Cochrane · systematic review · CD008250
Breathing exercises for chronic obstructive pulmonary disease
Holland, AE, Hill, CJ, Jones, AY, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
19
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 13 · 68.4%Moderate 6 · 31.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Pursed lip breathing compared to no breathing exercises for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnoea during exercise Modified Borg Dyspnoea score Scores range from 0 to 10, with lower scores indicating less shortness of breath Pursed lip breathing vs no breathing exercises | no estimate extracted | 1 study · 19 participants | Low Downgraded: risk of bias |
Dyspnoea during daily life University of California San Diego Shortness of Breath Questionnaire Scores range from 0 to 120, with lower scores indicating less shortness of breath Pursed lip breathing vs no breathing exercises | no estimate extracted | 1 study · 19 participants | Low Downgraded: risk of bias |
Walking capacity 6‐minute walk distance (metres) Pursed lip breathing vs no breathing exercises | no estimate extracted | 1 study · 30 participants | Low Downgraded: risk of bias |
Health‐related quality of life Dyspnoea domain of Hiratsuka scale Scores range from 0 to 100, with lower scores indicating less shortness of breath Pursed lip breathing vs no breathing exercises | no estimate extracted | 2 studies · 60 participants | Low Downgraded: risk of bias |
Diaphragmatic breathing compared to no breathing exercises for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnoea Change in Medical Research Council Score Diaphragmatic breathing vs no breathing exercises | no estimate extracted | 1 study · 30 participants | Moderate Downgraded: imprecision |
Walking capacity Change in 6‐minute walk distance (metres) Diaphragmatic breathing vs no breathing exercises | no estimate extracted | 1 study · 30 participants | Moderate Downgraded: imprecision |
Health‐related quality of life Change in total score of St George Respiratory Questionnaire Diaphragmatic breathing vs no breathing exercises | no estimate extracted | 1 study · 30 participants | Moderate Downgraded: imprecision |
Yoga compared to no breathing exercises for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnoea intensity Modified Borg Scale at end of 6‐minute walk test Yoga vs no breathing exercises | no estimate extracted | 1 study · 29 participants | Low Downgraded: risk of bias |
Dyspnoea distress Modified Borg scale at end of 6‐minute walk test Yoga vs no breathing exercises | no estimate extracted | 1 study · 29 participants | Low Downgraded: risk of bias |
Walking capacity Change in 6‐minute walk distance (m) Yoga vs no breathing exercises | no estimate extracted | 2 studies · 74 participants | Moderate Downgraded: risk of bias, imprecision |
Health‐related quality of life Total score for St Georges Respiratory Questionnaire Yoga vs no breathing exercises | no estimate extracted | 1 study · 45 participants | Moderate Downgraded: risk of bias, imprecision |
Pursed lip breathing compared to expiratory muscle training for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dyspnoea during exercise Modified Borg dyspnoea score at end of 6‐minute walk test Scores range from 0 to 10, with lower scores indicating less shortness of breath Pursed lip breathing vs expiratory muscle training | no estimate extracted | 1 study · 17 participants | Low Downgraded: risk of bias, imprecision |
Dyspnoea during daily life University of California San Diego Shortness of Breath Questionnaire Scores range from 0 to 120, with lower scores indicating less shortness of breath Pursed lip breathing vs expiratory muscle training | no estimate extracted | 1 study · 17 participants | Low Downgraded: risk of bias, imprecision |
Ventilation feedback training compared to exercise training for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Exercise endurance Duration of constant work rate exercise test (minutes) Ventilation feedback training vs exercise training | no estimate extracted | 1 study · 32 participants | Low Downgraded: risk of bias, imprecision |
Ventilation feedback training plus exercise compared to exercise alone for COPD
Population: individuals with COPD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Exercise endurance Duration of constant work rate exercise test on treadmill Ventilation feedback training plus exercise vs exercise alone | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Walking capacity Change in 6‐minute walk distance (metres) Ventilation feedback training plus exercise vs exercise alone | no estimate extracted | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Dyspnoea during treadmill walking Borg scale at isotime during constant work rate treadmill test Scale ranges from 0 to 10, with lower scores indicating less shortness of breath Ventilation feedback training plus exercise vs exercise alone | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Dyspnoea after walking Change in Borg scale at end of 6‐minute walk test Scale ranges from 0 to 10, with lower scores indicating less shortness of breath Ventilation feedback training plus exercise vs exercise alone | no estimate extracted | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Health‐related quality of life Dyspnoea domain of Chronic Respiratory Disease Questionnaire Scale ranges from 1 to 7, with higher scores indicating less shortness of breath Ventilation feedback training plus exercise vs exercise alone | no estimate extracted | 2 studies · 73 participants | Moderate Downgraded: risk of bias, imprecision |