Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK

Imron Rosyadi, Defriman Djafri, Dally Rahman

Abstract

Respiratory muscle weakness in patients with Chronic Obstructive Pulmonary Disease (COPD) was a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly. The intervention group was given pursed-lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week, while the control group was not given exercise. The dyspnea scale was measured using the MRC Dyspnea Scale questionnaire and was categorized as Mild (scale 1), Medium (2-3 scale), and Severe (scale 4-5). The result showed there was a difference in dyspnea (p-value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (0.655). In conclusion, pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.

References

Al Karn, A. F., Hassan, W. A., Abo El Fadl, A. A., & Mahmoud, M. A. (2018). Medication adherence and treatment satisfaction in some Egyptian patients with chronic obstructive pulmonary disease and bronchial asthma. Egyptian Journal of Bronchology, Vol. 12(No. 1), 33–40. https://doi.org/10.4103/ejb.ejb

Amin, A., & Zedan, M. (2017). Transthoracic ultrasonographic evaluation of diaphragmatic excursion in patients with chronic obstructive pulmonary disease. Egyptian Journal of Bronchology, 0(0), 0. https://doi.org/10.4103/1687-8426.217411

Andayani, N., Rizki, M., & Lubis, R. (2014). Hubungan Derajat Sesak Napas Penyakit Paru Obstruktif Kronik dengan Simptom Ansietas. Jurnal Kedokteran Syiah Kuala, 14(2), 92–97.

Daher, A., Matthes, M., Keszei, A., Brandenburg, V., Müller, T., Cornelissen, C., & Dreher, M. (2019). Characterization and Triggers of Dyspnea in Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure: Effects of Weather and Environment. Springer Science, 197(1), 21–28. https://doi.org/10.1007/s00408-018-0170-2

Heydari, A., Farzad, M., & Ahmadi Hosseini, S. H. (2015). Comparing Inspiratory Resistive Muscle Training with Incentive Spirometry on Rehabilitation of COPD Patients. Rehabilitation Nursing, 40(4), 243–248. https://doi.org/10.1002/rnj.136

Ichimura, T., Yokogawa, M., Nakagawa, T., Miaki, H., Kurebayashi, T., & Nishino, M. (2018). Comparison of two instructions for deep breathing exercise: non-specific and diaphragmatic breathing. Journal of Physical Therapy Science, 30(4), 614–618. https://doi.org/10.1589/jpts.30.614

Kang, J., Jeong, D. K., & Choi, H. (2016). The effects of breathing exercise types on respiratory muscle activity and body function in patients with mild chronic obstructive pulmonary disease. The Journal of Physical Therapy Science Original, 28, 500–505.

Kaymaz, D., Candemir, I. C., Ergun, P., Demir, N., Tasdemir, F., & Demir, P. (2018). Relation between upper-limb muscle strength with exercise capacity , quality of life and dyspnea in patients with severe chronic obstructive pulmonary disease. Clin Respir J, 12(5), 1257–1263. https://doi.org/10.1111/crj.12659

Langer, D., Charususin, N., Jácome, C., Hoffman, M., McConnell, A., Decramer, M., & Gosselink, R. (2015). Efficacy of a Novel Method for Inspiratory Muscle Training in People With Chronic Obstructive Pulmonary Disease. Physical Therapy, 95(9). https://doi.org/10.2522/ptj.20140245

Ma, X., Yue, Z., Gong, Z., Zhang, H., Duan, N., & Shi, Y. (2017). The Effect of Diaphragmatic Breathing on Attention , Negative Affect and Stress in Healthy Adults. Breathing Practice Promotes Mental Health, 8(June), 1–12. https://doi.org/10.3389/fpsyg.2017.00874

Mahler, D. A., Fierro-Carrion, G., & Baird, J. C. (2017). Evaluation of dyspnea in the elderly. Clinics in Geriatric Medicine, 19(1), 19–33. https://doi.org/10.1016/S0749-0690(02)00050-2

Malini, H., Fatmadona, R., Rahman, D., & Afriyanti, E. (2018). Buku Ajar Keperawatan Medikal Bedah I (1st ed.). Depok: PT. Rajagrafindo Persada.

Marchetti, N., & Kaplan, A. (2018). Dyspnea and Hyperinfl ation in Chronic Obstructive Pulmonary Disease: Impact on Physical Activity. The Journal of Family Practice and Cleveland Clinic Journal of Medicine. Doi:, 163(6), 3–10. https://doi.org/10.7326/m15-0288

McConnell, A. (2013). Respiratory muscle training: Theory and Practice. Churchill Livingstone Elsevier. Philadelphia: Elsevier Health Sciences UK. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=107867885&site=ehost-live

Mehani, S. H. M. (2017). Comparative study of two different respiratory training protocols in elderly patients with chronic obstructive pulmonary disease. Clinical Intervention in Aging, (12), 1705–1715.

O’Donnell, D. E., Elbehairy, A. F., Faisal, A., Webb, K. A., Neder, J. A., & Mahler, D. A. (2016). Exertional dyspnoea in COPD: the clinical utility of cardiopulmonary exercise testing. European Respiratory Review, 25(141), 333–347. https://doi.org/10.1183/16000617.0054-2016

Potdar, S. (2018). A Comparative Study between the Effect of Breathing Control and Pursed Lip- Breathing Exercises in COPD Patients on Expiratory Flow Rate. Journal of Physiotherapy Research, 2(4), 1–3.

Russell, R. E. K., Ford, P. A., Barners, P. J., & Russel, A. (2013). Managing COPD (3rd ed.). London: Spring Healthcae.

Sachdeva, S., Pawaria, S., & Kalra, S. (2014). Effect of Pursed Lip Breathing and Mouth Mask on Dyspnea in Healthy Individuals- A Pilot Study. International Journal of Health Sciences and Research, 8(July), 1–3.

Sievi, N. A., Brack, T., Brutsche, M. H., Frey, M., Irani, S., Leuppi, J. D., … Clarenbach, C. F. (2018). Physical activity declines in COPD while exercise capacity remains stable : A longitudinal study over 5 years. Elsevier, 141(June), 1–6. https://doi.org/10.1016/j.rmed.2018.06.013

Silva, Neto, M. G., Saquetto, M. B., Conceicao, C. S., & Machado, A. S. (2018). Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial. Clinical Rehabilitation, 32(12), 1636–1644. https://doi.org/10.1177/0269215518787338

Tim Promosi Kesehatan Rumah Sakit (PKRS). (2017). Data Rekapan Kunjungan Kasus Penyakit Paru Poliklinik Rumah Sakit Paru Sumatera Barat Tahun 2017. Padang Pariaman.

Walters, J., Tan, D., White, C., & Wood-Baker, R. (2018). Different durations of corticosteroid therapy for exacerbations of chronic obstructive pulmonary disease (Systematic Review ). The Chocrane Collaboration, (3), 3–5. https://doi.org/10.1002/14651858.CD006897.pub2.Copyright

World Health Organization (WHO). (2016). Chronic Obstructive Pulmonary Disease (COPD). New York. Retrieved from www.un.org/hr/roadsafety/pdf/roadsafetyreport.pdf

Yamaguti, W. P., Claudino, R. C., Neto, A. P., Chammas, M. C., Gomes, A. C., Salge, J. M., … Ap, N. (2012). Diaphragmatic Breathing Training Program Improves Abdominal Motion During Natural Breathing in Patients With Chronic Obstructive Pulmonary Disease : A Randomized Controlled Trial. Arch Phys Med Rehabil, 93(4), 571–577. https://doi.org/10.1016/j.apmr.2011.11.026

Zuwallack, R., & Celli, B. (2016). Pulmonary Rehabilitation. Pulmonary Rehabilitation (Sixth Edit). Elsevier Inc. https://doi.org/10.1002/9780470697603.ch5

DOI: https://doi.org/10.25077/njk.15.2.103-109.2019

Refbacks

  • There are currently no refbacks.