scholarly journals Respiratory Muscle Weakness and its Association with Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease

2021 ◽  
Author(s):  
Yves de Souza ◽  
Maria Eduarda Suzana ◽  
Stefany Medeiros ◽  
Joseane Macedo ◽  
Cláudia Henrique da Costa
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Exercise Capacity ◽  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Chronic Obstructive ◽  
Respiratory Muscle Weakness ◽  
Obstructive Pulmonary Disease

scholarly journals Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with respiratory muscle weakness

Thorax ◽  
2001 ◽  
Vol 56 (6) ◽  
pp. 438-444
Author(s):  
P Sivasothy ◽  
L Brown ◽  
I E Smith ◽  
J M Shneerson
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Respiratory Muscle ◽  
Normal Subjects ◽  
Chronic Obstructive ◽  
Respiratory Muscle Weakness ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow

BACKGROUNDIt has been suggested that cough effectiveness can be improved by assisted techniques. The effects of manually assisted cough and mechanical insufflation on cough flow physiology are reported in this study.METHODSThe physiological actions and patient self-assessment of manually assisted cough and mechanical insufflation were investigated in 29 subjects (nine normal subjects, eight patients with chronic obstructive pulmonary disease (COPD), four subjects with respiratory muscle weakness (RMW) with scoliosis, and eight subjects with RMW without scoliosis).RESULTSThe peak cough expiratory flow rate and cough expiratory volume were not improved by manually assisted cough and mechanical insufflation alone or in combination in normal subjects. The median increase in peak cough expiratory flow in subjects with RMW without scoliosis with manually assisted cough alone or in combination with mechanical insufflation of 84 l/min (95% confidence interval (CI) 19 to 122) and 144 l/min (95% CI 14 to 195), respectively, reflects improvement in the expulsive phase of coughing by these techniques. Manually assisted cough and mechanical insufflation in combination raised peak expiratory flow rate more than either technique alone in this group. The abnormal chest shape in scoliotic subjects and the fixed inspiratory pressure used made effective manually assisted cough and mechanical insufflation difficult in this group and no improvements were found. In patients with COPD manually assisted cough alone and in combination with mechanical insufflation decreased peak expiratory flow rate by 144 l/min (95% CI 25 to 259) and 135 l/min (95% CI 30 to 312), respectively.CONCLUSIONSManually assisted cough and mechanical insufflation should be considered to assist expectoration of secretions in patients with RMW without scoliosis but not in those with scoliosis.

scholarly journals The Effect of Harmonica Exercise on Inspiratory Capacity, Dyspnea, Exercise Capacity and Quality of Life of Chronic Obstructive Pulmonary Disease Patients

2020 ◽  
Vol 39 (1) ◽  
pp. 1-13
Author(s):  
Angga M. Raharjo ◽  
Suradi Suradi ◽  
Jatu Aphridasari
Keyword(s):  
Quality Of Life ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Exercise Capacity ◽  
Respiratory Muscle ◽  
Test Group ◽  
Chronic Obstructive ◽  
Inspiratory Capacity ◽  
Obstructive Pulmonary Disease

Background: Chronic inflammation in chronic obstructive pulmonary disease (COPD) causes respiratory muscle dysfunction and decreased respiratory muscle capacity. Incongruity of the capacity and the burden of the respiratory muscle results in increased symptoms of breathlessness, decreased inspiratory capacity, exercise capacity, and quality of life. The objectives of the study were to analyze the effect of harmonica exercise as a pulmonary rehabilitation modality on inspiratory capacity, shortness of breath symptoms, exercise capacity, and quality of life on stable COPD patient. Methods: Clinical trials with pre and post test group design were performed on 30 stable COPD patients at the respiratoy clinic at Dr. Moewardi Hospital Surakarta in August - September 2017 taken by purposive sampling. Evaluation of inspiratory capacity (IC) by spirometry, symptoms of breathlessness by mMRC, exercise capacity by 6MWT and quality of life by SGRQ were measured at baseline and after 6 weeks in the harmonic and control exercises group. Results: A total 30 stable COPD subjects met criteria and divided into two groups. The harmonica training group increased IC (1.78±0.30 litre) and 6MWT (420.00±35.49 meters), decreased mMRC score (1.00±0.458) and SGRQ score (33.87±6.05) after exercise were had significant differences (p

The Effect of Tiotropium on Hyperinflation and Exercise Capacity in Chronic Obstructive Pulmonary Disease

Respiration ◽  
2006 ◽  
Vol 73 (4) ◽  
pp. 420-427 ◽  
Author(s):  
C. Verkindre ◽  
F. Bart ◽  
B. Aguilaniu ◽  
F. Fortin ◽  
J.-C. Guérin ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Exercise Capacity ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease
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