Authors :
Pooja Pandey; Dr. Nitika Thakur; Poonam Agrawal; Dr. Sonal Chand; Dr. R. Sreeraja Kumar; Dr. Rizu
Volume/Issue :
Volume 10 - 2025, Issue 6 - June
Google Scholar :
https://tinyurl.com/2r6czu8m
DOI :
https://doi.org/10.38124/ijisrt/25jun770
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Chronic Obstructive Pulmonary Disease (COPD) is a progressive pulmonary disorder characterized by airflow
limitation and chronic inflammation, significantly impacting quality of life and physical function. Non-pharmacological
interventions, such as deep breathing exercises (DBEs), are gaining recognition as effective adjuncts in managing COPD
symptoms.
Objective:
To evaluate the effect of a structured deep breathing exercise program on pulmonary function, oxygenation, exercise
capacity, and dyspnea in a patient with moderate COPD.
Case Presentation:
A 65-year-old male with a three-year history of GOLD Stage II COPD presented with exertional breathlessness,
chronic cough, and reduced stamina. Baseline spirometry revealed FEV1 of 58% predicted and a 6-minute walk test
(6MWT) distance of 310 meters. A 4-week DBE protocol, including diaphragmatic breathing, pursed-lip breathing,
thoracic expansion, segmental breathing, and incentive spirometry, was administered five days per week.
Outcomes:
Post-intervention, the patient demonstrated improvements in SpO2 (from 89% to 94%), FEV1 (to 64% predicted),
6MWT distance (from 310 to 380 meters), and dyspnea (Borg score reduced from 4 to 2). Subjective reports included
reduced breathlessness, improved sleep, and enhanced confidence in physical activity.
Conclusion:
The incorporation of DBEs into COPD management resulted in clinically significant improvements in respiratory
function, exercise tolerance, and quality of life. DBEs should be considered a valuable component of long-term pulmonary
rehabilitation strategies.
References :
- World Health Organization. (2023). Chronic Obstructive Pulmonary Disease (COPD) Factsheet.
- Rochester, C. L. (2019). Pulmonary rehabilitation for patients with COPD. NEJM, 381(13), 1221–1227.
- Borge, C. R., et al. (2014). Effects of controlled breathing techniques on dyspnea. J Rehabil Med, 46(9), 884–890.
- Karakoc, O., et al. (2021). Impact of breathing exercises on lung function and exercise capacity. Int J COPD, 16, 2487–2494.
- Puhan, M. A., et al. (2016). Pulmonary rehabilitation following exacerbations. Cochrane Database Syst Rev.
- Gosselink, R., et al. (2003). Respiratory muscle training in patients with COPD. AJRCCM, 168(6), 702–706.
- Beauchamp, M. K., et al. (2020). Functional improvement with non-pharmacologic COPD treatment. Thorax, 75(2), 101–107.
- McCarthy, B., et al. (2015). Pulmonary rehabilitation for COPD. Cochrane Database Syst Rev.
- Holland, A. E., et al. (2019). Breathing exercises for COPD. Cochrane Database Syst Rev.
- Liu, W. T., et al. (2014). Effectiveness of breathing training in COPD: RCT. Respir Care, 59(2), 153–160.
Background:
Chronic Obstructive Pulmonary Disease (COPD) is a progressive pulmonary disorder characterized by airflow
limitation and chronic inflammation, significantly impacting quality of life and physical function. Non-pharmacological
interventions, such as deep breathing exercises (DBEs), are gaining recognition as effective adjuncts in managing COPD
symptoms.
Objective:
To evaluate the effect of a structured deep breathing exercise program on pulmonary function, oxygenation, exercise
capacity, and dyspnea in a patient with moderate COPD.
Case Presentation:
A 65-year-old male with a three-year history of GOLD Stage II COPD presented with exertional breathlessness,
chronic cough, and reduced stamina. Baseline spirometry revealed FEV1 of 58% predicted and a 6-minute walk test
(6MWT) distance of 310 meters. A 4-week DBE protocol, including diaphragmatic breathing, pursed-lip breathing,
thoracic expansion, segmental breathing, and incentive spirometry, was administered five days per week.
Outcomes:
Post-intervention, the patient demonstrated improvements in SpO2 (from 89% to 94%), FEV1 (to 64% predicted),
6MWT distance (from 310 to 380 meters), and dyspnea (Borg score reduced from 4 to 2). Subjective reports included
reduced breathlessness, improved sleep, and enhanced confidence in physical activity.
Conclusion:
The incorporation of DBEs into COPD management resulted in clinically significant improvements in respiratory
function, exercise tolerance, and quality of life. DBEs should be considered a valuable component of long-term pulmonary
rehabilitation strategies.