Immediate Effect of Trunk Exercises in Patients with Chronic Obstructive Pulmonary Disease:Comparison between Pursed Lip Expiration and Sustained Maximal Inspiration

林 慧珍(Huei-Chen Lin), 江 玲玲(Ling-Ling Chiang), 林 鴻銓(Horng-Chyuan Lin), 余 志騰(Chih-Teng Yu)

Research output: Contribution to journalArticle

Abstract

Purpose: To compare the immediate effect of “trunk flexion with pursed lip expiration (PLE)” and “trunk extension with sustained maximal inspiration (SMI)” in patients with chronic obstructive Pulmonary disease (COPD). The trunk exercises were modified from proprioceptive neuromuscular facilitation patterns. Methods: Thirteen patients with COPD participated in this study. They performed each type of exercise strategies for 20 min, in a randomized crossover design. The tidal breathing, forced expiratory spirometry, and breathlessness scale were measured before and immediately after exercise. Results: There were significant improvements in forced vital capacity (FVC), and breathlessness scale after trunk flexion with PLE. FVC increased from 2.20 ± 0.66 to 2.26: ± 0.70 L (p=0.038), Borg scale decreased from 3.8 ± 0.7 to 2.7 ± 0.6 (P <0.0001). A significant change of end expiratory volume (EEV) and tidal volume (TV) after trunk extension with SMI was also found. EEV increased from 1.54 ± 0.52 to 1.63 ± 0.52 L (p=0.0007), and TV increased from 0.77 ± 0.27 to 0.87 ± 0.31 L (p =0.0051). But no significant change of FVC and breathlessness was noted. Conclusion: These results suggest that trunk flexion with PLE might be a good exercise strategy to improve ventilation and relieve dyspnea in patients with COPD.
Original languageEnglish
Pages (from-to)284-291
Number of pages8
Journal物理治療
Volume25
Issue number5
Publication statusPublished - 2000

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Lip
Dyspnea
Chronic Obstructive Pulmonary Disease
Vital Capacity
Exercise
Tidal Volume
Spirometry
Cross-Over Studies
Ventilation
Respiration

Keywords

  • 軀幹運動
  • 圓唇吐氣
  • 持續最大吸氣
  • 呼吸困難的感覺
  • 慢性阻塞型肺疾
  • Trunk exercise
  • Pursed-lip expiration
  • Sustained maximum inspiration
  • Dyspnea
  • COPD

Cite this

Immediate Effect of Trunk Exercises in Patients with Chronic Obstructive Pulmonary Disease:Comparison between Pursed Lip Expiration and Sustained Maximal Inspiration. / 林慧珍(Huei-Chen Lin); 江玲玲(Ling-Ling Chiang); 林鴻銓(Horng-Chyuan Lin); 余志騰(Chih-Teng Yu).

In: 物理治療, Vol. 25, No. 5, 2000, p. 284-291.

Research output: Contribution to journalArticle

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abstract = "Purpose: To compare the immediate effect of “trunk flexion with pursed lip expiration (PLE)” and “trunk extension with sustained maximal inspiration (SMI)” in patients with chronic obstructive Pulmonary disease (COPD). The trunk exercises were modified from proprioceptive neuromuscular facilitation patterns. Methods: Thirteen patients with COPD participated in this study. They performed each type of exercise strategies for 20 min, in a randomized crossover design. The tidal breathing, forced expiratory spirometry, and breathlessness scale were measured before and immediately after exercise. Results: There were significant improvements in forced vital capacity (FVC), and breathlessness scale after trunk flexion with PLE. FVC increased from 2.20 ± 0.66 to 2.26: ± 0.70 L (p=0.038), Borg scale decreased from 3.8 ± 0.7 to 2.7 ± 0.6 (P <0.0001). A significant change of end expiratory volume (EEV) and tidal volume (TV) after trunk extension with SMI was also found. EEV increased from 1.54 ± 0.52 to 1.63 ± 0.52 L (p=0.0007), and TV increased from 0.77 ± 0.27 to 0.87 ± 0.31 L (p =0.0051). But no significant change of FVC and breathlessness was noted. Conclusion: These results suggest that trunk flexion with PLE might be a good exercise strategy to improve ventilation and relieve dyspnea in patients with COPD.",
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author = "林, {慧珍(Huei-Chen Lin)} and 江, {玲玲(Ling-Ling Chiang)} and 林, {鴻銓(Horng-Chyuan Lin)} and 余, {志騰(Chih-Teng Yu)}",
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AU - 林, 慧珍(Huei-Chen Lin)

AU - 江, 玲玲(Ling-Ling Chiang)

AU - 林, 鴻銓(Horng-Chyuan Lin)

AU - 余, 志騰(Chih-Teng Yu)

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AB - Purpose: To compare the immediate effect of “trunk flexion with pursed lip expiration (PLE)” and “trunk extension with sustained maximal inspiration (SMI)” in patients with chronic obstructive Pulmonary disease (COPD). The trunk exercises were modified from proprioceptive neuromuscular facilitation patterns. Methods: Thirteen patients with COPD participated in this study. They performed each type of exercise strategies for 20 min, in a randomized crossover design. The tidal breathing, forced expiratory spirometry, and breathlessness scale were measured before and immediately after exercise. Results: There were significant improvements in forced vital capacity (FVC), and breathlessness scale after trunk flexion with PLE. FVC increased from 2.20 ± 0.66 to 2.26: ± 0.70 L (p=0.038), Borg scale decreased from 3.8 ± 0.7 to 2.7 ± 0.6 (P <0.0001). A significant change of end expiratory volume (EEV) and tidal volume (TV) after trunk extension with SMI was also found. EEV increased from 1.54 ± 0.52 to 1.63 ± 0.52 L (p=0.0007), and TV increased from 0.77 ± 0.27 to 0.87 ± 0.31 L (p =0.0051). But no significant change of FVC and breathlessness was noted. Conclusion: These results suggest that trunk flexion with PLE might be a good exercise strategy to improve ventilation and relieve dyspnea in patients with COPD.

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