Breathing Training Research Articles

CORRELATION BETWEEN LIFE SATISFACTION AND HEART RATE VARIABILITY COHERENCE AMONG BLUE-COLLAR WORKERS – CASE STUDY IN A MALAYSIAN ELECTRONIC MANUFACTURING COMPANY

Introduction. In addition to having a higher risk of more physical and psychological health problems, blue-collar workers form the largest proportion of the workforce in industries. Thus, it is important to ensure their well-being which can have broader benefits for economic growth and society. This study aims at investigating the relationship between subjective well-being, namely life satisfaction and heart rate variability (HRV) coherence as an objective indicator. The second aim is to evaluate whether any differences in HRV coherence across three levels of life satisfaction groups (dissatisfied, neutral, and satisfied) after a brief session of resonant breathing training. Methods. A total of 313 female blue-collar workers from an electronic manufacturing company participated in this study. All participants completed a satisfaction with life scale (SWLS). Their HRV coherences were then recorded at baseline or rest and after attending a brief session of resonant breathing. Results and Analysis. We found a significant correlation between life satisfaction and HRV coherence after the intervention but not at rest, implying a current state of cardiac activity did not reflect workers’ attitudes toward their life. Moreover, less satisfied workers showed greater cardiac coherence improvement than those who perceived more satisfaction in life. Discussion. This finding suggests that brief resonant breathing training can help workers achieve greater HRV coherence which offers its potential as a strategy to combat workplace stressors.

Nitric Oxide and Its Significance in Respiratory Muscle Training

Paranasal sinuses are the primary site of production of Nitric Oxide in the human body. Nitric oxide leads to improvement in lung functions as it increases oxygen transport throughout the body. Nasal breathing has links to many breathing patterns and techniques employed in yoga. Humming exercise is a part of the ancient breathing technique used in yoga namely, Bhramari Pranayama and in humming, the nitric oxide peak is coming from the paranasal sinuses because of the oscillating sound waves produced. Pranayama or breath regulation has gained a special place in Yoga and includes various techniques such as bastrika (bellow’s breath), Nadishodhana (alternate nostril breathing) etc. There are no definitive guidelines for indication and dosimetry of these techniques in various respiratory disorders. There is dearth of literature till date that provides an established protocol of breathing training with humming maneuver and with incorporation of other pranayama techniques. Keywords: Nitric oxide, Humming, Bhramari pranayama, Bhastrika.

Evaluation of outcome reporting in clinical trials of physiotherapy in bronchiectasis: The first stage of core outcome set development.

The aim of this study is to explore outcomes currently reported in physiotherapy trials for bronchiectasis and investigate the level of consistency in outcome reporting. This mapping of outcomes will be used to inform the development of a core outcome set (COS) for physiotherapy research in bronchiectasis. Outcomes reported in randomised clinical trials (RCTs) and RCT protocols were reviewed and evaluated. We included trials with physiotherapy as the main intervention, including pulmonary rehabilitation, exercise prescription, airway clearance, positive expiratory pressure devices, breathing training, self-management plans, and home exercise program. Medline, CINAHL, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), and the physiotherapy evidence database (PEDro) were searched from inception using a prespecified search strategy. Records including adult patients with bronchiectasis were included. Outcomes were listed verbatim and categorised into domains based on a pre-specified system, frequency of reporting and sources of variation were inspected. Of 2158 abstracts screened, 37 trials (1202 participants) and 17 trial protocols were identified. Eighteen different physiotherapy techniques were investigated. A total of 331 outcomes were reported. No single outcome was reported by all trials. The most reported outcomes were lung function (27 trials, 50%), health related quality of life (26 trials, 48.1%), and dyspnoea (18 trials, 33.3%). A list of 104 unique outcomes covering 23 domains was created. Trials focus on physiological outcomes, mainly those related to respiratory system functions. Outcomes related to functioning and life impact are often neglected. Outcome reporting in physiotherapy research for bronchiectasis was found to be inconsistent in terms of choosing and defining outcomes. Developing a core outcome set in this area of research is needed to facilitate aggregation of future trial results in systematic reviews that will in turn inform the strength of evidence for the effectiveness of physiotherapy. Outcome choice should include all stakeholders, including patients. This study is registered in the PROSPERO registry under the number CRD42021266247.

Effect of Endurance and Breathing Training Versus Circuit and Breathing Training On Blood Pressure in Prehypertensive Overweight Adults

Hypertension is one among the leading risk factor for mortality and it is called as “the silent killer”. The new creation of the term ‘prehypertension’ classification by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC 7 guidelines has provided a new path to the researchers to examine this group separately as it decreases the average life expectancy by as much as five years. Physical activity in the form of regular aerobic exercise has been proven in prevention of high blood pressure as well as the lowering of blood pressure among all levels of hypertension. The circuit training and endurance training exercises are known to reduces both systolic and diastolic arterial blood pressure along with improvement of health related quality of life. Breathing training exercises is the only simple method to improve respiratory control to reduce the blood pressure in prehypertensive individuals. The aim of this study is to examine the effects of endurance and breathing training versus circuit and breathing training on blood pressure, body mass index, waist circumference and quality of life in pre hypertensive overweight adults. This is an experimental design with pre and post comparative study. The subjects of 25-40 years of overweight both male and female, clinically diagnosed with prehypertension were included in the study. Those with known cardiac, pulmonary, neurological and musculoskeletal disorders were excluded in the study.40 subjects were randomly assigned into two groups, Group A received endurance training with breathing exercise while Group B received circuit training and breathing exercise for 12 weeks and 5 sessions per week. The outcome measures were blood pressure, BMI, waist circumference and quality of life. The outcome tools were sphygmomanometer, weighing machine, Stadiometer, inch tape and SF 36 Short-Form 36 Questionnaire. On comparing Pre-test and Post-test within Group A and Group B on blood pressure, body mass index, waist circumference and quality of life shows a significant difference in mean values at P<0.001. Thus this study concludes that 12 weeks of circuit training and breathing exercise reduces blood pressure, body mass index, waist circumference and improves the quality of life in pre hypertensive overweight adults.

Study on Influencing Factors and Interventions of Adolescent Mathematics Anxiety

Nowadays, mathematics anxiety of adolescents is a common problem in the field of education, but serious mathematics anxiety will have a negative impact on the physical and mental development and academic progress of adolescents . Therefore, this study will analyze and summarize relevant literature on math anxiety, and explore the influencing factors and intervention measures of math anxiety from the aspects of individuals, families and schools. In terms of influencing factors, individuals (gender difference, learning style and personal motivation), families (parent-child relationship and parenting style) and schools (internal school atmosphere and teachers' teaching strategies) will have an impact on math anxiety. Then, this study put forward the corresponding intervention measures for the influencing factors mentioned above. Firstly, in the aspect of individual, cognitive behavioral therapy, intensive breathing training and expressive writing can be used to effectively interfere with teenagers' mathematical anxiety. Secondly, for the math anxiety caused by family reasons, by carrying out math practice activities based on father-son relationship, parents can give their children more full academic support, which can effectively reduce the math anxiety level. Thirdly, from the point of view of schools and teachers, we can effectively intervene the math anxiety level of teenagers by changing the learning environment of students. Finally, the paper also points out the shortcomings and limitations of the existing research, which provides sufficient theoretical support and help for the future comprehensive and in-depth understanding of the overall structure of mathematical anxiety and effective improvement of mathematical anxiety.

Effectiveness of precise and quantitative rapid pulmonary rehabilitation nursing program for elderly patients with lung cancer during the perioperative period: A randomized controlled trial.

Preoperative rehabilitation should improve the functional condition of patients. Improvements in metabolism, lung mechanics, cardiovascular function, and muscle-function can be achieved by pulmonary rehabilitation. Hence, we focused on elderly patients with lung cancer undergoing surgery, and assessed the effectiveness of a rapid and precise pulmonary rehabilitation nursing program during the perioperative period. This randomized controlled trial at the department of thoracic surgery; Shanghai pulmonary hospital, China during 2021 was conducted amongst 218 elderly patients with lung cancer treated by surgical operation into either a precision quantitative nursing model nursing group (experimental group) or a perioperative routine nursing group (control group). After individual planning of the pulmonary rehabilitation nursing outpatient clinic, nurses distributed breathing trainers, instructed the patients in breathing training, and supervised the patients after the operation. For our evaluation we considered pulmonary function tests, postoperative thoracic drainage tube indwelling times, postoperative hospital stays, postoperative complication rates, and postoperative quality of life results. The experimental group showed better pulmonary function, length of hospital stay, and quality of life outcomes than the control group, but the differences were not statistically significant. However, we found a significantly higher postoperative complications rate in the control group (11.9%) than in the experimental group (3.7%; p=0.02). Strengthening pulmonary rehabilitation nursing interventions for elderly patients with lung cancer during the perioperative period can reduce their postoperative complications and promote their rapid recovery. Clinical Trial: Registration Number - ChiCTR2100042916.].

Lung Transplant Rehabilitation—A Review

Both lung transplant recipients and candidates are characterised by reduced training capacity and low average quality of life (QoL). This review investigates the impact of training on exercise ability and QoL in patients before and after lung transplant. Searches were conducted from the beginning to 7 March 2022 using the terms "exercise," "rehabilitation," "lung transplant," "exercise ability," "survival," "quality of life" and "telerehabilitation" in six databases, including Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL, Nursing and Allied Health, and Scopus. The inclusion criteria were studies evaluating the effects of an exercise training programme concurrent with lung transplantation as well as patients and candidates (>18 years old) through any lung diseases. The term "lung transplant rehabilitation" was used to refer to all carefully thought-out physical activities with the ultimate or intermediate objective of improving or maintaining physical health. Out of 1422 articles, 10 clinical- and 3 telerehabilitation studies, candidates (n = 420) and recipients (n = 116) were related to the criteria and included in this review. The main outcome significantly improved in all studies. The 6-min walk distance, maximum exercise capacity, peak oxygen uptake, or endurance for constant load rate cycling improved measuring physical activity [aerobic exercises, breathing training, and aerobic and inspiratory muscle training sessions (IMT)]. Overall scores for dyspnoea improved after exercise training. Furthermore, health-related quality of life (HRQOL) also improved after aerobic exercise training, which was performed unsupervised or accompanied by breathing sessions. Aerobic training alone rather than combined with inspiratory muscle- (IMT) or breathing training enhanced exercise capacity. In conclusion, rehabilitation programmes seem to be beneficial to patients both preceding and following lung transplantation. More studies are required to determine the best training settings in terms of time scale, frequency, and work intensity in terms of improving exercise ability, dyspnoea, and HRQOL.

Effects of 12-week Liu Zi Jue Qigong-based breathing training on the curvature and range of motion of the thoracic and lumbar spines

Effects of 12-week Liu Zi Jue Qigong-based breathing training on the curvature and range of motion of the thoracic and lumbar spines

Clinical Indicators of Effects of Yoga Breathing Exercises on Patients With Lung Cancer After Surgical Resection: A Randomized Controlled Trial.

Cancer itself and surgery pose a heavy burden on adults with lung cancer. Yoga breathing exercises have been proposed as a form of pulmonary rehabilitation exercises to improve these patients' perioperative outcomes. To investigate the impact of yoga breathing exercises based on a problem-solving model on dyspnea, exercise capacity, anxiety, depression, and postoperative indwelling time of thoracic drainage tube and compliance in adults with lung cancer undergoing surgery. One hundred eight lung cancer patients were randomly assigned to receive problem-solving model-based yoga breathing exercises, yoga breathing exercises, or usual care. Outcomes were collected at admission, the day before surgery, and at discharge. Patients in the combined intervention group showed a significantly greater improvement in dyspnea, exercise capacity, and anxiety compared with the control group. Yoga breathing training can significantly improve patients' dyspnea and anxiety. Significant difference favoring the combined group was observed in exercise capability and compliance between the 2 intervention groups. However, there was no significant difference in depression or indwelling time of thoracic drainage tube among the 3 groups at any time point. Findings indicate that yoga breathing exercises are effective in alleviating perioperative symptoms of lung resection patients. Compared with yoga breathing exercises, applying additional problem-solving model may achieve a better effect. Yoga breathing exercises can be considered as a promising pulmonary rehabilitation strategy for lung cancer patients with surgery. The problem-solving model could be integrated into yoga breathing exercises in clinical practice to enhance the rehabilitation effect.

Conscious connected breathing with breath retention intervention in adults with chronic low back pain: protocol for a randomized controlled pilot study

BackgroundChronic pain is a major source of human suffering, and chronic low back pain (cLBP) is among the most prevalent, costly, and disabling of pain conditions. Due to the significant personal and societal burden and the complex and recurring nature of cLBP, self-management approaches that can be practiced at home are highly relevant to develop and test. The respiratory system is one of the most integrated systems of the body, and breathing is bidirectionally related with stress, emotion, and pain. Thus, the widespread physiological and psychological impact of breathing practices and breathwork interventions hold substantial promise as possible self-management strategies for chronic pain. The primary aim of the current randomized pilot study is to test the feasibility and acceptability of a conscious connected breathing with breath retention intervention compared to a sham control condition.MethodsThe rationale and procedures for testing a 5-day conscious connected breathing with breath retention intervention, compared to a deep breathing sham control intervention, in 24 adults (18–65 years) with cLBP is described. Both interventions will be delivered using standardized audio recordings and practiced over 5 days (two times in-person and three times at-home), and both are described as Breathing and Attention Training to reduce possible expectancy and placebo effects common in pain research. The primary outcomes for this study are feasibility and acceptability. Feasibility will be evaluated by determining rates of participant recruitment, adherence, retention, and study assessment completion, and acceptability will be evaluated by assessing participants’ satisfaction and helpfulness of the intervention. We will also measure other clinical pain, psychological, behavioral, and physiological variables that are planned to be included in a follow-up randomized controlled trial.DiscussionThis will be the first study to examine the effects of a conscious connected breathing with breath retention intervention for individuals with chronic pain. The successful completion of this smaller-scale pilot study will provide data regarding the feasibility and acceptability to conduct a subsequent trial testing the efficacy of this breathing self-management practice for adults with cLBP.Trial registrationClinicaltrials.gov, identifier NCT04740710. Registered on 5 February 2021.

Reducing decision-making deficits in patients with brain injury: effect of slow-paced breathing

Impairments in decision-making have been reported in brain-damaged (stroke/traumatic brain injury) patients with a wide range of lesion sites. Here, we propose that the performances of patients in complex sequential decision-making (DM) tasks can be explained by their negative affectivity, leading to deliberative processing associated with poor DM performances. We assumed that a slow-paced breathing (SPB) training, by reducing negative affectivity would improve performances in a complex DM task. For 24 days, 34 brain-damaged patients (16 males and 18 females; 12 had a hemorrhagic stroke, 17 with an ischemic stroke and 5 with a TBI), practiced either daily SPB or sham trainings for five min, three times a day. Before and after training, we assessed their vagal tone (electrocardiogram—ECG), affectivity (Positive and Negative Affect Schedule—PANAS) and certainty level (Dimensional Ratings Questionnaire—DRQ) and their performance on the Iowa Gambling Task. All participants showed initial weak performance, which improved only for patients in the SPB training condition. These results suggest that DM disorders in brain-damaged patients can be the consequence of their poor information processing strategy rather than an impairment in their DM abilities. Second, we showed that SPB could be efficient to normalize DM processes in brain injury patients.

Mixed reality and sensor real-time feedback to increase muscle engagement during deep core exercising

In lower extremity amputee rehabilitation programs, difficult-to-master targeted activation of deep core muscles and pursed-lip breathing training are prescribed to treat poor movement quality and to improve recovery after amputation. Non-invasive wireless sensors and mixed reality (MR) technologies are proposed as a solution. The main aim was to validate a novel rehabilitation technology by exploring whether a combined verbal and visual mixed reality feedback (VF + MR) will initiate a greater change in muscle electrical activation magnitude compared to verbal feedback only (VF) during exercising. The second objective was to evaluate the effectiveness of specific exercise program targeted to engage specifically deep core muscles. Pre-post-test cross-over study involved electromyographic activity (EMG) analysis from Transversus Abdominis (TA) and Multifidus (MF) muscles and self-reported questionnaires to evaluate the efficiency of MR feedback. Anthropometric data, state of health, subjective low back pain (Oswestry Disability Index), and physical activity level (IPAQ) estimation were analysed. The data from 13 patients following unilateral transtibial and transfemoral amputation showed a significant EMG increase in (VF + MR) for Chair Lean (p = 0.03) and Bent Leg Raise (p = 0.0005) exercises for TA muscle. Even though there was no significant difference in Back Bridge and Side Plank exercises, 6 to 10 participants depending on the exercise, had an increase of EMG in the range of 50–400% for both – TA and MF muscles. The proposed solution has a high potential for increasing motivation, self-awareness, and muscle engagement during exercises, based on EMG and self-reported questionnaire data.

Role of breathing training programs on quality of life in chronic kidney disease patients.

Due to its chronic and progressive nature, chronic kidney disease (CKD) affects patients in many spheres including their perception of quality of life (QOL). Breathing training techniques have shown positive effects on health and QOL for different conditions. The aim of this study was to perform a scoping review to examine the characteristics related to the application of breathing training on patients with CKD, and to identify the relevant outcomes and target group for the application of breathing training. This scoping review was performed in accordance with PRISMA-SRc guidelines. We systematically searched three electronic databases for articles published before March 2022. The studies included patients with chronic kidney disease that received breathing training programs. The breathing training programs were compared to usual care or no treatment. A total of four studies were included in this scoping review. The four studies had heterogeneous disease stages and breathing training programs. All the studies included reported positive effects of breathing training programs on QOL of CKD patients. The breathing training programs were able to improve the quality of life of patients with CKD undergoing hemodialysis treatment.

The Effect of Respiratory Training on Anxiety Level and Sleep Quality in Patients after Transnasal Pituitary Tumour Removal

To investigate the effects of breathing training on the anxiety status and sleep quality of patients after transsphenoidal pituitary tumor resection, one hundred and two patients with pituitary tumour in the Department of Neurosurgery of the Affiliated Hospital of Jining Medical College were selected as study subjects and randomly divided into a control group and a test group, with 51 cases in each group. The control group underwent routine nursing operations, while the experimental group added breathing training to the routine nursing operations. The study effects were analyzed by the scoring status and grade classification of SAS scale and PSQI scale. By introducing breathing training, the SAS scale and PSQI scale of the two groups were significantly different, and the test group was better than the control group in terms of anxiety status and sleep quality (p<0.05). Respiratory training has a significant positive effect on the anxiety status and sleep quality of patients after transsphenoidal pituitary tumour resection, providing a clinical case and reference value for postoperative care after transsphenoidal pituitary tumour removal.

Research on Breath Training in University Vocal Performance Teaching

Research on Breath Training in University Vocal Performance Teaching

Effects of Horticultural Activities on Mild to Moderate Depression Symptoms: A Randomized Controlled Trial

Objectives This study was designed to evaluate the effect of participating in horticultural activities on changes in the severity of depression symptoms in adults with mild-to-moderate depression symptoms. Methods In this non-blinded, randomized controlled trial, 102 eligible participants were assigned randomly to the experimental and control groups (51 members each). The inclusion criteria were as follows: age of 18 years or more, mild-to-moderate depression symptoms, and willingness to participate in the study. However, the exclusion criteria were physical or mental diseases limiting horticultural activities and using antidepressants. Both groups received educational worksheets, including behavioral activation, daily activity schedules, breathing training, and relaxation instructions. Moreover, the experimental group participated in weekly three-hour horticultural program sessions for six weeks. The severity of depression symptoms was then appraised at baseline, at the end of the intervention, and four weeks after the end of the intervention through the Beck depression inventory-II (BDI-II). The repeated-measures ANOVA was used for data analysis. Results The results revealed that the mean BDI-II scores in the horticultural group declined by 5.68 (P=0.001) and 2.32 (P=0.016) points more than the control group at the end of the intervention and four weeks later, respectively. Conclusion This study indicated that horticultural activity might mitigate the severity of depression symptoms.

Research on Breath Training in University Vocal Performance Teaching

Research on Breath Training in University Vocal Performance Teaching

Retracted: A Retrospective Study of Diaphragmatic Breathing Training Combined with Discharge Care Bundles in Patients with Chronic Obstructive Pulmonary Disease.

[This retracts the article DOI: 10.1155/2022/9649986.].

Day II: Friday, March 24, 2023; 11.15 am Plumeria 1 (Exhibition Hall): Innovation Hub Display time: 9.00 am to 5.00 pm: AB No: 112 Ideation to Prototype design: Breath training device

Day II: Friday, March 24, 2023; 11.15 am Plumeria 1 (Exhibition Hall): Innovation Hub Display time: 9.00 am to 5.00 pm: AB No: 112 Ideation to Prototype design: Breath training device

Day II: Friday, March 24, 2023; 11.15 am Plumeria 1 (Exhibition Hall): Innovation Hub Display time: 9.00 am to 5.00 pm: AB No: 112 Ideation to Prototype design: Breath training device

Day II: Friday, March 24, 2023; 11.15 am Plumeria 1 (Exhibition Hall): Innovation Hub Display time: 9.00 am to 5.00 pm: AB No: 112 Ideation to Prototype design: Breath training device