Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD): A physiological approach

F. Gigliotti, I. Romagnoli, Giorgio Scano

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

In this review we shall consider the commonest techniques to reduce dyspnea that are being applied to patients with chronic obstructive pulmonary disease (COPD) subjected to a pulmonary rehabilitation program (PRP). Pursed lip breathing (PLB) and diaphragmatic breathing (DB) are breathing retraining strategies employed by COPD patients in order to relieve and control dyspnea, However, the effectiveness of PLB in reducing dyspnoea is controversial. Moreover, DB may be associated with asynchronous and paradoxical breathing movements, reflecting a decrease in the efficiency of the diaphragm. Exercise training (EXT) is a mandatory component of PRP. EXT has been shown to improve exercise performances and peripheral muscle strength. Recent studies have focused on the effect of EXT on breathlessness. However, concerns persist as to whether the decreased sensation of dyspnea for a given exercise stimulus is principally due to psychological benefits of rehabilitation or to improved physiological ability to perform exercise. The effect of EXT on breathlessness may be reinforced by inhaling oxygen. However, two studies have recently shown that breathing supplemental oxygen during training has either a marginal effect or no advantage over training. In a comprehensive PRP, strength training (ST) and arm endurance training (AET) could have a role in decreasing peripheral muscle weakness and metabolic and ventilatory requirements for AET. The role of unloading the respiratory muscles during EXT has to be clarified.

Original languageEnglish
Pages (from-to)197-204
Number of pages8
JournalRespiratory Medicine
Volume97
Issue number3
DOIs
Publication statusPublished - Mar 1 2003

Fingerprint

Breathing Exercises
Chronic Obstructive Pulmonary Disease
Respiration
Dyspnea
Exercise
Rehabilitation
Lip
Lung
Arm
Oxygen
Respiratory Muscles
Aptitude
Resistance Training
Conditioning (Psychology)
Muscle Weakness
Muscle Strength
Diaphragm
Inhalation
Psychology
Efficiency

Keywords

  • COPD
  • Dyspnea
  • Pulmonary rehabilitation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD) : A physiological approach. / Gigliotti, F.; Romagnoli, I.; Scano, Giorgio.

In: Respiratory Medicine, Vol. 97, No. 3, 01.03.2003, p. 197-204.

Research output: Contribution to journalArticle

@article{cf54b09e2ffa4cd08806fc758e10389c,
title = "Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD): A physiological approach",
abstract = "In this review we shall consider the commonest techniques to reduce dyspnea that are being applied to patients with chronic obstructive pulmonary disease (COPD) subjected to a pulmonary rehabilitation program (PRP). Pursed lip breathing (PLB) and diaphragmatic breathing (DB) are breathing retraining strategies employed by COPD patients in order to relieve and control dyspnea, However, the effectiveness of PLB in reducing dyspnoea is controversial. Moreover, DB may be associated with asynchronous and paradoxical breathing movements, reflecting a decrease in the efficiency of the diaphragm. Exercise training (EXT) is a mandatory component of PRP. EXT has been shown to improve exercise performances and peripheral muscle strength. Recent studies have focused on the effect of EXT on breathlessness. However, concerns persist as to whether the decreased sensation of dyspnea for a given exercise stimulus is principally due to psychological benefits of rehabilitation or to improved physiological ability to perform exercise. The effect of EXT on breathlessness may be reinforced by inhaling oxygen. However, two studies have recently shown that breathing supplemental oxygen during training has either a marginal effect or no advantage over training. In a comprehensive PRP, strength training (ST) and arm endurance training (AET) could have a role in decreasing peripheral muscle weakness and metabolic and ventilatory requirements for AET. The role of unloading the respiratory muscles during EXT has to be clarified.",
keywords = "COPD, Dyspnea, Pulmonary rehabilitation",
author = "F. Gigliotti and I. Romagnoli and Giorgio Scano",
year = "2003",
month = "3",
day = "1",
doi = "10.1053/rmed.2003.1434",
language = "English",
volume = "97",
pages = "197--204",
journal = "Respiratory Medicine",
issn = "0954-6111",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD)

T2 - A physiological approach

AU - Gigliotti, F.

AU - Romagnoli, I.

AU - Scano, Giorgio

PY - 2003/3/1

Y1 - 2003/3/1

N2 - In this review we shall consider the commonest techniques to reduce dyspnea that are being applied to patients with chronic obstructive pulmonary disease (COPD) subjected to a pulmonary rehabilitation program (PRP). Pursed lip breathing (PLB) and diaphragmatic breathing (DB) are breathing retraining strategies employed by COPD patients in order to relieve and control dyspnea, However, the effectiveness of PLB in reducing dyspnoea is controversial. Moreover, DB may be associated with asynchronous and paradoxical breathing movements, reflecting a decrease in the efficiency of the diaphragm. Exercise training (EXT) is a mandatory component of PRP. EXT has been shown to improve exercise performances and peripheral muscle strength. Recent studies have focused on the effect of EXT on breathlessness. However, concerns persist as to whether the decreased sensation of dyspnea for a given exercise stimulus is principally due to psychological benefits of rehabilitation or to improved physiological ability to perform exercise. The effect of EXT on breathlessness may be reinforced by inhaling oxygen. However, two studies have recently shown that breathing supplemental oxygen during training has either a marginal effect or no advantage over training. In a comprehensive PRP, strength training (ST) and arm endurance training (AET) could have a role in decreasing peripheral muscle weakness and metabolic and ventilatory requirements for AET. The role of unloading the respiratory muscles during EXT has to be clarified.

AB - In this review we shall consider the commonest techniques to reduce dyspnea that are being applied to patients with chronic obstructive pulmonary disease (COPD) subjected to a pulmonary rehabilitation program (PRP). Pursed lip breathing (PLB) and diaphragmatic breathing (DB) are breathing retraining strategies employed by COPD patients in order to relieve and control dyspnea, However, the effectiveness of PLB in reducing dyspnoea is controversial. Moreover, DB may be associated with asynchronous and paradoxical breathing movements, reflecting a decrease in the efficiency of the diaphragm. Exercise training (EXT) is a mandatory component of PRP. EXT has been shown to improve exercise performances and peripheral muscle strength. Recent studies have focused on the effect of EXT on breathlessness. However, concerns persist as to whether the decreased sensation of dyspnea for a given exercise stimulus is principally due to psychological benefits of rehabilitation or to improved physiological ability to perform exercise. The effect of EXT on breathlessness may be reinforced by inhaling oxygen. However, two studies have recently shown that breathing supplemental oxygen during training has either a marginal effect or no advantage over training. In a comprehensive PRP, strength training (ST) and arm endurance training (AET) could have a role in decreasing peripheral muscle weakness and metabolic and ventilatory requirements for AET. The role of unloading the respiratory muscles during EXT has to be clarified.

KW - COPD

KW - Dyspnea

KW - Pulmonary rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=0037371957&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037371957&partnerID=8YFLogxK

U2 - 10.1053/rmed.2003.1434

DO - 10.1053/rmed.2003.1434

M3 - Article

C2 - 12645825

AN - SCOPUS:0037371957

VL - 97

SP - 197

EP - 204

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

IS - 3

ER -