIA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
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