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Effect of respiratory rehabilitation techniques on the autonomic function in patients with chronic obstructive pulmonary disease : a systematic review

Jibril Mohammed UGent, Hellen Da Silva Van den Bosch UGent, Jessica Van Oosterwijck UGent and Patrick Calders UGent (2017) CHRONIC RESPIRATORY DISEASE. 14(3). p.217-230
abstract
Patients with chronic obstructive pulmonary disease (COPD) show several extrapulmonary abnormalities such as impairment in the autonomic function (AF). Similarly, the use of respiratory training techniques such as controlled breathing techniques, noninvasive mechanical ventilation (NIMV), and oxygen supplementation for AF modulation in patients with COPD is popular in existing literature. However, the evidence to support their use is nonexistent. A systematic search of studies reporting on the effect of controlled breathing techniques, NIMV, and/or oxygen supplementation techniques on AF outcome parameters was conducted in three online databases: PubMed, Embase, and Web of Science. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement, relevant studies were retained and qualitatively analyzed for evidence synthesis. The methodological quality in these studies was evaluated using the evidence based guideline development (EBRO) checklists per designs provided by the Dutch Cochrane Centre. Eighteen studies met the inclusion criteria of the review and were included and discussed. The evidence synthesis revealed that a strong and moderate level evidence supported oxygen supplementation and slow breathing techniques, respectively, in significantly enhancing the baroreceptor sensitivity (BRS) values in patients with COPD. The effect of the examined techniques on the heart rate variability and muscle sympathetic nerve activity was of a limited or inconsistent evidence. The findings from this review suggest that oxygen supplementation and controlled breathing techniques have profound positive influence on the BRS in patients with COPD. However, it is not fully clear whether these influence translates to any therapeutic benefit on the general AF of patients with COPD in the long term.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
COPD, sympathetic, parasympathetic, review, autonomic nervous system, respiratory training techniques, HEART-RATE-VARIABILITY, POSITIVE AIRWAY PRESSURE, QUALITY-OF-LIFE, NONINVASIVE VENTILATION, BAROREFLEX SENSITIVITY, NERVOUS-SYSTEM, OXYGEN-THERAPY, BLOOD-PRESSURE, COPD, MODULATION
journal title
CHRONIC RESPIRATORY DISEASE
Chronic Respir. Dis.
volume
14
issue
3
pages
217 - 230
Web of Science type
Review
Web of Science id
000407141900002
ISSN
1479-9723
DOI
10.1177/1479972316680844
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8511475
handle
http://hdl.handle.net/1854/LU-8511475
date created
2017-02-27 13:17:02
date last changed
2018-03-12 08:58:34
@article{8511475,
  abstract     = {Patients with chronic obstructive pulmonary disease (COPD) show several extrapulmonary abnormalities such as impairment in the autonomic function (AF). Similarly, the use of respiratory training techniques such as controlled breathing techniques, noninvasive mechanical ventilation (NIMV), and oxygen supplementation for AF modulation in patients with COPD is popular in existing literature. However, the evidence to support their use is nonexistent. A systematic search of studies reporting on the effect of controlled breathing techniques, NIMV, and/or oxygen supplementation techniques on AF outcome parameters was conducted in three online databases: PubMed, Embase, and Web of Science. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement, relevant studies were retained and qualitatively analyzed for evidence synthesis. The methodological quality in these studies was evaluated using the evidence based guideline development (EBRO) checklists per designs provided by the Dutch Cochrane Centre. Eighteen studies met the inclusion criteria of the review and were included and discussed. The evidence synthesis revealed that a strong and moderate level evidence supported oxygen supplementation and slow breathing techniques, respectively, in significantly enhancing the baroreceptor sensitivity (BRS) values in patients with COPD. The effect of the examined techniques on the heart rate variability and muscle sympathetic nerve activity was of a limited or inconsistent evidence. The findings from this review suggest that oxygen supplementation and controlled breathing techniques have profound positive influence on the BRS in patients with COPD. However, it is not fully clear whether these influence translates to any therapeutic benefit on the general AF of patients with COPD in the long term.},
  author       = {Mohammed, Jibril and Da Silva Van den Bosch, Hellen and Van Oosterwijck, Jessica and Calders, Patrick},
  issn         = {1479-9723},
  journal      = {CHRONIC RESPIRATORY DISEASE},
  keyword      = {COPD,sympathetic,parasympathetic,review,autonomic nervous system,respiratory training techniques,HEART-RATE-VARIABILITY,POSITIVE AIRWAY PRESSURE,QUALITY-OF-LIFE,NONINVASIVE VENTILATION,BAROREFLEX SENSITIVITY,NERVOUS-SYSTEM,OXYGEN-THERAPY,BLOOD-PRESSURE,COPD,MODULATION},
  language     = {eng},
  number       = {3},
  pages        = {217--230},
  title        = {Effect of respiratory rehabilitation techniques on the autonomic function in patients with chronic obstructive pulmonary disease : a systematic review},
  url          = {http://dx.doi.org/10.1177/1479972316680844},
  volume       = {14},
  year         = {2017},
}

Chicago
Mohammed, Jibril, Hellen Da Silva Van den Bosch, Jessica Van Oosterwijck, and Patrick Calders. 2017. “Effect of Respiratory Rehabilitation Techniques on the Autonomic Function in Patients with Chronic Obstructive Pulmonary Disease : a Systematic Review.” Chronic Respiratory Disease 14 (3): 217–230.
APA
Mohammed, J., Da Silva Van den Bosch, H., Van Oosterwijck, J., & Calders, P. (2017). Effect of respiratory rehabilitation techniques on the autonomic function in patients with chronic obstructive pulmonary disease : a systematic review. CHRONIC RESPIRATORY DISEASE, 14(3), 217–230.
Vancouver
1.
Mohammed J, Da Silva Van den Bosch H, Van Oosterwijck J, Calders P. Effect of respiratory rehabilitation techniques on the autonomic function in patients with chronic obstructive pulmonary disease : a systematic review. CHRONIC RESPIRATORY DISEASE. 2017;14(3):217–30.
MLA
Mohammed, Jibril, Hellen Da Silva Van den Bosch, Jessica Van Oosterwijck, et al. “Effect of Respiratory Rehabilitation Techniques on the Autonomic Function in Patients with Chronic Obstructive Pulmonary Disease : a Systematic Review.” CHRONIC RESPIRATORY DISEASE 14.3 (2017): 217–230. Print.