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Incentive spirometry combined with expiratory positive airway pressure improves asthma control and quality of life in asthma: a randomised controlled trial.
J Asthma 2015; 52(2):220-6JA

Abstract

OBJECTIVES

The use of the incentive spirometer (IS) and expiratory positive airway pressure (EPAP) provides several benefits in patients with respiratory disorders. However, the effects of the use of these devices coupled (IS + EPAP) are still unknown in asthmatic patients. The aim of this study was to evaluate the effect of IS associated with EPAP on exercise tolerance (six-minute walk test - 6MWT), lung function (by spirometry), asthma control (Asthma Control Questionnaire - ACQ) and quality of life (Asthma Quality of Life Questionnaire - AQLQ) in patients with severe asthma.

METHODS

Patients were randomised into two groups: IS + EPAP (n = 8) and control (n = 6). The IS + EPAP group performed breathing exercises at home, twice daily for 20 min, over a period of 5 weeks.

RESULTS

There was no significant difference in spirometric variables and in the distance walked in the 6MWT in both groups. However, the IS + EPAP group showed an improvement in asthma control (p = 0.002) and quality of life (p = 0.02).

CONCLUSIONS

These findings demonstrate that the IS + EPAP protocol, when performed at home, provides an improvement in asthma control and quality of life for patients with severe asthma when evaluated by ACQ and AQLQ, respectively.

Authors+Show Affiliations

Programa de Pós-graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA , Porto Alegre, RS , Brasil .No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

25144550

Citation

Rondinel, Tatiana Zacarias, et al. "Incentive Spirometry Combined With Expiratory Positive Airway Pressure Improves Asthma Control and Quality of Life in Asthma: a Randomised Controlled Trial." The Journal of Asthma : Official Journal of the Association for the Care of Asthma, vol. 52, no. 2, 2015, pp. 220-6.
Rondinel TZ, Corrêa IF, Hoscheidt LM, et al. Incentive spirometry combined with expiratory positive airway pressure improves asthma control and quality of life in asthma: a randomised controlled trial. J Asthma. 2015;52(2):220-6.
Rondinel, T. Z., Corrêa, I. F., Hoscheidt, L. M., Bueno, M. H., Da Silva, L. M., Reppold, C. T., & Dal Lago, P. (2015). Incentive spirometry combined with expiratory positive airway pressure improves asthma control and quality of life in asthma: a randomised controlled trial. The Journal of Asthma : Official Journal of the Association for the Care of Asthma, 52(2), pp. 220-6. doi:10.3109/02770903.2014.956890.
Rondinel TZ, et al. Incentive Spirometry Combined With Expiratory Positive Airway Pressure Improves Asthma Control and Quality of Life in Asthma: a Randomised Controlled Trial. J Asthma. 2015;52(2):220-6. PubMed PMID: 25144550.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incentive spirometry combined with expiratory positive airway pressure improves asthma control and quality of life in asthma: a randomised controlled trial. AU - Rondinel,Tatiana Zacarias, AU - Corrêa,Isadora Faraco, AU - Hoscheidt,Luíza Machado, AU - Bueno,Mirelle Hugo, AU - Da Silva,Luciano Muller Corrêa, AU - Reppold,Caroline Tozzi, AU - Dal Lago,Pedro, Y1 - 2014/09/02/ PY - 2014/8/22/entrez PY - 2014/8/22/pubmed PY - 2015/9/1/medline KW - Breathing exercises KW - chest physical therapy KW - functional capacity KW - positive pressure KW - pulmonary function SP - 220 EP - 6 JF - The Journal of asthma : official journal of the Association for the Care of Asthma JO - J Asthma VL - 52 IS - 2 N2 - OBJECTIVES: The use of the incentive spirometer (IS) and expiratory positive airway pressure (EPAP) provides several benefits in patients with respiratory disorders. However, the effects of the use of these devices coupled (IS + EPAP) are still unknown in asthmatic patients. The aim of this study was to evaluate the effect of IS associated with EPAP on exercise tolerance (six-minute walk test - 6MWT), lung function (by spirometry), asthma control (Asthma Control Questionnaire - ACQ) and quality of life (Asthma Quality of Life Questionnaire - AQLQ) in patients with severe asthma. METHODS: Patients were randomised into two groups: IS + EPAP (n = 8) and control (n = 6). The IS + EPAP group performed breathing exercises at home, twice daily for 20 min, over a period of 5 weeks. RESULTS: There was no significant difference in spirometric variables and in the distance walked in the 6MWT in both groups. However, the IS + EPAP group showed an improvement in asthma control (p = 0.002) and quality of life (p = 0.02). CONCLUSIONS: These findings demonstrate that the IS + EPAP protocol, when performed at home, provides an improvement in asthma control and quality of life for patients with severe asthma when evaluated by ACQ and AQLQ, respectively. SN - 1532-4303 UR - https://www.unboundmedicine.com/medline/citation/25144550/Incentive_spirometry_combined_with_expiratory_positive_airway_pressure_improves_asthma_control_and_quality_of_life_in_asthma:_a_randomised_controlled_trial_ L2 - http://www.tandfonline.com/doi/full/10.3109/02770903.2014.956890 DB - PRIME DP - Unbound Medicine ER -