Chronic obstructive pulmonary disease Slow loaded breathing training Slow breathing training Hypertension High blood pressure SLB,
Conditions
Interventions
Training with respiratory rate of 6 breaths/min (inspiratory time: expiratory time = 3:7) 15 sets/session (rest between set for 5 seconds),
2 sessions/day,
every day for 8 weeks. Inspiratory loaded is 20-
30% of maximum inspiratory pressure with pursed lip breathing,spontaneous deep breath with pursed lip breathing 6 breaths/min (inspiratory time: expiratory time = 3:7) 15 sets/session,
8 weeks.
Experimental Device,Active Comparator Device
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. COPD patients stage moderate to severe with hypertension 2. Aged between 40-80 years 3. Good communication and cooperation 4. Good cognition with MMSE– Thai 2002 (Mini – Mental State Examination: Thai version) score more than 17 points with full scores are 30 points. 5. Stable COPD without acute exacerbation in the previous 4 weeks 6. Independent physical activity
Exclusion criteria
Exclusion criteria: 1. Medical history related with contraindication of exercise including significant resting ECG suggesting ischemia, recent myocardial infarction, or cardiac event, unstable angina, uncontrolled dysrhythmias with symptoms or hemodynamic compromise and symptomatic heart failure, symptomatic severe aortic stenosis, acute myocarditis or pericarditis, and suspected or known dissecting aneurysm 2. Using oxygen therapy 3. History of renal disease or renal dysfunction, neuromuscular disease: cerebrovascular accident, spinal cord injuries 4. Medical history of pneumothorax, recent lung surgery (within 12 months), and spontaneous rib fractures 5. Pulmonary hypertension or pulmonary edema which unrelated with COPD, pulmonary infection, pneumonitis, pulmonary fibrosis with symptoms, active lung tuberculosis, and interstitial lung disease with symptom 6. Musculoskeletal disorders including; severe osteoporosis, limit shoulder flexion ≤ 90o, Hip or knee Osteoarthritis with pain on movement, Back pain with pain on movement, hand function impairment 7. Secondary hypertension 8. Visual impairment, hearing impairment, Balance impairment 9. Pulse oxygen saturation less than 90% at resting 10. Current smoking 11. Current another exercise training program which effect to results of this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inspiratory muscle strength Pre-training, Post-training, and sustain period Mouth pressure meter | — |
Secondary
| Measure | Time frame |
|---|---|
| Lung function Pre-training, Post-training, and sustain period Spirometry,Exercise endurance Pre-training, Post-training, and sustain period Spot marching and 6-minute walk distant,Dynamic hyperinflation Pre-training, Post-training, and sustain period Biopac 100 and Arm ergometry,Blood pressure and heart rate Pre-training, Post-training, and sustain period Digital blood pressure and heart rate monitoring ,Quality of life Pre-training, Post-training, and sustain period St George’s respiratory questionnaire ,Dypnea Pre-training, Post-training, and sustain period Modified Medical research council dyspnea scale and COPD Assessment Test ,Exhaled breath temperature Pre-training, Post-training, and sustain period Breath thermometer | — |
Countries
Thailand
Contacts
Public ContactChattarin Wongsawat
Faculty of Associated Medical Science, Khon Kaen University
Outcome results
None listed