FARINELLI'S BREATHING EXERCISE: A POTENTIAL NON-PHARMACOLOGICAL APPROACH FOR IMPROVING PULMONARY FUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Article Sidebar
Main Article Content
Abstract
Purpose
The purpose of study was to investigate the effect of Farinelli’s breathing exercise on pulmonary function in patients with Chronic Obstructive Pulmonary Disease (COPD).
Methods
Twelve patients with Chronic Obstructive Pulmonary Disease aged 51-80 years old who visited at the outpatient examination room, Phramongkutklao Hospital divided into 2 groups; Farinelli’s breathing group (FB; n=6) and diaphragmatic breathing group (DB; n=6). Participants in each group were administered to complete breathing exercise 5 times per week for 8 weeks. Physiological data and pulmonary function variables were analyzed during Pre- and Post-test. The dependent variables between pre-test and post-test were analyzed by a paired t-test. Independent t-test was used to compare the variables between groups. Differences were considered to be significant at p<.05.
Results
The results indicated that after 8-week, there were no significant difference in physiological data such as body weight, resting heart rate, systolic blood pressure, diastolic blood pressure, body mass index, percent of body fat mass and percent of oxygen saturation when compared with pre-test and between group. In addition, the FB group increased forced expiratory volume in 1 second (FEV1), maximum voluntary ventilation (MVV), vital capacity (VC), and inspiratory capacity (IC) compared to pre-test (p<.05) while the DB group increased IC compared to pre-test (p<.05). There was no significant difference in pulmonary function between group.
Conclusion
The present findings demonstrated that 8 weeks of Farinelli’s breathing exercise could improve pulmonary function similarly to diaphragmatic breathing exercise in patients with Chronic Obstructive Pulmonary Disease.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Anzueto, A., & Miravitlles, M. (2017). Pathophysiology of dyspnea in COPD. Postgraduate Medical, 129(3), 366-374.
Bunlam, K., Rojnawee, S., Pojsupap, S., Suksawat, Y., & Tongtako, W. (2 0 2 1). Effects of Sustained Maximum Inspiration Versus Balloon-Blowing Breathing Exercise on Pulmonary Function in School-age Children with Asthma. Journal of Sports Science and Health. 22(1), 103-119.
Cancelliero-gaiad, K. M., Ike, D., Pantoni, C. B., Borghi-silva, A., & Costa, D. (2014). Respiratory pattern of Diaphragmatic breathing and Pilates breathing in COPD subjects. Brazilian Journal of Physical Therapy, 18(4), 291-299.
Cooper C.B. (2009). Desensitization to dyspnea in COPD with specificity for exercise training mode. International journal of chronic obstructive pulmonary disease, 4, 33-43.
Dechman, G., & Wilson, C.R. (2004). Evidence Underlying Breathing Retraining in People with Stable Chronic Obstructive Pulmonary Disease. Physical Therapy, 84(12), 1189-1197.
Dujic, Z., & Breskovic, T. (2012). Impact of breath holding on cardiovascular respiratory and cerebrovascular health. Sports medicine (Auckland, N.Z.), 42(6), 459-472.
Fernandes, M., Cukier, A., & Feltrim, M.I. (2011). Efficacy of diaphragmatic breathing in patients with Chronic Obstructive Pulmonary Disease. Chronic Respiratory Disease, 8(4), 237-244.
Fregonezi, G.A., Resqueti, V.R., & Güell Rous, R. (2004). Pursed lips breathing. Archivos de bronconeumologia, 40(6), 279–282.
Global Initiative for Chronic Obstructive Lung Disease. (2020). Global Strategy for the Diagnosis, Management and Prevention of COPD (2018 report). Retrieved March 1, 2020, from GOLD COPD: Available from https://goldcopd.org/wp-content/uploads/2019/11/GOLD-2020-v6.0-FINAL-revised-20-Nov_WMS.pdf.
Gosselink, R. (2004). Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chronic Respiratory Disease, 1(3), 163-72.
Hill, C.J., Lazzeri, M., & D’Abrosca, F. (2018). Breathing Exercises and Mucus Clearance Techniques in Pulmonary Rehabilitation. In Clini, E., Holland A, E., Pitta, F., & Troosters, T. Textbook of Pulmonary Rehabilitation. (205-216). Charm: Springer International.
Holland, A.E., Hill, C.J., Jones, A.Y., & McDonald, C.F. (2012). Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 10, CD008250.
Imam, M.I., James, J.N., & Akor-Dewu, M.B. (2017). A cross sectional study on lung functions in athletes, singers, and individuals with sedentary lifestyles in Ahmadu Bello University, Zaria. Bayero Journal of Pure and Applied Science, 10(2), 83-87.
Kant, S., & Singh, G.V. (2006). Breathing exercise as adjuvant in the management of COPD. Lung India, 23(4), 165-169.
Marciniuk, D.D., Brooks, D., Butcher, S., Debigare, R., Dechman, G., Ford, G., Pepin, V., Reid, D., Sheel, A.W., Stickland, M.K., Todd, D.C., Walker, S.L., Aaron, S.D., Balter, M., Bourbeau, J., Hernandez, P., Maltais, F., O'Donnell, D.E., Bleakney, D., Carlin, B., Goldstein, R., Muthuri, S.K., & Canadian Thoracic Society COPD Committee Expert Working Group. (2010). Optimizing pulmonary rehabilitation in chronic obstructive pulmonary disease--practical: a Canadian Thoracic Society Clinical Practice Guideline. Canadian Respiratory Journal, 17(4), 159-168.
Miller, R. (1987). The Structure of Singing: System and Art in Vocal Technique. New York: Schirmer Book.
Nield, M.A., Soo, H.G.W., Roper, J.M., & Santiago, S. (2007). Efficacy of pursed-lips breathing: a breathing pattern retraining strategy for dyspnea reduction. Journal of Cardiopulmonary Rehabilitation and Prevention, 27(4), 237-244.
O'Donnell, D.E., Milne, K.M., James, M.D., de Torres, J. P., & Neder, J. A. (2020). Dyspnea in COPD: New Mechanistic Insights and Management Implications. Advances in therapy,37(1), 41-60.
Opaspasu, A., Trisarawat, P., Kongamnoisak, U., & Buranapuntalung, S. (2016). The immediate effects of costal breathing exercise with sustained maximal inspiration technique and flow incentive spirometer on chest expansion in sedentary young adults. Thammasat Medical Journal. 16(2), 220-229.
Orozco-Levi, M. (2003). Structure and function of the respiratory muscles in patients with COPD: impairment or adaptation? European Respiratory Journal, 22(Supplement 46), 41s-51s.
Phillips, K.H. (2013). Teaching Kids to sing. Boston: Schirmer.
Roy, A.S., & Bandyopadhyay, A. (2015). Pulmonary function in female singers of Kolkata, India. Journal of Human Ergology, 44(2), 75-81.
Visser, F.J., Ramlal, S., Dekhuijzen, P.N., & Heijdra, Y.F. (2011). Pursed-lips breathing improves inspiratory capacity in chronic obstructive pulmonary disease. Respiration, 81(5), 372-378.
Yamaguti, W.P., Claudino, R.C., Neto, A.P., Chammas, M.C., Gomes, A.C., Salge, J.M., Moriya, H.T., Cukier, A., & Carvalho, C. (2012). Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 93(4), 571-577.
Zhang, Z. Q., Chen, R.C., Yang, Q.K., Li, P., Wang, C.Z., & Zhang, Z.H. (2008) A randomized controlled trial study of pulmonary rehabilitation with respiratory physiology as the guide on prognosis in patients with chronic obstructive pulmonary disease. Chinese Critical Care Medicine, 20(10), 607-610.