Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease
Objective: To evaluate how spontaneously used pursed lips breathing influences walking endurance, oxygen saturation and dyspnoea in patients with moderate to severe chronic obstructive pulmonary disease. Design: A randomized open-label, cross-over study of chronic obstructive pulmonary disease patie...
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| Veröffentlicht in: | Clinical rehabilitation 2008-08, Vol.22 (8), p.675-683 |
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| creator | Faager, G. Stâhle, A. Larsen, FF |
| description | Objective: To evaluate how spontaneously used pursed lips breathing influences walking endurance, oxygen saturation and dyspnoea in patients with moderate to severe chronic obstructive pulmonary disease.
Design: A randomized open-label, cross-over study of chronic obstructive pulmonary disease patients participating in a rehabilitation programme.
Setting: Outpatient pulmonary rehabilitation centre at a university hospital.
Subjects: Thirty-two patients with moderate to severe chronic obstructive pulmonary disease.
Intervention: All patients performed two endurance shuttle walking tests in random order. During endurance shuttle walking test I a mouthpiece was used in order to prevent spontaneous pursed lips breathing. During endurance shuttle walking test II spontaneous pursed lips breathing was used freely. Heart rate, oxygen saturation and the patients' estimated dyspnoea and leg fatigue on a Borg Category Ratio 10 scale were recorded before, directly after, and 5 and 10 minutes after the tests.
Results: When spontaneous pursed lips breathing was used the patients walked on an average for 37 seconds (16%) longer (P |
| doi_str_mv | 10.1177/0269215508088986 |
| format | Article |
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Design: A randomized open-label, cross-over study of chronic obstructive pulmonary disease patients participating in a rehabilitation programme.
Setting: Outpatient pulmonary rehabilitation centre at a university hospital.
Subjects: Thirty-two patients with moderate to severe chronic obstructive pulmonary disease.
Intervention: All patients performed two endurance shuttle walking tests in random order. During endurance shuttle walking test I a mouthpiece was used in order to prevent spontaneous pursed lips breathing. During endurance shuttle walking test II spontaneous pursed lips breathing was used freely. Heart rate, oxygen saturation and the patients' estimated dyspnoea and leg fatigue on a Borg Category Ratio 10 scale were recorded before, directly after, and 5 and 10 minutes after the tests.
Results: When spontaneous pursed lips breathing was used the patients walked on an average for 37 seconds (16%) longer (P<0.01) than when pursed lips breathing was prevented. The patients desaturated considerably during both walking tests but the average drop in oxygen saturation was 1.2% less when spontaneous pursed lips breathing was employed. There were no significant differences in rated degree of dyspnoea or leg fatigue with or without pursed lips breathing.
Conclusion: Spontaneous pursed lips breathing can be a useful technique to increase walking endurance and reduce oxygen desaturation during walking in patients with moderate to severe chronic obstructive pulmonary disease.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215508088986</identifier><identifier>PMID: 18678567</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Airway management ; Breathing Exercises ; Chronic obstructive pulmonary disease ; Cross-Over Studies ; Dyspnea ; Exercise ; Exercise Test - methods ; Exercise Tolerance - physiology ; Female ; Forced Expiratory Volume ; Humans ; Influence ; Male ; Middle Aged ; Neurobiology ; Neurosciences ; Oximetry ; Oxygen saturation ; Physical fitness ; Physical therapy ; Physiology ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Pulmonary Disease, Chronic Obstructive - rehabilitation ; Rehabilitation ; Walking</subject><ispartof>Clinical rehabilitation, 2008-08, Vol.22 (8), p.675-683</ispartof><rights>SAGE Publications © Aug 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-1035c722ea4a55acf781169c4ad7aa5ed99d9a0dcf12d29af0dae4a4a34664d33</citedby><cites>FETCH-LOGICAL-c400t-1035c722ea4a55acf781169c4ad7aa5ed99d9a0dcf12d29af0dae4a4a34664d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269215508088986$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269215508088986$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,776,780,881,12825,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18678567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:117559280$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Faager, G.</creatorcontrib><creatorcontrib>Stâhle, A.</creatorcontrib><creatorcontrib>Larsen, FF</creatorcontrib><title>Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective: To evaluate how spontaneously used pursed lips breathing influences walking endurance, oxygen saturation and dyspnoea in patients with moderate to severe chronic obstructive pulmonary disease.
Design: A randomized open-label, cross-over study of chronic obstructive pulmonary disease patients participating in a rehabilitation programme.
Setting: Outpatient pulmonary rehabilitation centre at a university hospital.
Subjects: Thirty-two patients with moderate to severe chronic obstructive pulmonary disease.
Intervention: All patients performed two endurance shuttle walking tests in random order. During endurance shuttle walking test I a mouthpiece was used in order to prevent spontaneous pursed lips breathing. During endurance shuttle walking test II spontaneous pursed lips breathing was used freely. Heart rate, oxygen saturation and the patients' estimated dyspnoea and leg fatigue on a Borg Category Ratio 10 scale were recorded before, directly after, and 5 and 10 minutes after the tests.
Results: When spontaneous pursed lips breathing was used the patients walked on an average for 37 seconds (16%) longer (P<0.01) than when pursed lips breathing was prevented. The patients desaturated considerably during both walking tests but the average drop in oxygen saturation was 1.2% less when spontaneous pursed lips breathing was employed. There were no significant differences in rated degree of dyspnoea or leg fatigue with or without pursed lips breathing.
Conclusion: Spontaneous pursed lips breathing can be a useful technique to increase walking endurance and reduce oxygen desaturation during walking in patients with moderate to severe chronic obstructive pulmonary disease.</description><subject>Aged</subject><subject>Airway management</subject><subject>Breathing Exercises</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cross-Over Studies</subject><subject>Dyspnea</subject><subject>Exercise</subject><subject>Exercise Test - methods</subject><subject>Exercise Tolerance - physiology</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Influence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurobiology</subject><subject>Neurosciences</subject><subject>Oximetry</subject><subject>Oxygen saturation</subject><subject>Physical fitness</subject><subject>Physical therapy</subject><subject>Physiology</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Pulmonary Disease, Chronic Obstructive - rehabilitation</subject><subject>Rehabilitation</subject><subject>Walking</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1v1DAQhi0EotvCnROyOHAL2Ik_kiOq-KhUiQuco1l7sus2sYPtdOnv4Y_iaFctqoR88KuZZ97xeAh5w9kHzrX-yGrV1VxK1rK27Vr1jGy40LpirW6ek82artb8GTlP6YYx1taCvyRnvFW6lUpvyJ8rP4wLeoM0DDTNwWfwGJZE5yUmtHR0c6LbiJD3zu9o8PQA4-0q0dslwloJ3tLw-36HnibIJZhd4Zync1Hoc6IHl_d0ChZLDmkONOEdRqRmH4N3hoZtynEx2d1haTxOwUO8p9YlhISvyIsBxoSvT_cF-fnl84_Lb9X1969Xl5-uKyMYyxVnjTS6rhEESAlm0C3nqjMCrAaQaLvOdsCsGXht6w4GZgFFgRuhlLBNc0Gqo2864Lxs-zm6qTyjD-D6U-i2KOylqjsuC__-yM8x_Fow5X5yyeA4Hn-wV11TDhMFfPcEvAlL9GWWvmZMaaHlCrEjZGJIKeLw0J-zft12_3TbpeTtyXfZTmgfC07r_Wci2OFj0_8a_gWuG7dg</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Faager, G.</creator><creator>Stâhle, A.</creator><creator>Larsen, FF</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20080801</creationdate><title>Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease</title><author>Faager, G. ; Stâhle, A. ; Larsen, FF</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-1035c722ea4a55acf781169c4ad7aa5ed99d9a0dcf12d29af0dae4a4a34664d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Airway management</topic><topic>Breathing Exercises</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cross-Over Studies</topic><topic>Dyspnea</topic><topic>Exercise</topic><topic>Exercise Test - methods</topic><topic>Exercise Tolerance - physiology</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Influence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurobiology</topic><topic>Neurosciences</topic><topic>Oximetry</topic><topic>Oxygen saturation</topic><topic>Physical fitness</topic><topic>Physical therapy</topic><topic>Physiology</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Pulmonary Disease, Chronic Obstructive - rehabilitation</topic><topic>Rehabilitation</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Faager, G.</creatorcontrib><creatorcontrib>Stâhle, A.</creatorcontrib><creatorcontrib>Larsen, FF</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>Sociology Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Faager, G.</au><au>Stâhle, A.</au><au>Larsen, FF</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>22</volume><issue>8</issue><spage>675</spage><epage>683</epage><pages>675-683</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><abstract>Objective: To evaluate how spontaneously used pursed lips breathing influences walking endurance, oxygen saturation and dyspnoea in patients with moderate to severe chronic obstructive pulmonary disease.
Design: A randomized open-label, cross-over study of chronic obstructive pulmonary disease patients participating in a rehabilitation programme.
Setting: Outpatient pulmonary rehabilitation centre at a university hospital.
Subjects: Thirty-two patients with moderate to severe chronic obstructive pulmonary disease.
Intervention: All patients performed two endurance shuttle walking tests in random order. During endurance shuttle walking test I a mouthpiece was used in order to prevent spontaneous pursed lips breathing. During endurance shuttle walking test II spontaneous pursed lips breathing was used freely. Heart rate, oxygen saturation and the patients' estimated dyspnoea and leg fatigue on a Borg Category Ratio 10 scale were recorded before, directly after, and 5 and 10 minutes after the tests.
Results: When spontaneous pursed lips breathing was used the patients walked on an average for 37 seconds (16%) longer (P<0.01) than when pursed lips breathing was prevented. The patients desaturated considerably during both walking tests but the average drop in oxygen saturation was 1.2% less when spontaneous pursed lips breathing was employed. There were no significant differences in rated degree of dyspnoea or leg fatigue with or without pursed lips breathing.
Conclusion: Spontaneous pursed lips breathing can be a useful technique to increase walking endurance and reduce oxygen desaturation during walking in patients with moderate to severe chronic obstructive pulmonary disease.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>18678567</pmid><doi>10.1177/0269215508088986</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2008-08, Vol.22 (8), p.675-683 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Complete |
| subjects | Aged Airway management Breathing Exercises Chronic obstructive pulmonary disease Cross-Over Studies Dyspnea Exercise Exercise Test - methods Exercise Tolerance - physiology Female Forced Expiratory Volume Humans Influence Male Middle Aged Neurobiology Neurosciences Oximetry Oxygen saturation Physical fitness Physical therapy Physiology Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - rehabilitation Rehabilitation Walking |
| title | Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease |
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