Evaluation of Upper Limb Exercise with Respiratory Muscle Stretch Gymnastics for Lung Function and Quality of Life in Copd Patients
Abstract
Progressive decline in pulmonary function can be unveiled by shortness of breath and lower physical ability, and decreased life quality among COPD. This study aimed to investigate the effects of Upper Limb Exercise with Respiratory Muscle Stretch Gymnastics for lung function and quality of life in COPD patients. A quasi-experiment design (pre-post test with control group design). 50 respondents participated, divided into two groups at Airlangga Hospital and Bangil Regency Hospital, Indonesia, with consecutive sampling. Data were collected by a spirometry test for lung function using the COPD Assessment Test (CAT), subsequently was analyzed by employing aired T-test and MANOVA test. Treatments were given three times a week for a month. The outcome showed that the treatment group increased lung function with FEV1 value and quality of life before and after the treatment with a value of 0.000 (p<0.05), but the control group was otherwise. There were lung function and quality of life values with MANOVA of 0.011 (p<0.05). Upper Limb Exercise with Respiratory Muscle Stretch Gymnastics improve lung function and quality of life among COPD patients to complement pharmacological therapy.
References
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Sharma, K., & Joshi, S. (2015). Quality of life of patients with chronic obstructive pulmonary disease in Chitwan , Nepal : a pilot study report. International Journal of Medical Science and Public Health, 4(9), 1235–1241. https://doi.org/10.5455/ijmsph.2015.25022015261
Singh, S. J., Halpin, D. M. G., Salvi, S., Kirenga, B. J., & Mortimer, K. (2019). Exercise and pulmonary rehabilitation for people with chronic lung disease in LMICs: challenges and opportunities. The Lancet Respiratory Medicine, 7(12), 1002–1004. https://doi.org/10.1016/S2213-2600(19)30364-9
Soewito, F. (2016). Latihan Penguatan pada Rehabilitasi Penyakit Paru Obstruktif Kronik : Proses Sistemik dan Biomolekuler. J Indon Med Assoc, 66(September 2016), 551–558.
Spruit, M. A., Singh, S. J., Garvey, C., Zu Wallack, R., Nici, L., Rochester, C., … Wouters, E. F. M. (2013). An official American thoracic society/European respiratory society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8). https://doi.org/10.1164/rccm.201309-1634ST
Takahashi, T., Kobayashi, S., Fujino, N., Suzuki, T., Ota, C., Tando, Y., … Kubo, H. (2014). Annual FEV 1 changes and numbers of circulating endothelial microparticles in patients with COPD : a prospective study. BMJ Open, 1–8. https://doi.org/10.1136/bmjopen-2013-004571
Tantucci, C., & Modina, D. (2012). Lung function decline in COPD. International Journal of COPD, 7, 95–99.
Tarigan, A. P., Ananda, F. R., Pandia, P., Sinaga, B. Y. M., & Maryaningsih, M. (2019). The Impact of Upper Limb Training with Breathing Maneuver in Lung Function , Functional Capacity , Dyspnea Scale , and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease, 7(4), 567–572.
Toyodera, M., Msaoka, Y., Akai, L., Hanaoka, K., Ono, S., & Izumizaki, M. (2013). Effects of Respiratory Muscle Stretch Gymnastics on Children s Emotional Responses. Univ J Med Sci, 25(September), 171–179.
Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328. https://doi.org/10.2147/NDT.S79354
Viet, N. H. N., Yunus, F. A., Nguyen, A. N. H., Phuong, T. H. I., Bich, V. A. N. D. A. O., Damayanti, T. R., … Kwon, N. A. (2015). The prevalence and patient characteristics of chronic obstructive pulmonary disease in non-smokers in Vietnam and Indonesia : An observational survey. Respirology, 20, 602–611. https://doi.org/10.1111/resp.12507
WHO. (2017). Chronic obstructive pulmonary disease (COPD). Retrieved June 30, 2020, from https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Zamzam, M. A., Azab, N. Y., Wahsh, R. A. El, Ragab, A. Z., & Allam, E. M. (2012). Quality of life in COPD patients. Egyptian Journal of Chest and Tuberculosis, (61), 281–289. https://doi.org/10.1016/j.ejcdt.2012.08.012
Diaphragmatic Breathing on Dyspnoea , Chest Expansion And Functional Capacity in Stable Copd. International Journal of Scientific and Research Publications, 7(5), 256–260.
Baidya, S., Coppieters, M. W., Solomen, S., & Aaron, P. (2018). Comparison of Cardio Respiratory Responses and Level of Exertion Following Two Common Tests for Arm Exercise Capacity in Patients with COPD. Indian Journal of Physiotherapy and Occupational Thearpyournal of Physiotherapy and Occupational Thearpy, 12(1), 76–81.
Barnes, P. J. (2016). Sex Differences in Chronic Obstructive Pulmonary Lung Function and Polycyclic Aromatic Hydrocarbons in China. Am J Respir Crit Care Med Vol, 193(8), 813–824.
Bhasin, P., & Subramanian, S. A. (2012). Effects of Short Term Pulmonary Rehabilitation with or without Respiratory Muscle Stretch Gymnastics on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease. Indian Journal of Physiotherapy and Occupational Therapy, 6(1), 187–191.
Esquinas, C., Ramon, M. A., Nuñez, A., Molina, J., Quintano, J. A., Roman-Rodríguez, M., … Barrecheguren, M. (2019). Correlation between disease severity factors and EQ-5D utilities in chronic obstructive pulmonary disease. Quality of Life Research. https://doi.org/10.1007/s11136-019-02340-4
GOLD. (2020). 2020 Report Global Strategy for the Diagnosis, Management, and Prevention of CHronic Obstructive Pulmonary Disease. Retrieved from www.goldcopd.org
Gordon, C. S., Waller, J. W., Cook, R. M., Cavalera, S. L., Lim, W. T., & Osadnik, C. R. (2019). Effect of Pulmonary Rehabilitation on Symptoms of Anxiety and Depression in COPD: A Systematic Review and Meta-Analysis. Chest, 156(1), 80–91. https://doi.org/10.1016/j.chest.2019.04.009
He, M., Yu, S., Wang, L., Lv, H., & Qiu, Z. (2015). Efficiency and safety of pulmonary rehabilitation in acute exacerbation of chronic obstructive pulmonary disease. Medical Science Monitor, 21, 806–812. https://doi.org/10.12659/MSM.892769
Incorvaia, C., Russo, A., Foresi, A., Berra, D., Elia, R., Passalacqua, G., … Ridolo, E. (2014). Effects of Pulmonary Rehabilitation on Lung Function in Chronic Obstructive Pulmonary Disease: The First Study. European Journal of Physical and Rehabilitation Medicine, 50(4), 419–426.
Karn, A. F. Al, Hassan, W. A., Fadl, A. A. A. El, & Mahmoud, M. A. (2018). Effectiveness of pulmonary rehabilitation on pulmonary function parameters and dyspnea in patients with stable chronic obstructive pulmonary disease. Egyptian Journal of Bronchology, Vol. 12(No. 1), 33–40. https://doi.org/10.4103/ejb.ejb
Kaymaz, D., Candemir, I. Ç., Erg€un, P., Demir, N., Taşdemir, F., & Demir, P. (2018). Relation between upper-limb muscle strength with exercise capacity , quality of life and dyspnea in patients with severe chronic obstructive pulmonary disease. Clin Respir. J, 12(April 2017), 1267–1263. https://doi.org/10.1111/crj.12659
Lee, J., Jung, H. M., Kim, S. K., Yoo, K. H., Jung, K. S., Lee, S. H., & Rhee, C. K. (2019). Factors associated with chronic obstructive pulmonary disease exacerbation, based on big data analysis. Scientific Reports, 9(1), 1–8. https://doi.org/10.1038/s41598-019-43167-w
Leem, A. Y., Park, B., Kim, Y. S., Chang, J., Won, S., & Jung, J. Y. (2019). Longitudinal decline in lung function: a community-based cohort study in Korea. Scientific Reports, 9(1), 1–8. https://doi.org/10.1038/s41598-019-49598-9
Liang, L. R., Lin, Y. X., Yang, T., Zhang, H., Li, J., & Wang, C. (2014). Determinants of health-related quality of life worsening in patients with chronic obstructive pulmonary disease at one year. Chinese Medical Journal, 127(1), 4–10. https://doi.org/10.3760/cma.j.issn.0366-6999.20131359
Liao, W. H., Chen, J. W., Chen, X., Lin, L., Yan, H. Y., Zhou, Y. Q., & Chen, R. (2015). Impact of resistance training in subjects with COPD: A systematic review and meta-analysis. Respiratory Care, 60(8), 1130–1145. https://doi.org/10.4187/respcare.03598
Magalhães, C., Neto, M. G., & Saquetto, M. B. (2018). Effects of upper limb resistance exercise on aerobic capacity , muscle strength , and quality of life in COPD patients : a randomized controlled trial. Clinical Rehabilitation, 1–9. https://doi.org/10.1177/0269215518787338
Minoguchi, H., Shibuya, M., Miyagawa, T., Kokubu, F., Yamada-, M., Tanaka, H., & Altose, M. D. (2002). Cross-over Comparisonbetween Respiratory Muscle Stretch Gymnastics and Inspiratory Muscle Training. Internal Medicine, 41(10), 1–5.
Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD, 1–11. https://doi.org/10.1186/s12931-017-0548-3
Novianti, Z., Suradi, & Doewes, M. (2015). Peran Upper Limb dan Lower Limb Exercise Terhadap Kapasitas Latihan dan Fat-Free Mass Penderita Penyakit Paru Obstruktif Kronik Stabil - PDF.pdf. J Respir Indo, 35(3), 172–177.
PDPI. (2016). Diagnosis dan Penatalaksanaan PPOK. Universitas Indonesia.
Perez-Padilla, R., Fernandez-Plata, R., De Oca, M. M., Lopez-Varela, M. V., Jardim, J. R., Muiño, A., … Menezes, A. M. B. (2017). Lung function decline in subjects with and without COPD in a population-based cohort in Latin-America. PLoS ONE, 12(5), 1–12. https://doi.org/10.1371/journal.pone.0177032
Safran, E., & Yildiz, A. (2016). Relationship between respiratory functions and upper extremity functions in patients with neuromuscular diseases. European Respiratory Journal, 48. https://doi.org/https://doi.org/10.1183/13993003.congress-2016.PA1376
Sansores, R. H., & Ramírez-Venegas, A. (2016). COPD in women: Susceptibility or vulnerability. European Respiratory Journal, 47(1), 19–22. https://doi.org/10.1183/13993003.01781-2015
Sharma, K., & Joshi, S. (2015). Quality of life of patients with chronic obstructive pulmonary disease in Chitwan , Nepal : a pilot study report. International Journal of Medical Science and Public Health, 4(9), 1235–1241. https://doi.org/10.5455/ijmsph.2015.25022015261
Singh, S. J., Halpin, D. M. G., Salvi, S., Kirenga, B. J., & Mortimer, K. (2019). Exercise and pulmonary rehabilitation for people with chronic lung disease in LMICs: challenges and opportunities. The Lancet Respiratory Medicine, 7(12), 1002–1004. https://doi.org/10.1016/S2213-2600(19)30364-9
Soewito, F. (2016). Latihan Penguatan pada Rehabilitasi Penyakit Paru Obstruktif Kronik : Proses Sistemik dan Biomolekuler. J Indon Med Assoc, 66(September 2016), 551–558.
Spruit, M. A., Singh, S. J., Garvey, C., Zu Wallack, R., Nici, L., Rochester, C., … Wouters, E. F. M. (2013). An official American thoracic society/European respiratory society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8). https://doi.org/10.1164/rccm.201309-1634ST
Takahashi, T., Kobayashi, S., Fujino, N., Suzuki, T., Ota, C., Tando, Y., … Kubo, H. (2014). Annual FEV 1 changes and numbers of circulating endothelial microparticles in patients with COPD : a prospective study. BMJ Open, 1–8. https://doi.org/10.1136/bmjopen-2013-004571
Tantucci, C., & Modina, D. (2012). Lung function decline in COPD. International Journal of COPD, 7, 95–99.
Tarigan, A. P., Ananda, F. R., Pandia, P., Sinaga, B. Y. M., & Maryaningsih, M. (2019). The Impact of Upper Limb Training with Breathing Maneuver in Lung Function , Functional Capacity , Dyspnea Scale , and Quality of Life in Patient with Stable Chronic Obstructive of Lung Disease, 7(4), 567–572.
Toyodera, M., Msaoka, Y., Akai, L., Hanaoka, K., Ono, S., & Izumizaki, M. (2013). Effects of Respiratory Muscle Stretch Gymnastics on Children s Emotional Responses. Univ J Med Sci, 25(September), 171–179.
Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328. https://doi.org/10.2147/NDT.S79354
Viet, N. H. N., Yunus, F. A., Nguyen, A. N. H., Phuong, T. H. I., Bich, V. A. N. D. A. O., Damayanti, T. R., … Kwon, N. A. (2015). The prevalence and patient characteristics of chronic obstructive pulmonary disease in non-smokers in Vietnam and Indonesia : An observational survey. Respirology, 20, 602–611. https://doi.org/10.1111/resp.12507
WHO. (2017). Chronic obstructive pulmonary disease (COPD). Retrieved June 30, 2020, from https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Zamzam, M. A., Azab, N. Y., Wahsh, R. A. El, Ragab, A. Z., & Allam, E. M. (2012). Quality of life in COPD patients. Egyptian Journal of Chest and Tuberculosis, (61), 281–289. https://doi.org/10.1016/j.ejcdt.2012.08.012
Published
2023-05-28
How to Cite
ROHMAH, Ulfa Nur; AMIN, Muhammad; MAKHFUDLI, Makhfudli.
Evaluation of Upper Limb Exercise with Respiratory Muscle Stretch Gymnastics for Lung Function and Quality of Life in Copd Patients.
NurseLine Journal, [S.l.], v. 8, n. 1, p. 15-23, may 2023.
ISSN 2541-464X.
Available at: <https://jurnal.unej.ac.id/index.php/NLJ/article/view/32622>. Date accessed: 22 dec. 2024.
doi: https://doi.org/10.19184/nlj.v8i1.32622.
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Articles
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