The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Breathing Control Exercises Delivered in a Group Setting for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

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https://blog.powerlung.com/better-breathing/breathing-exercises-for-copd
Institution
J. Bracops Hospital (Brussels, Belgium)
Institution Typology
Hospital
Country
Belgium
Description
For people with chronic obstructive pulmonary disease (COPD), breathing control exercises are an important part of occupational therapy. These exercises may be even more useful when performed in groups. This study investigated the effectiveness of breathing control exercises in groups for patients with severe COPD recovering from an acute lung exacerbation. In this six-week randomized controlled experiment, group breathing exercises were added to a standard inpatient rehabilitation program (usual care) compared to usual care alone. The typical exercise program consisted of strength and endurance training and therapeutic patient education. This 6-week randomized controlled experiment examined the effects of adding group breathing exercises to a typical inpatient rehabilitation program (usual care) compared to care alone. The usual exercise program consisted of strength and endurance training as well as therapeutic patient education. In addition to standard care, the intervention group received twenty sessions of group breathing control exercises, each lasting thirty minutes. People who were admitted to the J. Bracops Hospital in Brussels and had stage III or IV COPD according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD).
Disease
COPD
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Available

Innovation
Fifteen different sets of ten repetitions of each body movement, separated by ten seconds of rest in between, were performed using breathing techniques. Patients with severe COPD who are recovering from an acute pulmonary exacerbation may benefit clinically from breathing control exercises.

Evaluation System
All outcomes showed significant improvement after the 6-week period, exceeding the minimally significant clinically meaningful difference in the intervention group alone. There were significant differences between the groups for each outcome. Patients who also underwent breathing exercises in a group environment showed significant improvements in quality of life, functional ability, or upper muscle strength when compared to merely conventional care, which included aerobic and resistance training along with personalized therapeutic patient education. These findings imply that group breathing control workouts are a dependable and respectable form of care for individuals with severe COPD.

Assessment
Group breathing control exercises provide clinically meaningful benefits to patients with severe COPD recovering from an acute pulmonary exacerbation.
References
Cazorla, S., Busegnies, Y., D'Ans, P., Héritier, M., & Poncin, W. (2023). Breathing Control Exercises Delivered in a Group Setting for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. Healthcare (Basel, Switzerland), 11(6), 877. doi.org/10.3390/healthcare11060877" target="_blank">doi.org/10.3390/healthcare11060877

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