The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease

Authors

  • Amira Permatasari Tarigan Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Fannie Rizki Ananda Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Pandiaman Pandia Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Bintang YM Sinaga Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Maryaningsih Maryaningsih Faculty of Physiotheraphy, STIKES Siti Hajar, Medan, Indonesia
  • Anggriani Anggriani Faculty of Physiotheraphy, STIKES Siti Hajar, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2019.113

Keywords:

COPD, Upper limb training, Breathing manoeuvre, Lung functions, Functional capacity, Dyspnea scale, Quality of life

Abstract

BACKGROUND: Exercise tolerance is one of the main impacts of COPD. COPD patients often experience dyspnea and fatigue after doing daily activities using their limb parts, even in simple thing such as lifting or grooming. Nowadays, many pulmonologists concerned in pulmonary rehabilitation to modify some limb training with breathing manoeuvre to get positive impact in stable COPD patient.

AIM: The purpose of this study is to examine the impact of this modified upper limb training in lung function, functional capacity, dyspnea scale, and quality of life in patients with stable COPD.

METHOD: This was a quasi-experimental study held in 2017 on 22 stable COPD patients (based on GOLD 2018 criteria). Patients were given modified upper limb training with breathing manoeuvre that leads and monitored by a physiotherapist and physician in 10-20 minutes twice a week for 8 weeks. Before and after completed all sessions of training, we measured pulmonary functions test include FEV1 and FVC, functional capacity by 6 MWT, dyspnea scale by mMRC, and quality of life by CAT assessment. Statistical analysis was performed by Wilcoxon and paired t-test.

RESULTS: There was an improvement of lung function, both FEV1 (40.7 ± 13.8 to 47.3 ± 14.2; p-value 0.001) and FVC (50.7 ± 14.1 to 54.1 ± 14.7; p-value: 0.207) after training. There was a significant change of functional capacity in 6 MWT mean (277.3 ± 80.8 to 319.1 ± 78.3; p-value: 0.001). There was an improved quality of life after training, measured by decreasing in CAT score (23.9 ± 5.5 to 18.3 ± 5.2; p-value: 0.000). There was no significant change in the mMRC scale (p-value: 0.429)

CONCLUSION: There was an improvement of lung function, functional capacity, and quality of life in stable COPD after upper limb training with breathing manoeuvre in stable COPD patients.

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Published

2019-02-25

How to Cite

1.
Tarigan AP, Ananda FR, Pandia P, Sinaga BY, Maryaningsih M, Anggriani A. The The Impact of Upper Limb Training with Breathing Maneuver in Lung Function, Functional Capacity, Dyspnea Scale, and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease. Open Access Maced J Med Sci [Internet]. 2019 Feb. 25 [cited 2024 Apr. 21];7(4):567-72. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.113

Issue

Section

B - Clinical Sciences

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