Pilot study of self-care breath training exercise for reduction of chronic dyspnea Journal Article
| Authors: | Deng, G.; Feinstein, M. B.; Benusis, L.; Tin, A. L.; Stover, D. E. |
| Article Title: | Pilot study of self-care breath training exercise for reduction of chronic dyspnea |
| Abstract: | PURPOSE: Dyspnea related to chronic pulmonary disorders is difficult to manage. In this single-arm study, we evaluated feasibility and potential efficacy of a self-care breath training program to reduce dyspnea that persists despite standard treatments in patients with chronic lung disease. METHODS: Adult patients with a chronic pulmonary disorder and stable moderate dyspnea received one 30-min training on specific breathing techniques, followed by audio-guided at-home practice 15 min twice daily for 6 wk, supported with weekly telephone monitoring/coaching. The feasibility endpoints, Baseline and Transition Dyspnea Indexes, 6-min walk test, Hospital Anxiety and Depression Scale, and oxygen saturation at rest and exercise were evaluated at baseline and wk 6. RESULTS: Of the 23 patients enrolled over 2 yr, 19 completed the study. A majority (74%; 95% CI, 49%-91%) completed at least 75% of the home practice sessions. Significant objective improvements in physical performance, defined as distance walked, were observed after 6 wk of intervention. On average, patients walked significantly further in the 6-min walk test (59 ft; 95% CI, 18-99; P = .007). In addition, 53% reported clinically significant (20%, defined a priori) subjective improvement in the Transition Dyspnea Index, although the difference was not statistically significant (0.7; 95% CI, -0.8 to 2.3; P = .3). No significant differences were seen in the Hospital Anxiety and Depression Scale or oxygen saturation. CONCLUSIONS: A low-burden, low-cost, self-care breath training program improved distance walked by patients with chronic dyspnea after 6 wk of home practice. Promising data suggest that a randomized trial of this breath training program is warranted. |
| Journal Title: | Journal of Cardiopulmonary Rehabilitation and Prevention |
| Volume: | 39 |
| Issue: | 1 |
| ISSN: | 1932-7501 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2019-01-01 |
| Start Page: | 56 |
| End Page: | 59 |
| Language: | English |
| DOI: | 10.1097/hcr.0000000000000368 |
| PUBMED: | 30489441 |
| PROVIDER: | scopus |
| PMCID: | PMC6309932 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 February 2019 -- Source: Scopus |
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114Tin -
1Benusis
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