The Effect of Pursed Lips Breathing Technique on Increasing Peak Expiratory Flow Rate (PEFR) in Medium Classification of Chronic Obstructive Pulmonary Disease Patients

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease that attacks the respiratory system caused by inflammation and pollutants that are sucked in the respiratory tract which will cause bronchial stiffness resulting in dyspnea or gasping breath. West Java itself has a prevalence of 3% including Ciamis. Dyspnea will reduce the ability of lung physiology which is marked by a decrease of peak expiratory flow rate<150 L which will eventually cause the death. The purpose of this study is to reduce dyspnea in COPD patients seen from the increase ofPEFR. The sample of this study was 25 medium classifications of COPD patients who were given the technique of Purse Lips Breathing 2 times a day in 7 days. The method of this research is one group pre-post test design with a sample of 25 COPD patients. The results of the study were tested by paired T-test where the results showed a P value of 0.00 <0.05, which means that there was a clear and significant increase in PEFR after given the Pursed lips breathing technique. Discussion of increasing PEFR requires consistency of COPD patients so that complementary therapy or even collaboration can be used to reduce dyspnea symptoms. As the conclusion, the increase of PEFR as a sign of reducing dyspnea does not stand alone but requiring a comprehensive examination, it can be used as the first measure of emergency breathing.

Effect of Pursed Lip Breathing on Physiological Cost Index and Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease

“…Previous literatures supported the use of pursed lip breathing in improving functional performance [19][20]. Endrian MJW, 2019 found pursed lip breathing for two times a day for seven days helps to control dyspnea in COPD patients [21]. Similarly, the present study also exhibits significant improvement in the functional performance of COPD patients.…”

Effect of diaphragmatic stretch technique on thoracic excursion and pulmonary function in COPD patients: Study protocol for randomized controlled trial.

“…The typical range for adults is 100-850 L/min. 6 Experimental group Once diaphragmatic stretches are administered to this group, the strain is held for 15-30 seconds. Participants will be forced to sit upright.…”

“…Once a day for two weeks, perform ten repetitions of each exercise. 2,[5][6][7][8][9][10] Control group: All exercises related to shoulder mobility (flexion-extension, abduction-adduction, medial-lateral rotation, horizontal abduction-adduction, scapular protraction-retraction, elevation-depression, and upward-downward rotation) and thoracic mobility (lateral flexion on both sides, trunk rotation) will be provided exclusively to this group during their conventional physical therapy sessions. Once a day for two weeks, perform ten repetitions of each exercise.…”

“…Once a day for two weeks, perform ten repetitions of each exercise. 2,[5][6][7][8][9][10] Safety outcomes: Unfavorable situations are always documented.…”

“…2 Other parameters of pulmonary function (FEF 25%-75% , PEFR) are also important as they are sensitive measure of small airway obstruction and to know about the complications related to COPD. 5,6 The effect of diaphragmatic stretch in addition to conventional chest physiotherapy on these parameters of pulmonary function are not known. Therefore, the goal of the current study is to determine how the diaphragmatic stretch technique along with conventional chest physiotherapy helps in improving thoracic excursion and pulmonary function in COPD patients.…”