Qy. Yan et Yx. Sun, QUANTITATIVE RESEARCH FOR IMPROVING RESPIRATORY MUSCLE-CONTRACTION BYBREATHING EXERCISE, Chinese medical journal, 109(10), 1996, pp. 771-775
Objective. To investigate the effects of breathing exercise on chronic
obstructive pulmonary disease (COPD). Patients and Methods. 324 patie
nts stable COPD were randomly assigned to either the breathing exercis
e group (Group I) or control group consisting of placebo (Group II) Th
e maximum respiratory pressure (320 cases) and transdiaphragmatic pres
sure (129 cases) were monitored via RMS-I and Type-2 pressure measurem
ents. The breathing exercises were taught and checked by experienced s
pecialists periodically. Comparison was made between Group I and Group
II using maximum inspiratory pressure (MIP), maximum expiratory press
ure (MEP), diaphragmatic pressure (Pdi) and maximum transdiaphragmatic
pressure (Pdimax) after 1 to 20 months. Results. In Group I MIP incre
ased by 30.42%, MEP 32.10%, Pdi 30.94% and Pdimax 65.59% (P<0.001). No
significant changes were observed in Group II given the placebo. The
MIP, MEP, Pdi and Pdimax were 6.95%, 2.92%, 14.63 and 9.05% respective
ly (P>0.05). Conclusions. Breathing exercise has a potent and long las
ting effect on respiratory muscle contraction. The methods mentioned a
bove can be used as standard quantitative index for contractile proper
ties of respiratory muscle.