Clinical Effects of Four Weeks of Respiratory Muscle Stretch Gymnastics in Patients with Chronic Obstructive Pulmonary Disease.

DOI PubMed 13 Citations 20 References
  • Yamada Minehiko
    Department of Respiratory Medicine, Showa University Fujigaoka Hospital Department of Physiology, Showa University School of Medicine
  • Kakizaki Fujiyasu
    Department of Physiology, Showa University School of Medicine Department of Rehabilitation, Showa University Fujigaoka Rehabilitation Hospital
  • Sibuya Masato
    Department of Physiology, Showa University School of Medicine
  • Nakayama Hideaki
    Department of Physiology, Showa University School of Medicine
  • Tsuzura Yutaka
    Department of Respiratory Medicine, Showa University Fujigaoka Hospital
  • Tanaka Kazumasa
    Department of Respiratory Medicine, Showa University Fujigaoka Hospital
  • Suzuki Hajime
    Department of Respiratory Medicine, Showa University Fujigaoka Hospital
  • Homma Ikuo
    Department of Physiology, Showa University School of Medicine

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Other Title
  • 慢性閉塞性肺疾患患者における呼吸筋ストレッチ体操の４週間の臨床効果

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We developed a program of respiratory muscle stretch gymnastics (RMSG), and measured lung function, exercise capacity, dyspnea, and quality of life before and after 4 weeks of training with this program. Thirteen patients with chronic obstructive pulmonary disease (mean FEV1, 1.24 liters) began the program. They participated in three sessions of RMSG each day. Twelve patients completed all 4 weeks.<br>RMSG significantly (p<0.01) decreased functional residual capacity (from 4.19±1.27 to 3.88±1.03 liters), total lung capacity (from 5.98±1.35 to 5.66±1.20 liters), residual volume (from 3.29±1.16 to 2.89±0.89 liters), and residual volume as a percent of total lung capacity (from 53.9±11.2% to 50.6±9.74%). The distance walked in 6 min increased by an average of 43±30 meters (+15%, p<0.01). Dyspnea after a 6-minute walk (measured with a 150-mm visual analog scale) decreased significantly (from 65.1±40.8 to 36.1±36.8, p<0.05). Quality of life was measured with the Chronic Respiratory Disease Questionnaire of Guyatt, et al., and was found to have improved significantly. Respiratory muscle stretch gymnastics may be useful in pulmonary rehabilitation.

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