Kinesiotherapeutic interventions in diaphragmatic mobility of patients with chronic obstructive lung disease: systematic review

Authors

  • Gilson Rosa de Jesus FACEMP
  • Milena Santos Peixoto UNIME
  • Sidney de Souza Oliveira UFBA

DOI:

https://doi.org/10.33233/rbfe.v19i2.4107

Keywords:

chronic obstructive pulmonary disease; respiratory rehabilitation; kinesiotherapeutic interventions; diaphragmatic dysfunction

Abstract

This study analyzed the pathophysiological impacts of Chronic Obstructive Pulmonary Disease (COPD) on the respiratory system and the benefits of kinesiotherapeutic interventions on diaphragmatic mobility in patients affected by COPD. Systematic literature review carried out in the Scielo, Medline, VHL, Lilacs and PEDro databases, using the following keywords: Chronic Obstructive Pulmonary Disease, Respiratory Rehabilitation, Kinesitherapeutic Interventions and Diaphragmatic Dysfunction. Only original articles published between 2009 and 2019, about the benefits of different respiratory physical therapy intervention programs were included. Two examiners analyzed the qualities and evidence of the articles using the PEDro scale. Twelve manuscripts make up the discussion of this work. The present study confirms the beneficial effects of different Kinesiotherapy Intervention programs on physical health and quality of life, reduction of respiratory symptoms and risk of mortality, increased mobility of the rib cage, diaphragmatic functionality, functional capacity and respiratory muscle strength of patients affected by COPD.

Author Biographies

Gilson Rosa de Jesus, FACEMP

Faculdade de Ciências Empresariais (FACEMP), Santo Antônio de Jesus, BA, Brasil

Milena Santos Peixoto, UNIME

União Metropolitana de Educação e Cultura (UNIME), Lauro de Freitas, BA, Brasil

Sidney de Souza Oliveira, UFBA

Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil

References

Datasus. Sistema de informações hospitalares – SIH/SUS. Ministério da Saúde; 2014.

Global Strategy for the Diagnosis, (GOLD). Management and Prevention of COPD, Global Iniciative for Chronic Obstructive Lung Disease; 2018.

Jardim JR, Oliveira JA, Nascimento O. II Consenso Brasileiro sobre Doença Pulmonar Obstrutiva Crônica – DPOC. J Bras Pneumol 2004;30(1):42.

Yamaguti WPS, Paulin E, Shibao S, Chammas MC, Salge JM, Ribeiro M, Cukier A, Carvalho CRF. Air trapping: The major factor limiting diaphragm mobility in chronic obstructive pulmonary disease patients. Respirology 2008;13(1):138-144. doi: 10.1111/j.1440-1843.2007.01194.x

Nason LK, Walker CM, McNeeley MF, Burivong W, Fligner CL, Godwin JD. Imaging of the diaphragm: anatomy and function. Radiographics 2012;32(2):51-70. doi: 10.1148/rg.322115127

Lanzetti CEG, Mitsuya MMF, Lima AB. Análise da força muscular respiratória em pneumopatas crônicos participantes do programa de reabilitação pulmonar. Revista Cientí­fica do Uni salesiano 2011;2(4):239-52. http://www.salesianolins.br/universitaria/artigos/no4/artigo41.pdf

Pupin MK, Riccetto AGL, Ribeiro JD, Baracat ECE. Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios pacientes com bronquiolite viral aguda. J Bras Pneumol 2009;35(9);860-7. doi: 10.1590/s1806-37132009000900007

Cassart M, Pettiaux N, Gevenois PA, Paiva M, Estenne M. Effect of chronic hyperinflation on diaphragm length and surface area. Am J Respir Crit Care Med 1997;156:504-8. doi: 10.1164/ajrccm.156.2.9612089

Yamaguti WPS, Paulin E, Salge JM, Chammas MC, Cukier A, Carvalho CRF. Diafragmatic dysfunction and mortality in patients with CPOD. J Bras Pneumol 2009;35(12):1174-81. doi: 10.1590/s1806-37132009001200003

Davachi B, Lari S, Attaran D, Tohidi M, Ghofraniha L, Amini M, Salehi M, Eskandari E, Yazdi E, Moosavi M, Sm L, Yazdi K. The relationship between diaphragmatic movements in sonographic assessment and disease severity in patients with stable chronic obstructive pulmonary disease. J Cardiothorac Med 2014;(2):187-192.

Zanchet RC, Viegas CAA, Lima T. A eficácia da reabilitação pulmonar na capacidade de exercí­cio, força da musculatura inspiratória e qualidade de vida de portadores de doença pulmonar obstrutiva crônica. J Pneumol 2005;31(2):118-24. doi: 10.1590/s1806-37132005000200006

Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic pulmonary disease. AJR CCM 2011;187.

Nohama P, Jorge RF, Valenga MH. Efeitos da estimulação diafragmática transcutânea sincronizada em pacientes com doença pulmonar obstrutiva crônica (DPOC): um estudo piloto. Rev Bras Eng Bioméd 2012;28(2):103-15. doi: 10.4322/rbeb.2012.018

Cancelliero-Gaiad KM, Ike D, Costa D. Efeito da estimulação diafragmática elétrica transcutânea em parâmetros respiratórios de pacientes com Doença Pulmonar Obstrutiva Crônica. Fisioter Pesqui 2013;20(4):322-9. doi: 10.1590/s1809-29502013000400004

Martinelli B, Santos LP, Barrile SR, Iwamoto HCT, Gimenes C, Cavalcanti RDM. Estimulação elétrica transcutânea diafragmática pela corrente russa em portadores de DPOC. Fisioter Pesqui 2016;23(4):345-51. doi: 10.1590/1809-2950/14854823042016

Trevisan ME, Porto AS, Pinheiro TM. Influência do treinamento da musculatura respiratória e de membros inferiores no desempenho funcional de indiví­duos com DPOC. Fisioter Pesqui 2010;17(3):209-13. doi: 10.1590/s1809-29502010000300004

Elmorsi AS, Eldesoky ME, Mohsen MAA, Shalaby NM. Effect of inspiratory muscle training on exercise performance and quality of life in patients with chronic obstructive pulmonary disease. Egyptian Journal of Chest Diseases and Tuberculosis 2016;65:41-6. doi: 10.1016/j.ejcdt.2015.10.006

Beaumont M, Mialon P, Le Ber-Moy C, Lochon C, Péran L, Pichon R, Gut-Gobert C, Leroyer C, Morelot-Panzini C, Couturaud F. Inspiratory muscle training during pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomized trial. Chron Respir Dis 2015;12(4):305-12. doi: 10.1177/1479972315594625

Fernandes M, Cukier A, Feltrim MI. Efficacy of diaphragmatic breathing in patients with chronic obstructive pulmonary disease. Chron Respir Dis 2011;8(4):237-44. doi: 10.1177/1479972311424296

Yamaguti WP, Claudino RC, Neto AP, Chammas MC, Gomes AC, Salge JM, Moriya HT, Cukier A, Carvalho CRF. Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Arch Phys Med Rehabil 2012;93(4):571-7. doi: 10.1016/j.apmr.2011.11.026

Cancelliero-Gaiad KM, Ike D, Pantoni CBF, Borghi SA, Costa D. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Braz J Phys Ther 2014;18(4):291-9. doi: 10.1590/bjpt-rbf.2014.0042

Rocha T, Souza H, Brandão DC, Rattes C, Ribeiro L, Campos SL, Aliverti A, de Andrade AD. The Manual Diaphragm Release Technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonar y disease: a randomised trial. J Physiother 2015;61:182-9. doi: 10.1016/j.jphys.2015.08.009

Abdelaal Ashraf AM, Ali Mohamed MI, Hegazy Ibrahim M. Effect of diaphragmatic and costal manipulation on pulmonary function and functional capacity in chronic obstructive pulmonary disease patients: Randomized controlled study. Int J Med Res Health Sci 2015;4(4):841-847. doi: 10.5958/2319-5886.2015.00167.8

Nair A, Alaparthi GK, Krishnan S, Rai S, Anand R, Acharya V, Acharya P. Comparison of diaphragmatic stretch technique and manual diaphragm release technique on diaphragmatic excursion in chronic obstructive pulmonary disease: a randomized crossover trial. Pulm Med 2019:1-7. doi: 10.1155/2019/6364376

Additional Files

Published

2021-10-18