Efektivitas Diaphragmatic Breathing, Pursed Lip Breathing, dan Effective Coughing Terhadap Fungsi Respirasi Pada Pasien PPOK: Studi Kasus
DOI:
https://doi.org/10.59680/ventilator.v4i2.2477Keywords:
COPD, diaphragmatic breathing, effective coughing, pursed lip breathing, respiratory functionAbstract
Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disorder characterized by progressive airflow limitation and is often accompanied by increased sputum production and dyspnea. Ventilatory impairment in COPD may lead to decreased respiratory function and limitations in daily activities. This study aimed to determine the effectiveness of diaphragmatic breathing, pursed lip breathing, and effective coughing on respiratory function in patients with COPD. The research method used was a case study of a 74-year-old male patient who complained of dyspnea during activity, productive cough, and fatigue. Physiotherapy interventions focused on diaphragmatic breathing, pursed lip breathing, and effective coughing exercises to improve ventilatory efficiency and facilitate airway secretion clearance. Evaluations were conducted using respiration rate, Modified Borg Scale, thoracic expansion, and the 2 Minutes Walking Test. After the intervention, there was a decrease in respiration rate from 22 to 20 breaths/minute, a reduction in dyspnea scale during activity from 6/10 to 5/10, improvement in thoracic expansion, and an increase in 2 Minutes Walking Test distance from 48.9 meters to 59.9 meters. These results indicate that diaphragmatic breathing, pursed lip breathing, and effective coughing may help improve respiratory function in patients with COPD.
References
Agusti, A., R. Celli, B., Criner, Gerard Halpin, D., Varela, M. V. L., & Oca, M. M. de. (2024). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. In GOLD.
Andelid, K., Öst, K., Andersson, A., Mohamed, E., Jevnikar, Z., Vanfleteren, L. E. G. W., & Göransson, M. (2021). Lung macrophages drive mucus production and steroid-resistant inflammation in chronic bronchitis. Respiratory Research, 22(1), 1–14. https://doi.org/10.1186/s12931-021-01762-4
Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021). Airway Clearance Techniques: The Right Choice for the Right Patient. Frontiers in Medicine, 8(February), 1–10. https://doi.org/10.3389/fmed.2021.544826
Bintari, R. P., & Rahman, F. (2020). Program Fisioterapi Komprehensif pada Penyakit Paru Obstruksi Kronis (PPOK) Eksaserbasi Akut. FISIO MU: Physiotherapy Evidences, 1(2), 83–88.
Dissanayake, D. R., & Hurst, J. R. (2023). Chronic obstructive pulmonary disease: aetiology, pathology, physiology and outcome. ScienceDirect, 51(10), 737–741. https://doi.org/https://doi.org/10.1016/j.mpmed.2023.07.008.
Evangelodimou, A., Grammatopoulou, E., Skordilis, E., & Haniotou, A. (2015). The Effect of Diaphragmatic Breathing on Dyspnea and Exercise Tolerance During Exercise in COPD Patients. Chest, 148(4), 704A. https://doi.org/10.1378/chest.2277852
Hamasaki, H. (2020). Effects of Diaphragmatic Breathing on Health: A Narrative Review. Medicines, 7(10), 65. https://doi.org/10.3390/medicines7100065
Hasanpour Dehkordi, A., Ebrahimi-Dehkordi, S., Banitalebi-Dehkordi, F., Salehi Tali, S., Kheiri, S., & Soleimani Babadi, A. (2021). The effect of teach-back training intervention of breathing exercise on the level of dyspnea, six-minutes walking test and FEV1/FVC ratio in patients with chronic obstructive pulmonary disease; a randomized controlled trial. Expert Review of Respiratory Medicine, 15(1), 161–169. https://doi.org/10.1080/17476348.2020.1822740
Higham, A., Quinn, A. M., Cançado, J. E. D., & Singh, D. (2019). The pathology of small airways disease in COPD: Historical aspects and future directions. Respiratory Research, 20(1), 1–11. https://doi.org/10.1186/s12931-019-1017-y
Mayer, A. F., Karloh, M., dos Santos, K., de Araujo, C. L. P., & Gulart, A. A. (2018). Effects of acute use of pursed-lips breathing during exercise in patients with COPD: a systematic review and meta-analysis. Physiotherapy (United Kingdom), 104(1), 9–17. https://doi.org/10.1016/j.physio.2017.08.007
Nguyen, J. D., & Duong, H. (2025). Pursed-lip Breathing. StatPearls (Internet). https://www.ncbi.nlm.nih.gov/books/NBK545289/
Pratamasiwi, A. S., Perdana, S. S., & Prayitno. (2024). Penatalaksanaan Fisioterapi Pada Penyakit Paru Obstruktif Kronik (PPOK). Academic Physiotherapy Conferences, 8(33), 44.
Topcuoglu, C., Yumin, E. T., Saglam, M., Cankaya, T., Konuk, S., Ozsari, E., & Goksuluk, M. B. (2024). Neural Respiratory Drive During Different Dyspnea Relief Positions and Breathing Exercises in Individuals With COPD. Respiratory Care, 69(9), 1129–1137. https://doi.org/10.4187/respcare.11790
WHO. (2024). Chronic obstructive pulmonary disease (COPD). World Health Organization. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Yang, Y., Wei, L., Wang, S., Ke, L., Zhao, H., Mao, J., Li, J., & Mao, Z. (2022). The effects of pursed lip breathing combined with diaphragmatic breathing on pulmonary function and exercise capacity in patients with COPD: a systematic review and meta-analysis. Physiotherapy Theory and Practice, 38(7), 847–857. https://doi.org/10.1080/09593985.2020.1805834
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