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Cited by 83Chronic Obstructive Pulmonary Disease (COPD) ResearchRespiratory Support and MechanismsCardiovascular and exercise physiology

Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews

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Borge, Christine Råheim, Hagen, Kåre Birger, Mengshoel, Anne Marit, Omenaas, Ernst, Moum, Torbjørn, Wahl, Astrid Klopstad·2014·BMC Pulmonary Medicine
DOI 10.1186/1471-2466-14-184PMC PMC4258938
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Abstract

BACKGROUND: This paper reviews evidence and quality of Systematic Reviews (SRs) on the effects of breathing control exercises (BCEs) and respiratory muscle training (RMT) on breathlessness/dyspnea and other symptoms, and quality of life (QOL) for individuals with chronic obstructive pulmonary disease (COPD). METHODS: A search for BCE and RMT literature in COPD published between January 1, 2002 and December 31, 2013 was performed in the following databases: PubMed, Ovid, CINAHL, PsycINFO, AMED, Cochrane and PEDro. The AMSTAR criteria were used to evaluate quality. RESULTS: After reviewing 642 reports, seven SRs were identified on RMT and BCEs. Three SRs were of high quality, three were of moderate quality, and one was of low quality. Two high-quality SRs reported significantly beneficial effects of RMT on dyspnea, and one reported significant effects on disease-specific QOL and fatigue. In these SRs, pooled data analyses were performed with three to fourteen single randomised control trials (RCTs) included in the analysis. In one of the SRs the quality of the single RCTs were rated by the authors to be between 5-7 (with10 best) and in the other one the quality of the single RCTs were rated to be between 30-83% of the maximum score.One high-quality SR found a significant positive effect of BCE based on pooled data analysis with two single RCTs in regard to pursed-lip breathing (PLB) on breathlessness. In this SR, one single RCT on diaphragmatic breathing (DB) and another one on yoga breathing (YB) showed effect on disease-specific QOL. The single RCTs included in the SR were rated by the authors in the SRs to be of low and moderate quality. CONCLUSIONS: Based on three high-quality SRs performing pooled data analyses, there is evidence that RMT has effect on breathlessness, fatigue and disease-specific QOL and PLB on breathlessness. There is also evidence that single studies on DB and YB has effect on disease-specific QOL. Few RCTs are available and the variable quality of the single RCTs in the SRs, seem to require more RCTs in particular for BCEs, but also RMT before conclusions regarding effects and high quality SRs can be written.

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  • In recent years, yoga has been trialled in patients with COPD and asthma with limited effect and studies remain highly heterogeneous in design.

    “In recent years, yoga has been trialled in patients with COPD and asthma with limited effect and studies remain highly heterogeneous in design [33, 41, 42].”

    From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [41]

    The Results section (page unavailable) reports four yoga-breathing trials in people with COPD, with a disease-related quality-of-life effect in only one, supporting the limited-effect portion. The paper excludes diseases other than COPD and does not establish effects in asthma; its Conclusion describes variable trial quality, not highly heterogeneous study designs. (LLM, conf=0.86)

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Authors
Borge, C. R., Hagen, K. B., Mengshoel, A. M., Omenaas, E., Moum, T., & Wahl, A. K.
Affiliations
  • University of Oslo (NO)
  • Haukeland University Hospital (NO)
Corresponding author
Borge, Christine Råheim
ORCID
Venue
BMC Pulmonary Medicine
Publisher
Springer Science and Business Media LLC
Published
2014-11-21
Volume
14
Issue
1
Pages
184-184
ISSN
1471-2466 (ISSN-L)
DOI
10.1186/1471-2466-14-184
PMC
PMC4258938
OpenAlex
W2145458090
Cited by
83
References
3
Citations by year
2026: 4 · 2025: 9 · 2024: 5 · 2023: 8 · 2022: 12 · 2021: 8 · 2020: 8 · 2019: 6 · 2018: 13 · 2017: 5 · 2016: 3 · 2015: 1
FWCI
0.51
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Pulmonary Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
Universitetet i Oslo
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords
chronic obstructive pulmonary disease, respiratory muscle training, pursed-lip breathing, diaphragmatic breathing, pranayama, dyspnea, quality of life, fatigue, quality of evidence, systematic review quality, AMSTAR
MeSH terms
Breathing Exercises, Dyspnea, Humans, Quality of Life, Review Literature as Topic, Yoga, Pulmonary Disease, Chronic Obstructive

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