Arm Elevation and Coordinated Breathing Strategies in Patients with COPD
Background: Hyperinflated patients with COPD breathe against an increased elastic load during physical activity. Arm activities are especially demanding. Some pulmonary rehabilitation programs instruct patients to inhale while raising their arms, whereas others recommend the opposite. This study aim...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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American College of Chest Physicians
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/30958 |
| _version_ | 1848753240439521280 |
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| author | Dolmage, T. Janaudis-Ferreira, T. Hill, Kylie Price, S. Brooks, D. Goldstein, R. |
| author_facet | Dolmage, T. Janaudis-Ferreira, T. Hill, Kylie Price, S. Brooks, D. Goldstein, R. |
| author_sort | Dolmage, T. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Hyperinflated patients with COPD breathe against an increased elastic load during physical activity. Arm activities are especially demanding. Some pulmonary rehabilitation programs instruct patients to inhale while raising their arms, whereas others recommend the opposite. This study aimed to determine the effect of coordinating breathing with arm movements on the endurance of a lifting task. Methods: Participants with COPD and hyperinflation completed two (high intensity and severe intensity) rhythmic, constant load-lifting tasks to intolerance (tlimit) before and after attending four “teaching” sessions. Participants were randomly assigned to one of three groups: (1) taught to inhale during the lift, (2) taught to exhale during the lift, or (3) sham (unconstrained coordination). Results: Thirty-six participants (FEV1 % predicted [SD], 34 [13]; FEV1/FVC [SD], 33% [10%]; thoracic gas volume % predicted [SD], 179 [44]) completed the study. There was an effect of group on the change in tlimit (P < .01) regardless of task intensity (P = .47). The change in tlimit in the exhalation group was greater than in both the sham (difference [95% CI]: 2.82 [0.21-5.44] min; P < .05) and inhalation (difference [95% CI]: 3.29 [0.65-5.92] min; P < .05) groups at the high intensity. There was no difference in the change in tlimit between the inhalation and sham groups. Conclusions: A specific breathing strategy, exhalation during the lift, improved task performance. Coordinating exhalation with lifting may be of value to hyperinflated patients with COPD who are engaged in arm and shoulder training exercises or daily activities that involve arm elevation. |
| first_indexed | 2025-11-14T08:21:22Z |
| format | Journal Article |
| id | curtin-20.500.11937-30958 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:21:22Z |
| publishDate | 2013 |
| publisher | American College of Chest Physicians |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-309582017-09-13T15:11:17Z Arm Elevation and Coordinated Breathing Strategies in Patients with COPD Dolmage, T. Janaudis-Ferreira, T. Hill, Kylie Price, S. Brooks, D. Goldstein, R. Background: Hyperinflated patients with COPD breathe against an increased elastic load during physical activity. Arm activities are especially demanding. Some pulmonary rehabilitation programs instruct patients to inhale while raising their arms, whereas others recommend the opposite. This study aimed to determine the effect of coordinating breathing with arm movements on the endurance of a lifting task. Methods: Participants with COPD and hyperinflation completed two (high intensity and severe intensity) rhythmic, constant load-lifting tasks to intolerance (tlimit) before and after attending four “teaching” sessions. Participants were randomly assigned to one of three groups: (1) taught to inhale during the lift, (2) taught to exhale during the lift, or (3) sham (unconstrained coordination). Results: Thirty-six participants (FEV1 % predicted [SD], 34 [13]; FEV1/FVC [SD], 33% [10%]; thoracic gas volume % predicted [SD], 179 [44]) completed the study. There was an effect of group on the change in tlimit (P < .01) regardless of task intensity (P = .47). The change in tlimit in the exhalation group was greater than in both the sham (difference [95% CI]: 2.82 [0.21-5.44] min; P < .05) and inhalation (difference [95% CI]: 3.29 [0.65-5.92] min; P < .05) groups at the high intensity. There was no difference in the change in tlimit between the inhalation and sham groups. Conclusions: A specific breathing strategy, exhalation during the lift, improved task performance. Coordinating exhalation with lifting may be of value to hyperinflated patients with COPD who are engaged in arm and shoulder training exercises or daily activities that involve arm elevation. 2013 Journal Article http://hdl.handle.net/20.500.11937/30958 10.1378/chest.12-2467 American College of Chest Physicians restricted |
| spellingShingle | Dolmage, T. Janaudis-Ferreira, T. Hill, Kylie Price, S. Brooks, D. Goldstein, R. Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title | Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title_full | Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title_fullStr | Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title_full_unstemmed | Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title_short | Arm Elevation and Coordinated Breathing Strategies in Patients with COPD |
| title_sort | arm elevation and coordinated breathing strategies in patients with copd |
| url | http://hdl.handle.net/20.500.11937/30958 |