Diaphragmatic Vs. Pursed-lip Breathing Exercise Using A Windmill Toy On Respiratory Muscle Strength, Lung Function And Dyspnea In The Elderly

Jansang, Sarawut; Mickleborough, Timothy D.; Suksom, Daroonwan

doi:10.1249/01.mss.0000485383.74349.3f

Cited by 7 publications

(16 citation statements)

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“…All of the participants were instructed not to alter their physical activity, dietary, and lifestyle habits throughout the intervention period. The sample size was calculated by the test power of estimating, setting the significance level of 0.05; the test power was 0.98 based on a previous study [5]. This calculation was used when an outcome was a continuous variable, and the participants were recruited from a finite population in this study.…”

Section: Methodsmentioning

confidence: 99%

“…The intervention group The intervention group received the pursed-lip breathing training using a windmill toy in the following steps. The researcher instructed each participant to sit in a comfortable position with both legs laid comfortably on the floor, inhale slowly through the nose, and exhale slowly through the mouth [5]. In a quiet room, the participants were instructed not to talk while practicing.…”

Section: Implementation Phasementioning

confidence: 99%

“…As the participant inhaled, he/she was asked to count to 8 by inhalation and exhalation counted as once and then he/she was instructed to breathe normally for 1 min. Each participant performed 10 breathing patterns in total, with 10 times equal to 1 set in the pattern experiment [5]. Each participant performed 3 sets per session, with a 3 min rest between each set, and practiced 3 sessions a week for 12 weeks.…”

Section: Implementation Phasementioning

confidence: 99%

“…Pursed-lip breathing (PLB) is a breathing exercise that is a type of non-pharmacologic treatment. Current evidence reports that PLB helps improve pulmonary gas exchange, reduce breathing frequency (BF) and decrease hyperinflation in COPD patients [5,6]. In addition, PLB also helps decrease dyspnea and increase tidal volume in patients with moderate-to-severe level COPD [7].…”

Section: Introductionmentioning

confidence: 99%

“…For these reasons, PLB has been used regularly as a breathing technique in pulmonary rehabilitation. However, the data to support its use in patients and the development of a breathing training model are still limited [5,8,9]. The purpose of this study is to determine the effects of a new breathing training model using a windmill toy combined with PLB to promote respiratory performance, lung function, respiratory muscle strength, 6-minute walk test, and Modified Medical Research Council (MMRC) parameters.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

et al. 2021

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Chronic obstructive pulmonary disease (COPD) is the third-highest cause of death in the world, also true in Thailand. There are various methods to treat COPD such as medication and non-drug therapies for respiratory rehabilitation. The aim of this study is to investigate the effectiveness of pursed-lip breathing (PLB) by using a windmill toy in COPD patients. The participants in this randomized controlled trial study were 60 to 75 years old. The total number of 46 participants were equally divided into 2 groups: The intervention group and the control group (23 participants each). The intervention group used breathing training through a windmill toy, whereas the control group received training in standard breathing patterns. The training was performed over sessions in 1 week. Lung function, respiratory muscle strength, and 6-minute walk test (6MWT) were recorded at baseline, and between 6 - 12 weeks (follow-up). The intervention group and the control group improved significantly in lung function and muscle strength (p < 0.05). In addition, 6MWT in the intervention group increased significantly when compared to the control group (p < 0.05) at week 12. In conclusion, the PLB using a windmill toy is a new form of breathing training that is effective in promoting the strength of the muscles used for breathing, lung performance, and cardiovascular function in COPD patients. HIGHLIGHTS The use of windmill toys is a new form of breathing exercise that is effective in strengthening Using innovative models applied in medicine and public health to promote prevention of severe disease The greatest benefit of pulmonary function training is that patients have a better quality of life and longer life

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Section: Methodsmentioning

confidence: 99%

Section: Implementation Phasementioning

confidence: 99%

Section: Implementation Phasementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

et al. 2021

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Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

et al. 2023

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Respiratory function has become a global health priority. Not only is chronic respiratory disease a leading cause of worldwide morbidity and mortality, but the COVID-19 pandemic has heightened attention on respiratory health and the means of enhancing it. Subsequently, and inevitably, the respiratory system has become a target of the multi-trillion-dollar health and wellness industry. Numerous commercial, respiratory-related interventions are now coupled to therapeutic and/or ergogenic claims that vary in their plausibility: from the reasonable to the absurd. Moreover, legitimate and illegitimate claims are often conflated in a wellness space that lacks regulation. The abundance of interventions, the range of potential therapeutic targets in the respiratory system, and the wealth of research that varies in quality, all confound the ability for health and exercise professionals to make informed risk-to-benefit assessments with their patients and clients. This review focuses on numerous commercial interventions that purport to improve respiratory health, including nasal dilators, nasal breathing, and systematized breathing interventions (such as pursed-lips breathing), respiratory muscle training, canned oxygen, nutritional supplements, and inhaled l-menthol. For each intervention we describe the premise, examine the plausibility, and systematically contrast commercial claims against the published literature. The overarching aim is to assist health and exercise professionals to distinguish science from pseudoscience and make pragmatic and safe risk-to-benefit decisions.

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Effect of pursed-lip breathing and forward trunk lean positions on regional chest wall volume and ventilatory pattern in older adults

et al. 2022

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Pursed-lip breathing (PLB) and forward trunk lean posture (FTLP) are commonly used to relieve dyspnea and improve ventilation in a rehabilitation program. However, their effect on chest wall volumes and movements in older adults without chronic obstructive pulmonary disease has never been investigated. This observational study aimed to identify the effect of combined PLB and FTLP on total and regional chest wall volumes, ventilatory pattern, and thoracoabdominal movement using in older adults. It was hypothesized that the combined PLB with FTLP would result in the highest chest wall volumes among the experimental tasks. Twenty older adults performed 2 breathing patterns of quiet breathing (QB) and PLB during a seated upright (UP) position and FTLP. An optoelectronic plethysmography system was used to capture the chest wall movements during the 4 experimental tasks. Tidal volume (V T ) was separated into pulmonary ribcage, abdominal ribcage, and abdomen volume. The changes in anterior–posterior (AP) and medial–lateral (ML) chest wall diameters at 3 levels were measured and used to identify chest wall mechanics to improve chest wall volumes. The PLB significantly improved ventilation and chest wall volumes than the QB ( P < .05). V T of pulmonary ribcage, V T of abdominal ribcage, and V T were significantly higher during the PLB + UP ( P < .05) and during the PLB + FTLP ( P < .01) as compared to those of QB performed in similar body positions. However, there was no significant in total and regional lung volumes between the PLB + UP and the PLB + FTLP. The AP diameter changes at the angle of Louis and xiphoid levels were greater during the PLB + UP than the QB + UP and the QB + FTLP ( P < .01). The AP diameter changes at the umbilical level and the ML diameter changes at the xiphoid level were significantly larger during the PLB + FTLP than the QB + FTLP and the QB + UP ( P < .05). The ML diameter changes at the umbilical level were significantly greater during the PLB + FTLP than the QB + UP ( P < .05). However, no significant difference in the relative regional chest wall volumes and phase angle among the experimental tasks ( P > .05). In conclusion, a combined PLB performed in an FTLP or UP sitting could be used as a strategy to improve chest wall volumes and ventilation in older adults.

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Diaphragmatic Vs. Pursed-lip Breathing Exercise Using A Windmill Toy On Respiratory Muscle Strength, Lung Function And Dyspnea In The Elderly

Cited by 7 publications

References 0 publications

Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

Effect of pursed-lip breathing and forward trunk lean positions on regional chest wall volume and ventilatory pattern in older adults

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