How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis

Aim. This systematic review aimed to investigate the effect of different breathing exercises on respiratory muscle function, 6-minute walk test (6MWT), and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). Methods. We searched online databases including PubMed, Emb...

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Main Authors: Ruisheng Yun, Yiwen Bai, Yan Lu, Xubo Wu, Shin-Da Lee
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2021/1904231
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author Ruisheng Yun
Yiwen Bai
Yan Lu
Xubo Wu
Shin-Da Lee
author_facet Ruisheng Yun
Yiwen Bai
Yan Lu
Xubo Wu
Shin-Da Lee
author_sort Ruisheng Yun
collection DOAJ
description Aim. This systematic review aimed to investigate the effect of different breathing exercises on respiratory muscle function, 6-minute walk test (6MWT), and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). Methods. We searched online databases including PubMed, Embase, Web of Science, Cochrane Library, and Ovid for randomized controlled trials that assessed the efficacy of breathing exercises on patients with COPD. Patient outcome parameters included changes in respiratory muscle function, 6MWT, and QoL. The Cochrane Collaboration tool was used to assess the risk of bias for each included study. Subgroup analyses concerning different interventions and outcome measurements were conducted as necessary. PROSPERO registration number is CRD42018118367. Results. A total of 17 studies were included for final analysis. Meta-analysis based on the relevant studies showed that breathing exercises had a significant total effect on pulmonary function PImax (mean difference (MD) = 8.65, 95% confidence interval (CI) 3.13–14.16, P=0.002), as well as 6MWT (MD = 27.70, 95% CI 5.45–49.94, P=0.01) in patients with COPD. Conclusions. This systematic review summarized the use of breathing exercises for treating patients with COPD. Breathing exercises were found to be an effective tool for treating patients with COPD by improving inspiratory muscle strength and 6MWT. However, breathing exercises showed no significant improvements on the QoL of patients with COPD.
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spelling doaj-art-74d9deb75b524786b4f4f23412ab23522025-02-03T00:58:58ZengWileyCanadian Respiratory Journal1198-22411916-72452021-01-01202110.1155/2021/19042311904231How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-AnalysisRuisheng Yun0Yiwen Bai1Yan Lu2Xubo Wu3Shin-Da Lee4School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, ChinaSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, ChinaDepartment of Rehabilitation Medicine, Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200137, ChinaSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, ChinaSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, ChinaAim. This systematic review aimed to investigate the effect of different breathing exercises on respiratory muscle function, 6-minute walk test (6MWT), and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). Methods. We searched online databases including PubMed, Embase, Web of Science, Cochrane Library, and Ovid for randomized controlled trials that assessed the efficacy of breathing exercises on patients with COPD. Patient outcome parameters included changes in respiratory muscle function, 6MWT, and QoL. The Cochrane Collaboration tool was used to assess the risk of bias for each included study. Subgroup analyses concerning different interventions and outcome measurements were conducted as necessary. PROSPERO registration number is CRD42018118367. Results. A total of 17 studies were included for final analysis. Meta-analysis based on the relevant studies showed that breathing exercises had a significant total effect on pulmonary function PImax (mean difference (MD) = 8.65, 95% confidence interval (CI) 3.13–14.16, P=0.002), as well as 6MWT (MD = 27.70, 95% CI 5.45–49.94, P=0.01) in patients with COPD. Conclusions. This systematic review summarized the use of breathing exercises for treating patients with COPD. Breathing exercises were found to be an effective tool for treating patients with COPD by improving inspiratory muscle strength and 6MWT. However, breathing exercises showed no significant improvements on the QoL of patients with COPD.http://dx.doi.org/10.1155/2021/1904231
spellingShingle Ruisheng Yun
Yiwen Bai
Yan Lu
Xubo Wu
Shin-Da Lee
How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
Canadian Respiratory Journal
title How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
title_full How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
title_fullStr How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
title_full_unstemmed How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
title_short How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis
title_sort how breathing exercises influence on respiratory muscles and quality of life among patients with copd a systematic review and meta analysis
url http://dx.doi.org/10.1155/2021/1904231
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