IJCRR - 7(16), August, 2015
COMPARISON BETWEEN EFFECT OF PURSED LIP BREATHING AND MOUTH TAPING ON DYSPNOEA: A CROSS SECTIONAL STUDY
Author: Gaurav Maind PT, Raziya Nagarwala PT, Seemi Retharekar PT, Supriya Gondane PT, Nilima Bedekar PT, Ashok Shyam, Parag Sancheti
Background and purpose of the study was to compare Pursed-lip breathing and Mouth taping for relieving dyspnoea and analyse their effectiveness.
Method: Subjects of age group 18-34 years and normal BMI were randomly divided into two groups, group A (n= 40) for PLB technique and group B (n= 40) for MT technique. Each subject’s Heart rate, Respiratory rate, Blood pressure, Treadmill walking time and level of dyspnoea according to Modified Borg CR10 scale was assessed before and after the intervention.
Results: Both the techniques showed significant improvement by virtue of an increased treadmill walking time, the subject’s dyspnoea status during the treadmill walking and lesser time for recovery to baseline vital parameters. Significant reduction in post-test RR after PLB (p=0.030) and MT (p=0.012) respectively were seen. Although, when compared to each other, MT and PLB techniques showed no significant differences with respect to the dyspnoea relieving time(p=0.08)and treadmill walking time(p=0.2).
Conclusion: MT and PLB both have proved themselves to be equally effective in improving the response to exercise in terms of increased treadmill walking time and post-test dyspnoea status and recovery of vital parameters, without any significant differences between the two techniques.
Keywords: Treadmill walking time, Dyspnoea relief
Gaurav Maind PT, Raziya Nagarwala PT, Seemi Retharekar PT, Supriya Gondane PT, Nilima Bedekar PT, Ashok Shyam, Parag Sancheti. COMPARISON BETWEEN EFFECT OF PURSED LIP BREATHING AND MOUTH TAPING ON DYSPNOEA: A CROSS SECTIONAL STUDY International Journal of Current Research and Review. 7(16), August, 17-21
1. AJ Fedullo, AJ Swinburne, C McGuire-Dunn. Complaints of breathlessness in the emergency department. NY State J Med 1986; 86:4–6
2. GT O’Connor, KM Anderson , WB Kannel, et al. Prevalence and prognosis of dyspnea in the Framingham Study Chest 1987; (suppl 2):90-92
3. D Mahler, A Harver. Pulmonary rehabilitation-Alfred Fishman, C Dyspnea, 1st ed, Marcel Dekker. New York. Pg. no.97-116.
4. B Mark. Parshall, M Richard, Schwartzstein, A Lewis, B Banzett, L Harold. BJ Manning, M Peter. AG Calverley. M. Meek et al; American Thoracic Society Statement: Update on the Mechanisms, Assessment, and Management of Dyspnoea on behalf of the ATS Committee on Dyspnoea October, 2011).
5. Deanna Douglas – Session II Palliative treatment of dyspnoea. (www.lifeproject.org).
6. GFaager, A Stahle, FF Larsen. Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe COPD. J clinical rehabilitation 2008, vol.22, no.8, 675-678.
7. MA Nield, GW SooHoo, J Roper, S Santiago. Efficacy of pursed-lips breathing: a breathing pattern retraining strategy for dyspnoea reduction. J Cardiopulm Rehabil Prev. 2007; 27:237- 244.
8. MR Wolfson, T Shaffer . Cardiopulmonary physical therapy- A guide to practice. Scot Irwin. 4th ed, Mosby, 2004.pg no. 39-81.
9. Gigliotti F, Romagnoli I, Scano G; chest wall kinematics and breathlessness during pursed lip breathing in patients with COPD. Chest 2004 125: pg no.459-465
10. D Frownfelter, M Massery. Cardio vascular and pulmonary physical therapy- Donna Frownfelter, 4th ed. Mosby, 2006, pg no.363-403.
11. Campbell, Agostoni, news on Davis and L Lloyd Respiratory muscle: mechanics and neural control-2nd ed, by London. pg no.348, 1970.
12. DO Rodenstein, DC Stanescuetal.Absence of nasal air flow during pursed lips breathing. The soft palate mechanisms. Am Rev Respir Dis. 1998; 128:716-718.