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https://www.um.edu.mt/library/oar/handle/123456789/86810
Title: | Breathing retraining to improve dyspnoea and walking distance in patients with interstitial lung diseases : a randomised controlled trial |
Authors: | Sciriha, Anabel Axiak, Melanie Lungaro-Mifsud, Stephen Scerri, Josianne Agius, Tonio P. Xerri de Caro, John Spiteri Gingell, Nadine Montefort, Stephen |
Keywords: | Breathing exercises Dyspnea Lungs -- Diseases, Obstructive Interstitial lung diseases Lungs -- Diseases |
Issue Date: | 2021 |
Publisher: | ACPRC |
Citation: | Sciriha, A., Axiak, M., Lungaro-Mifsud, S., Scerri, J., Agius, T., Xerri de Caro, J., Spiteri Gingell, N., & Montefort, M. ( 2021). Breathing retraining to improve dyspnoea and walking distance in patients with interstitial lung diseases : a randomised controlled trial. Journal of ACPRC, 53(2), 97-111. |
Abstract: | Objective
Dyspnoea is the hallmark progressive symptom in
interstitial lung disease (ILD). Breathing retraining
in chronic obstructive pulmonary disease (COPD) im-
proves dyspnoea and walking distance (Garrod et al.
2005) but there is a dearth of evidence for ILD. This
study aimed to identify whether breathing retraining
incorporated during pulmonary rehabilitation (PR),
leads to better dyspnoea and functional scores. Design 27 patients with ILD were randomly distributed to a control group (CG) who underwent a 12-week hospi- tal-based PR programme or experimental group (EG), receiving PR with breathing retraining. The 6-minute walk test and dyspnoea scores were assessed at base- line and on completion. Results Statistical improvements in walking distance were re- corded in the EG median 416.25; (IQR 368–463) week 0 to 475m (IQR 437–521) week 12; p = 0.017 and dysp- noea post exertion (median 3.00; IQR 1–5) week 0 to 2.50 (IQR 0.3–4) week 12; p = 0.033). The CG obtained a less, but statistically significant improvement 360m (IQR 330–405) week 0 to 412.50m (IQR 394–450) week 12 (p = 0.003). When comparing outcomes at week 12 between groups, superior results in dyspnoea at rest (EG 0 (IQR 0–0); CG 2 (IQR 0–2); p = 0.029), and walking distances (EG 475m (IQR 437–521); CG 412.50 (IQR 394–450; p = 0.015) were recorded for the EG. Conclusion Breathing retraining added to PR, resulted in improve- ments in dyspnoea scores and functional capacity in patients with ILD. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/86810 |
Appears in Collections: | Scholalry Works - FacHScPhy |
Files in This Item:
File | Description | Size | Format | |
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Sciriha_97-111.pdf Restricted Access | 212.97 kB | Adobe PDF | View/Open Request a copy |
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