Effects of 12 weeks of Head-Down Strong Abdominal Breathing Training on Gait and Cognitive Function in Patients with Chronic Obstructive Pulmonary Disease.

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Feiyun Song, Kexin Ding, Wen Sun, Qiong Huang, Ruichen Jiang, Heping Xiang, Mingyun Sun
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引用次数: 0

Abstract

Background: As chronic obstructive pulmonary disease (COPD) progresses, it can limit physical activity, resulting in reduced mobility. And patients with COPD have a higher incidence of cognitive impairment compared to normal individuals. The aim of this study was to investigate the effect of breathing training in COPD patients' gait and cognitive function by changing the body position.

Study design and methods: Eighty-three COPD patients were recruited and randomized (1:1:1) into a head-down strong abdominal breathing training group (HDBT), a head-down training group (HDT), and a strong abdominal breathing training group (BT). Cognitive function and gait performance were assessed after the intervention by comparing patients' stride frequency, stride length, step speed and Montreal cognitive assessment(MoCA) scores.

Results: 63 patients completed this study. After 12 weeks, in terms of Obstacle walking tasks gait, the HDBT group significantly improved the performance of COPD patients in obstacle walking tasks in terms of stride length (73.29±0.64, P<0.001), step speed (97.73±0.47, P=0.018) performance. At the same time, we also found that there was no statistical difference in the gait performance of each group in the walking task (P > 0.05). In terms of cognition, cognitive function scores(MoCA) were significantly higher in HDBT (P<0.001) HDT (P<0.001), and BT (P<0.001) compared to baseline.

Conclusion: A 12-week HDBT program elevated cognitive function and improved stride length and speed metrics during an obstacle walking task in patients with stable COPD.

Clinical trial registration number: chictr2400080452(30/01/2024).

12周头朝下强腹式呼吸训练对慢性阻塞性肺疾病患者步态和认知功能的影响
背景:随着慢性阻塞性肺疾病(COPD)的进展,它可以限制身体活动,导致活动能力降低。与正常人相比,慢性阻塞性肺病患者有更高的认知障碍发生率。本研究旨在探讨呼吸训练通过改变体位对COPD患者步态和认知功能的影响。研究设计和方法:招募83例COPD患者,按1:1:1的比例随机分为头向下强腹式呼吸训练组(HDBT)、头向下训练组(HDT)和强腹式呼吸训练组(BT)。通过比较患者步频、步幅、步速和蒙特利尔认知评估(MoCA)评分,评估干预后患者的认知功能和步态表现。结果:63例患者完成本研究。12周后,在障碍行走任务步态方面,HDBT组显著改善COPD患者在障碍行走任务中的步幅(73.29±0.64,P 0.05)。在认知方面,HDBT组的认知功能评分(MoCA)明显更高。结论:在稳定期COPD患者的障碍行走任务中,为期12周的HDBT计划可提高认知功能,改善步幅和速度指标。临床试验注册号:chictr2400080452(30/01/2024)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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