The Impact of Short-term Combination of Limb Training and Pursed-lip Breathing in Chronic Obstructive Pulmonary Disease

Amira Permatasari Tarigan; Fannie Rizki Ananda; Pandiaman Pandia; Trisno Susilo; Maryaningsih Maryaningsih; Anggriani Anggriani

doi:10.3889/oamjms.2020.3890

Authors

Amira Permatasari Tarigan Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Fannie Rizki Ananda Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Pandiaman Pandia Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Trisno Susilo Division of Cardiorespiration, Faculty of Physiotherapy, STIKES Siti Hajar, Medan, Indonesia
Maryaningsih Maryaningsih Division of Cardiorespiration, Faculty of Physiotherapy, STIKES Siti Hajar, Medan, Indonesia
Anggriani Anggriani Division of Cardiorespiration, Faculty of Physiotherapy, STIKES Siti Hajar, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.3890

Keywords:

pulmonary rehabilitation, lung functions, functional capacity, quality of life, stable COPD

Abstract

AIM: The aim of this study is to determine the impact of short-term combination of upper and lower limb training on lung functions, functional capacity, and quality of life in stable chronic obstructive pulmonary disease (COPD).

METHODS: This quasi-experimental study held in 2017 and included 20 participants diagnosed with COPD (forced expiratory volume in 1 second/forced volume capacity [FEV1/FVC] ≤70%). Combination of limb training with pursed-lip breathing held twice a week for 8 weeks. Lung functions, functional capacity, dyspnea scale, and quality of life were measured before, 1 month, and 2 months after training.

RESULTS: In this study, there was a significant improvement of FVC after 2 months after training (p-value: 0.04), but not in FEV1. There was a significant improvement of CAT (p-value: 0.00) and modified medical research council (p-value: 0.04) after 1 month of training. There was a significant improvement of 6-min walking test mean after 2 months of training (p-value: 0.00).

CONCLUSIONS: Short-term combination of limb training and pursed-lip breathing impacted positively on FVC, functional capacity, dyspnea scale, and quality of life in patients with COPD, but not in FEV1.

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