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Deep breathing exercises with positive expiratory pressure in patients with multiple sclerosis: a randomized controlled trial
Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län. Department of Surgery, Örebro University Hospital, Örebro, Sweden.
Faculty of Medicine and Health, Department of Neurology and Neurophysiology, Örebro University, Örebro, Sweden.
Faculty of Medicine and Health, Department of Neurology and Neurophysiology, Örebro University, Örebro, Sweden.
Örebro universitet, Institutionen för läkarutbildning. Region Örebro län. Department of Neurology and Neurophysiology, Örebro University Hospital, Örebro, Sweden.
Vise andre og tillknytning
2016 (engelsk)Inngår i: Clinical Respiratory Journal, ISSN 1752-6981, E-ISSN 1752-699X, Vol. 10, nr 6, s. 698-706Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Breathing exercises with positive expiratory pressure are often recommended to patients with advanced neurological deficits, but the potential benefit in multiple sclerosis (MS) patients with mild and moderate symptoms has not yet been investigated in randomized controlled trials.

Objectives: To study the effects of 2 months of home-based breathing exercises for patients with mild to moderate MS on respiratory muscle strength, lung function, and subjective breathing and health status outcomes.

Methods: Forty-eight patients with MS according to the revised McDonald criteria were enrolled in a randomized controlled trial. Patients performing breathing exercises (n = 23) were compared with a control group (n = 25) performing no breathing exercises. The breathing exercises were performed with a positive expiratory pressure device (10-15 cmH2 O) and consisted of 30 slow deep breaths performed twice a day for 2 months. Respiratory muscle strength (maximal inspiratory and expiratory pressure at the mouth), spirometry, oxygenation, thoracic excursion, subjective perceptions of breathing and self-reported health status were evaluated before and after the intervention period.

Results: Following the intervention, there was a significant difference between the breathing group and the control group regarding the relative change in lung function, favoring the breathing group (vital capacity: P < 0.043; forced vital capacity: P < 0.025). There were no other significant differences between the groups.

Conclusion: Breathing exercises may be beneficial in patients with mild to moderate stages of MS. However, the clinical significance needs to be clarified, and it remains to be seen whether a sustainable effect in delaying the development of respiratory dysfunction in MS can be obtained.

sted, utgiver, år, opplag, sider
Hoboken, USA: John Wiley & Sons, 2016. Vol. 10, nr 6, s. 698-706
Emneord [en]
Breathing exercises, multiple sclerosis, positive expiratory pressure, respiratory function tests
HSV kategori
Identifikatorer
URN: urn:nbn:se:oru:diva-46856DOI: 10.1111/crj.12272ISI: 000393713600004PubMedID: 25620034Scopus ID: 2-s2.0-84923673708OAI: oai:DiVA.org:oru-46856DiVA, id: diva2:874668
Forskningsfinansiär
Swedish Research Council, 2009-1385
Merknad

Funding Agencies:

BiogenIdec Sweden AB, Sweden

Norrbacka-Eugeniastiftelsen, Stockholm, Sweden

Research Committee of Örebro County Council, Örebro, Sweden

Tilgjengelig fra: 2015-11-27 Laget: 2015-11-27 Sist oppdatert: 2018-07-09bibliografisk kontrollert

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