Effects of Buteyko Breathing Technique versus Diaphragmatic Breathing on Exercise Capacity and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
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Abstract
Background: Chronic Obstructive Pulmonary Disease (COPD) is a prevalent condition characterized by decreased respiratory function and reduced quality of life. Pulmonary rehabilitation techniques, specifically Buteyko Breathing Technique (BBT) and Diaphragmatic Breathing Technique (DBT), have been suggested to improve these aspects in COPD patients. However, comparative efficacy of these techniques remains uncertain.
Objective: This study aimed to compare the effectiveness of BBT and DBT on exercise capacity and quality of life in patients with COPD.
Methods: In a randomized clinical trial (WHO Registry of IRCTs: NCT05947227), 48 COPD patients (aged 40-65 years) were enrolled and randomly assigned to either BBT or DBT groups. Both groups underwent respective breathing technique training as part of pulmonary rehabilitation over a 10-month period at Jinnah Hospital, Lahore. Key measurements included the 6-minute walk test (6MWT) for exercise capacity and the St. George Respiratory Questionnaire (SGRQ) for quality of life assessment. The Modified Borg Dyspnea Scale was used to categorize dyspnea severity. Data were analyzed using SPSS software (Version 25), with parametric and non-parametric tests applied for comparative analysis.
Results: Both groups showed improvement post-intervention, but DBT demonstrated superior outcomes. Quality of life scores improved from an average of 85.33 (SD=1.110) to 76.06 (SD=4.503) in the DBT group, compared to 87.16 (SD=4.55) to 83.10 (SD=5.76) in the BBT group (p=0.000). Similarly, 6MWT distances showed significant improvement in the DBT group. The DBT group also exhibited a more considerable enhancement in activity scores and dyspnea reduction compared to the BBT group.
Conclusion: While both BBT and DBT are effective in improving exercise capacity and quality of life in COPD patients, DBT shows a more significant improvement. These findings suggest that DBT could be a more favorable technique in pulmonary rehabilitation for COPD patients.
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References
Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I. Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine. 2022;10(5):447-58.
PRASAD B. Chronic obstructive pulmonary disease (COPD). International Journal of Pharmacy Research & Technology (IJPRT). 2020;10(1):67-71.
Alqahtani JS. Prevalence, incidence, morbidity and mortality rates of COPD in Saudi Arabia: Trends in burden of COPD from 1990 to 2019. PloS one. 2022;17(5):e0268772.
O’Donnell DE, Milne KM, James MD, de Torres JP, Neder JA. Dyspnea in COPD: new mechanistic insights and management implications. Advances in therapy. 2020;37:41-60.
Martí JD, McWilliams D, Gimeno-Santos E, editors. Physical therapy and rehabilitation in chronic obstructive pulmonary disease patients admitted to the intensive care unit. Seminars in respiratory and critical care medicine; 2020: Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Sunde S, Hesseberg K, Skelton DA, Ranhoff AH, Pripp AH, Aarønæs M, et al. Associations between health-related quality of life and physical function in older adults with or at risk of mobility disability after discharge from the hospital. European Geriatric Medicine. 2021;12(6):1247-56.
Vagedes J, Helmert E, Kuderer S, Vagedes K, Wildhaber J, Andrasik F. The Buteyko breathing technique in children with asthma: A randomized controlled pilot study. Complementary Therapies in Medicine. 2021;56:102582.
Jones C, Bhavanani AB, Sulit L, Kapur V. Study of the effect of Buteyko breathing technique in patients with hypertension-A case series. Journal of Society of Indian Physiotherapists. 2020;4(1):14-5.
Marotta N, Demeco A, Moggio L, Marinaro C, Pino I, Barletta M, et al. Comparative effectiveness of breathing exercises in patients with chronic obstructive pulmonary disease. Complementary Therapies in Clinical Practice. 2020;41:101260.
Hamasaki H. Effects of diaphragmatic breathing on health: a narrative review. Medicines. 2020;7(10):65.
Holland AE, Hill CJ, Jones AY, McDonald CF. Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews. 2012(10).
Santino TA, Chaves GS, Freitas DA, Fregonezi GA, Mendonça KM. Breathing exercises for adults with asthma. Cochrane Database of Systematic Reviews. 2020(3).
Arora RD, Subramanian VH. To study the effect of Buteyko breathing technique in patients with obstructive airway disease. Int J Health Sci Res. 2019;9(3):50-64.
Saeed A, Arshad MU, Wajeeha MUK, Shahid A. A Review on Implications of Physiotherapy Techniques in COPD: A Review Article. Pakistan Journal of Medical & Health Sciences. 2022;16(10):3-.
Neşe A, Bağlama SS. The Effect of Progressive Muscle Relaxation and Deep Breathing Exercises on Dyspnea and Fatigue Symptoms of COPD Patients: A Randomized Controlled Study. Holistic nursing practice. 2022;36(4):E18-E26.
Yun R, Bai Y, Lu Y, Wu X, Lee S-D. How breathing exercises influence on respiratory muscles and quality of life among patients with COPD? A systematic review and meta-analysis. Canadian Respiratory Journal. 2021;2021.
Esteban C, Arostegui I, Aramburu A, Moraza J, Najera-Zuloaga J, Aburto M, et al. Predictive factors over time of health-related quality of life in COPD patients. Respiratory Research. 2020;21:1-11.
Sharma S, Salibi G, Tzenios N. Modern approaches of rehabilitation in COPD patients. Special Journal of the Medical Academy and other Life Sciences. 2023;1(6).
Rochester CL, Holland AE. Pulmonary rehabilitation and improved survival for patients with COPD. JAMA. 2020;323(18):1783-5.
Machado A, Silva PM, Afreixo V, Caneiras C, Burtin C, Marques A. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis. European Respiratory Review. 2020;29(158).
Kjærgaard JL, Juhl CB, Lange P, Wilcke JT. Early pulmonary rehabilitation after acute exacerbation of COPD: a randomised controlled trial. ERJ open research. 2020;6(1).
Aldhahir AM, Alghamdi SM, Alqahtani JS, Alqahtani KA, Al Rajah AM, Alkhathlan BS, et al. Pulmonary rehabilitation for COPD: A narrative review and call for further implementation in Saudi Arabia. Annals of thoracic medicine. 2021;16(4):299.