Functional Breathing and Approaches in Pulmonary Rehabilitation: A Literature Review

Main Article Content

Siti Chandra Widjanantie
Verial Attamimy
Putu Duhita Ayuningtyas W

Abstract

Pulmonary rehabilitation is a multidisciplinary approach to improving individuals' quality of life and functional capacity with chronic respiratory diseases. Functional breathing exercises are essential to pulmonary rehabilitation programs, focusing on coordinating respiratory and postural mechanisms to optimize gas exchange, reduce dyspnea, and improve exercise tolerance. This paper discusses the importance of functional breathing exercises in pulmonary rehabilitation and outlines the fundamental principles and techniques used in their implementation.


 


Keywords: Pulmonary rehabilitation, Functional breathing, Chronic respiratory diseases, Exercise tolerance, Dyspnea, Gas exchange.


 

Article Details

Section

Literature Review

Author Biographies

Siti Chandra Widjanantie, Universitas Indonesia

MD, PhD, Assistant Professor at Physical Medicine and Rehabilitation Department, Faculty of Medicine, Universitas Indonesia. Working at National Respiratory Referral Center - Persahabatan Hospital

Verial Attamimy, Universitas Muhammadiyah, Jakarta

Physical Medicine and Rehabilitation Department, Faculty of Medicine Muhammadiyah University, Jakarta, Indonesia

Putu Duhita Ayuningtyas W, Universitas Indonesia

Physical Medicine and Rehabilitation Department, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

How to Cite

Functional Breathing and Approaches in Pulmonary Rehabilitation: A Literature Review. (2024). Indonesian Journal of Physical Medicine and Rehabilitation, 13(01), 74-86. https://doi.org/10.36803/indojpmr.v13i01.414

References

Wang, T. J. et al. Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19. Am. J. Phys. Med. Rehabil. 99, 769–774 (2020). DOI: https://doi.org/10.1097/PHM.0000000000001505

Respiratory Medicine. (European Respiratory Society, Sheffield, 2019).

Sharma, B. & Singh, V. Pulmonary rehabilitation: An overview. Lung India 28, 276 (2011). DOI: https://doi.org/10.4103/0970-2113.85690

Pietranis, K. A. et al. Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial. J. Clin. Med. 13, 425 (2024). DOI: https://doi.org/10.3390/jcm13020425

Shenoy, M. A. Pulmonary Rehabilitation. (StatPearls{Internet}, 2024).

Holland, A. E. et al. Defining modern pulmonary rehabilitation. An official American Thoracic Society workshop report. Ann. Am. Thorac. Soc. 18, e12–e29 (2021). DOI: https://doi.org/10.1513/AnnalsATS.202102-146ST

Cazorla, S., Busegnies, Y., D’Ans, P., Héritier, M. & Poncin, W. Breathing Control Exercises Delivered in a Group Setting for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. (2023). DOI: https://doi.org/10.3390/healthcare11060877

Schroff, P. et al. Pulmonary rehabilitation improves outcomes in chronic obstructive pulmonary disease independent of disease burden. Ann. Am. Thorac. Soc. 14, 26–32 (2017). DOI: https://doi.org/10.1513/AnnalsATS.201607-551OC

Crisafulli, E. & Clini, E. M. Measures of dyspnea in pulmonary rehabilitation. Multidiscip. Respir. Med. 5, 1–9 (2010). DOI: https://doi.org/10.4081/mrm.2010.529

Wouters, E. F. et al. An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease. Expert Rev. Respir. Med. 14, 149–161 (2020). DOI: https://doi.org/10.1080/17476348.2020.1700796

Wadell, K. et al. Impact of pulmonary rehabilitation on the major dimensions of dyspnea in COPD. COPD J. Chronic Obstr. Pulm. Dis. 10, 425–435 (2013). DOI: https://doi.org/10.3109/15412555.2012.758696

Hamasaki, H. Effects of Diaphragmatic Breathing on Health: A Narrative Review. Medicines 7, 65 (2020). DOI: https://doi.org/10.3390/medicines7100065

Bradley, H. & Esformes, D. J. BREATHING PATTERN DISORDERS AND FUNCTIONAL MOVEMENT.

Upper Airway Disorders and Noninvasive Mechanical Ventilation: Rationale and Approaches. (Springer International Publishing, Cham, 2023). doi:10.1007/978-3-031-32487-1. DOI: https://doi.org/10.1007/978-3-031-32487-1

Cancelliero-Gaiad, K. M., Ike, D., Pantoni, C. B., Borghi-Silva, A. & Costa, D. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Braz. J. Phys. Ther. 18, 291–299 (2014). DOI: https://doi.org/10.1590/bjpt-rbf.2014.0042

Cao, Y., Li, P., Wang, Y., Liu, X. & Wu, W. Diaphragm Dysfunction and Rehabilitation Strategy in Patients With Chronic Obstructive Pulmonary Disease. Front. Physiol. 13, 872277 (2022). DOI: https://doi.org/10.3389/fphys.2022.872277

Elsayed, S., Kamal, W. & Fathy, K. IMPACT OF ACTIVE CYCLE OF BREATHING TECHNIQUE ON FUNCTIONAL CAPACITY IN PATIENT WITH BRONCHIECTASIS. Int. J. Ther. Rehabil. Res. 4, 287 (2015). DOI: https://doi.org/10.5455/ijtrr.000000105

Sikora, M. et al. Influence of the breathing pattern on the pulmonary function of endurance-trained athletes. Sci. Rep. 14, 1113 (2024). DOI: https://doi.org/10.1038/s41598-024-51758-5

Albarrati, A., Zafar, H., Alghadir, A. H. & Anwer, S. Effect of upright and slouched sitting postures on the respiratory muscle strength in healthy young males. BioMed Res. Int. 2018, (2018). DOI: https://doi.org/10.1155/2018/3058970

Chandra Widjanantie, S. Pandemi COVID-19 & Rehabilitasi Respirasi. (Litera Media Tama).

Depiazzi, J. & Everard, M. L. Dysfunctional breathing and reaching one’s physiological limit as causes of exercise-induced dyspnoea. Breathe 12, 120–129 (2016). DOI: https://doi.org/10.1183/20734735.007216

Lu, Y. et al. Effects of Home-Based Breathing Exercises in Subjects With COPD. Respir. Care 65, 377–387 (2020). DOI: https://doi.org/10.4187/respcare.07121

Chang, Q., Liu, R. & Shen, Z. Effects of slow breathing rate on blood pressure and heart rate variabilities. Int. J. Cardiol. 169, e6–e8 (2013). DOI: https://doi.org/10.1016/j.ijcard.2013.08.121

Jerath, R., Crawford, M. W., Barnes, V. A. & Harden, K. Self-regulation of breathing as a primary treatment for anxiety. Appl. Psychophysiol. Biofeedback 40, 107–115 (2015). DOI: https://doi.org/10.1007/s10484-015-9279-8

Yong, M.-S., Lee, H.-Y. & Lee, Y.-S. Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults. J. Phys. Ther. Sci. 29, 85–87 (2017). DOI: https://doi.org/10.1589/jpts.29.85

Kocjan, J., Adamek, M., Gzik-Zroska, B., Czyżewski, D. & Rydel, M. Network of breathing. Multifunctional role of the diaphragm: a review. Adv. Respir. Med. 85, 224–232 (2017). DOI: https://doi.org/10.5603/ARM.2017.0037

Lee, H.-Y., Cheon, S.-H. & Yong, M.-S. Effect of diaphragm breathing exercise applied on the basis of overload principle. J. Phys. Ther. Sci. 29, 1054–1056 (2017). DOI: https://doi.org/10.1589/jpts.29.1054

Sakhaei, S., Sadagheyani, H. E., Zinalpoor, S., Markani, A. K. & Motaarefi, H. The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Maced. J. Med. Sci. 6, 1851 (2018). DOI: https://doi.org/10.3889/oamjms.2018.407

Araujo, C., Karloh, M., Reis, C., PalÃo, M. & Mayer, A. Pursed-lips breathing reduces dynamic hyperinflation induced by activities of daily living test in patients with chronic obstructive pulmonary disease: A randomized cross-over study. J. Rehabil. Med. 47, 957–962 (2015). DOI: https://doi.org/10.2340/16501977-2008

Zhang, W. & Mehta, A. The historical perspective on pursed lip breathing exercises and its role in pulmonary rehabilitation programs. Med. Res. Arch. 6, (2018).

Mendes, L. P. et al. Effects of Diaphragmatic Breathing With and Without Pursed-Lips Breathing in Subjects With COPD. Respir. Care 64, 136–144 (2019). DOI: https://doi.org/10.4187/respcare.06319

Cabral, L. F., D’Elia, T. C., Marins, D., Zin, W. A. & Guimarães, F. S. Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. Eur J Phys Rehabil Med 51, 79–88 (2015).

Nield, M. A., Hoo, G. W. S., Roper, J. M. & Santiago, S. Efficacy of pursed-lips breathing: a breathing pattern retraining strategy for dyspnea reduction. J. Cardiopulm. Rehabil. Prev. 27, 237–244 (2007). DOI: https://doi.org/10.1097/01.HCR.0000281770.82652.cb

Norweg, A. et al. Capnography-assisted learned, monitored (CALM) breathing therapy for dysfunctional breathing in COPD: A bridge to pulmonary rehabilitation. Contemp. Clin. Trials 134, 107340 (2023). DOI: https://doi.org/10.1016/j.cct.2023.107340

Higashino, M., Miyata, K. & Kudo, K. Coordination dynamics of thoracic and abdominal movements during voluntary breathing. Sci. Rep. 12, 13266 (2022). DOI: https://doi.org/10.1038/s41598-022-17473-9

Espinoza-Bravo, C. et al. Effectiveness of Functional or Aerobic Exercise Combined With Breathing Techniques in Telerehabilitation for Patients With Long COVID: A Randomized Controlled Trial. Phys. Ther. 103, pzad118 (2023). DOI: https://doi.org/10.1093/ptj/pzad118

Ni, Y., Yu, Y., Dai, R. & Shi, G. Diffusing capacity in chronic obstructive pulmonary disease assessment: A meta-analysis. Chron. Respir. Dis. 18, 14799731211056340 (2021). DOI: https://doi.org/10.1177/14799731211056340

Prieur, G. et al. Energy conservation technique improves dyspnoea when patients with severe COPD climb stairs: a randomised crossover study. Thorax 75, 510–512 (2020). DOI: https://doi.org/10.1136/thoraxjnl-2019-214295

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