Why is the patient pursed lip breathing and what physiological effect does it produce?

Brief Summary:

A randomized control trial was conducted at physiotherapy department of Pakistan Railway General Hospital from July 2017 to Dec 2017. 30 patients with stable COPD were enrolled in the study on the basis of inclusion and exclusion criteria. The participants were randomly assigned into two groups, Group A= interventional group, Group B = control group through toss and coin method using non-probability convenient sampling technique and written consent was obtained from each patient participated in the study. From 30 patients 15 patients were randomly allocated to each group, Group A: Interventional (n= 15), Group B: Control (n=15). 1 patient in control group B was dropout because he didn't come for follow up. Overall 29 patients were evaluated for study as in Group A, interventional (n=15) and Group B control (n=14).Patients in group A were performed breathing control at the start of session and then Purse lips breathing technique during aerobic bicycling for 8 min while in group B patients first perform breathing control and then aerobic bicycling for 8 min. Subjects in both experimental and control group underwent spirometry and baseline vitals, such as Respiratory rate, blood pressure, and oxygen saturation, at rest and at the completion of session was noted. Borg scale of dyspnea also used to rate the level of dyspnea at rest and at the end of session. Clinical COPD Questionnaire (CCQ) was used at 1st and final week of evaluation. It was 6 weeks training protocol, with three days per week session was given to the patient.


Condition or disease Intervention/treatment Phase
COPD Other: PLB+Aerobic Bicycling Other: Aerobic Bicycling Not Applicable

Why is the patient pursed lip breathing and what physiological effect does it produce?
Show detailed description

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 29 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Effects of Imposed Pursed Lips Breathing on Breathing Pattern, Dyspnea and Pulmonary Function Test at Rest and During Exercise in COPD Patients
Actual Study Start Date : July 1, 2017
Actual Primary Completion Date : December 25, 2017
Actual Study Completion Date : December 30, 2017

Resource links provided by the National Library of Medicine

Why is the patient pursed lip breathing and what physiological effect does it produce?


Arm Intervention/treatment
Experimental: PLB+Aerobic Bicycling

Pursed Lip Breathing + Aerobic Bicycling

Other: PLB+Aerobic Bicycling

Combination of Breathing control and Purse lips breathing technique for 5 minutes at the start of session.

Purse lips breathing with aerobic bicycling for 8 minutes


Active Comparator: Aerobic Bicycling

Only Aerobic bicycling

Other: Aerobic Bicycling

Breathing control for 5 minutes at the start of session.

Aerobic bicycling for 8 minutes



Primary Outcome Measures :

  1. Forced Expiratory Volume in 1 second (FEV1) [ Time Frame: 6th week ]

    Changes from the Baseline, the digital spirometer is used in clinical setting to analyze Forced Expiratory Volume in 1 second FEV1 in Liters


  2. Forced vital Capacity (FVC) [ Time Frame: 6th week ]

    Changes From the Baseline, the digital spirometer is used in clinical setting to analyze Forced vital Capacity in Liters.


  3. Peak Expiratory Flow (PEF) [ Time Frame: 6th week ]

    Changes from the Baseline, the digital spirometer is used in clinical setting to analyze peak expiratory flow PEF in Liter/second.



Secondary Outcome Measures :

  1. Breathing Pattern [ Time Frame: 6th weeks ]

    Changes from the baseline, Breathing pattern was measured through observation and countercheck with respiratory rate which was taken by researcher by observing chest movements counting the breaths for one minute.




Information from the National Library of Medicine

Why is the patient pursed lip breathing and what physiological effect does it produce?

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information

Ages Eligible for Study:   40 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • COPD stage 2 and 3 patients [based on "Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria]

Exclusion Criteria:

  • neurological disorder and
  • cardiovascular disorder
  • Impaired lower limbs mobility


Information from the National Library of Medicine

Why is the patient pursed lip breathing and what physiological effect does it produce?

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04138069


Layout table for location information

Pakistan
Imran Amjad
Islamabad, Punjab, Pakistan, 44000

Riphah International University

Layout table for investigator information

Principal Investigator: Iqbal Tariq, MsCPPT Riphah International University

Layout table for additonal information

Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT04138069    
Other Study ID Numbers: REC/00228 Madeeha Shafeeq
First Posted: October 24, 2019    Key Record Dates
Last Update Posted: January 13, 2020
Last Verified: January 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Riphah International University:

COPD
Pursed Lips Breathing
Dyspnea
Pulmonary Function Test (PFT)
Aerobic Training

Additional relevant MeSH terms:

Layout table for MeSH terms

Respiratory Aspiration
Respiration Disorders
Respiratory Tract Diseases
Pathologic Processes

What is the effect of pursed lip breathing?

Through purse-lip breathing, people can have relief of shortness of breath, decrease the work of breathing, and improve gas exchange. They also regain a sense of control over their breathing while simultaneously increasing their relaxation.

Why do people do pursed lip breathing?

Pursed lip breathing is one of the simplest ways to control shortness of breath. It provides a quick and easy way to slow your pace of breathing, making each breath more effective.

How does pursed lip breathing prevent alveoli?

Pursed-lip breathing is believed to increase positive pressure generated within the airways and to buttress or stent the small bronchioles, thereby preventing premature airway collapse.