Neural Respiratory Drive During Different Dyspnea Relief Positions and Breathing Exercises in Individuals With COPD

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dc.contributor.authorTopcuoglu, Ceyhun
dc.contributor.authorYumin, Eylem Tutun
dc.contributor.authorSaglam, Melda
dc.contributor.authorCankaya, Tamer
dc.contributor.authorKonuk, Suat
dc.contributor.authorOzsari, Emine
dc.contributor.authorGoksuluk, Merve Basol
dc.date.accessioned2024-09-25T19:57:30Z
dc.date.available2024-09-25T19:57:30Z
dc.date.issued2024
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractBackground: When the work load of the respiratory muscles increases and/or their capacity decreases in individuals with COPD, respiratory muscle activation increases to maintain gas exchange and respiratory mechanics, and perception of dyspnea occurs. The present study aimed to compare diaphragm and accessory respiratory muscle activation during normal breathing, pursed-lip breathing, and breathing control in different dyspnea relief positions, supine and side lying. Methods: A cross-sectional study design was used. Sixteen individuals with COPD age between 40-75 y were included. Pulmonary function was evaluated by spirometry, muscle activation by surface electromyography, and dyspnea by the modified Borg scale. Muscle activation was measured in the diaphragm, scalene, sternocleidomastoid, and parasternal muscles. The evaluation was made in the dyspnea relief positions (sitting leaning forward, sitting leaning forward at a table, leaning forward with back against a wall, standing leaning forward, and high lying), seated erect, supine, and side lying. Results: There were significant differences between the 8 positions (P < .001). There was no significant difference in muscle activation between sitting leaning forward and sitting leaning forward at a table position with analyzing post hoc test results (P > .99 for each muscle). However, muscle activation was lower in these 2 positions than in the other positions (P < .001 for each muscle). Muscle activation was greater in the supine position than in the other positions (P < .001 for each muscle). No difference was observed in muscle activation between the seated erect, leaning forward with back against a wall, standing leaning forward, high-lying, or side-lying positions (P > .05 for each muscle with a minimum P value of .09). Conclusions: The use of sitting leaning forward and sitting leaning forward at a table positions together with breathing control may help people with COPD to achieve more effective dyspnea relief and greater energy efficiency.en_US
dc.identifier.endpage1137en_US
dc.identifier.issn0020-1324
dc.identifier.issn1943-3654
dc.identifier.issue9en_US
dc.identifier.pmid38744480en_US
dc.identifier.scopus2-s2.0-85197273504en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1129en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13456
dc.identifier.volume69en_US
dc.identifier.wosWOS:001315170400008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherDaedalus Enterprises Incen_US
dc.relation.ispartofRespiratory Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectCOPDen_US
dc.subjectneural respiratory driveen_US
dc.subjectrespiratory muscle activationen_US
dc.subjectdyspnea relief positionsen_US
dc.subjectbreathing exerciseen_US
dc.titleNeural Respiratory Drive During Different Dyspnea Relief Positions and Breathing Exercises in Individuals With COPDen_US
dc.typeArticleen_US

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