만성 폐쇄성 폐질환을 위한 자가 관리 호흡운동의 최근 동향

• 영문명: Recent Trends of Self-Management Breathing Exercise for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
• 발행기관: 대한심장호흡물리치료학회
• 저자명: 정대인(Dae-In Jung) 김현중(Hyun-Joong Kim)
• 간행물 정보: 『대한심장호흡물리치료학회지』제9권 제1호, 13~19쪽, 전체 7쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2021.06.30

영문 초록

Purpose : In self-management of chronic obstructive pulmonary disease (COPD), breathing exercises can effectively improve respiratory muscle strength and endurance, correct abnormal thoracic spine and abdominal motions, and reduce dyspnea and dynamic hyperinflation. In this systematic review and meta-analysis, we aimed to examine recent trends in self-management breathing exercises for patients with COPD. Methods: We searched the MEDLINE, EMBASE, CINAHL, PEDro, and CENTRAL databases until March 2021 for randomized controlled trials (RCTs) evaluating pulmonary function and exercise capacity through self-management breathing exercises (BEs) in patients with COPD. We used Cochrane’s risk of bias tool for qualitative analysis. Postintervention results were quantitatively analyzed using RevMan 5.4. Results : We selected 6 RCTs of 1,039 patients with COPD performing self-management BEs. A previous systematic review and meta-analysis also included six RCTs. For pulmonary function, we found that the results of the patients performing BEs were no more effective than those of the control groups (−0.08; 95% confidence interval [CI], −0.44 to 0.27; heterogeneity, χ² = 9.73, df = 3, I2 = 69%; overall effect, Z = 0.45). However, for exercise capacity, the results of the patients performing BEs were more effective than those of the control groups (0.37; 95% CI, 0.10 to 0.64; heterogeneity, χ² = 19.54, df = 5, I2 = 74%; overall effect, Z = 2.65). Conclusion : COPD self-management BEs did not significantly affect pulmonary function, but positively affected exercise capacity.

목차

Ⅰ. 서 론

Ⅱ. 연구 방법

Ⅲ. 연구결과

Ⅳ. 논 의

키워드

Breathing exercise Chronic obstructive pulmonary disease physical therapy Pulmonary function