| Titre : | Diaphragmatic Breathing Training Program Improves Abdominal Motion During Natural Breathing in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial (2012) |
| Auteurs : | Wellington Yamaguti ; Renata C. Claudino ; Alberto P. Neto |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2012/4, 2012) |
| Article en page(s) : | pp 571-577 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Exercices respiratoires ; Qualité de vie ; Rééducation et réadaptation |
| Mots-clés: | Breathing exercises ; Diaphragm ; Exercise tolerance ; Pulmonary disease chronic obstructive ; Quality of life ; Randomized controlled trial ; muscle diaphragme ; tolérance à l'effort ; Essai clinique contrôlé randomisé ; réadaptation et rééducation |
| Résumé : |
Objective To investigate the effects of a diaphragmatic breathing training program (DBTP) on thoracoabdominal motion and functional capacity in patients with chronic obstructive pulmonary disease. Design A prospective, randomized controlled trial. Setting Academic medical center. Participants Subjects (N=30; forced expiratory volume in 1s, 42%+13% predicted) were randomly allocated to either a training group (TG) or a control group (CG). Interventions Subjects in the TG completed a 4-week supervised DBTP (3 individualized weekly sessions), while those in the CG received their usual care. Main Outcome Measures Effectiveness was assessed by amplitude of the rib cage to abdominal motion ratio (RC/ABD ratio) (primary outcome) and diaphragmatic mobility (secondary outcome). The RC/ABD ratio was measured using respiratory inductive plethysmography during voluntary diaphragmatic breathing and natural breathing. Diaphragmatic mobility was measured by ultrasonography. A 6-minute walk test and health-related quality of life were also evaluated. Results Immediately after the 4-week DBTP, the TG showed a greater abdominal motion during natural breathing quantified by a reduction in the RC/ABD ratio when compared with the CG (F=8.66; P<.001 abdominal motion during voluntary diaphragmatic breathing after the intervention was also greater in tg than cg p showed mobility dbtp did an improvement walk test and health-related quality of life observed tg.> Conclusions DBTP for patients with chronic obstructive pulmonary disease induced increased diaphragm participation during natural breathing, resulting in an improvement in functional capacity. |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2901053-7/abstract |
Bibliothèques HE Vinci
