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Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis.

Volpato E, Banfi P, Rogers SM, Pagnini F - Evid Based Complement Alternat Med (2015)

Bottom Line: Results.The higher effect size was found in the quality of life value (d = 0.38; 95% Cl: 0.51-0.24).Relaxation training can have a moderate impact on both psychological well-being and respiratory function, resulting in noticeable improvements in both.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy ; Department of Neuromuscular Disease, Fondazione Don Carlo Gnocchi, 20149 Milan, Italy.

ABSTRACT
Introduction. Chronic Obstructive Pulmonary Disease (COPD) people suffer from severe physical impairments, which often elicit significant psychological distress and impact their quality of life. This meta-analysis aimed to assess evidence from the scientific literature on the effects of relaxation techniques. Methods. We investigated 9 databases to select 25 RCTs. Studies included both inpatients and outpatients with COPD. Both respiratory and psychological outcomes were considered. Results. Relaxation techniques showed a little positive effect on the value of the percentage of predicted FEV1 (d = 0.20; 95% Cl: 0.40--0.01) as well as a slight effect on levels of both the anxiety (d = 0.26; 95% Cl: 0.42-0.10) and depression (d = 0.33; 95% Cl: 0.53-0.13). The higher effect size was found in the quality of life value (d = 0.38; 95% Cl: 0.51-0.24). The assessed quality of the studies, based on the PEDro Scale, was generally medium/high. Conclusion. Relaxation training can have a moderate impact on both psychological well-being and respiratory function, resulting in noticeable improvements in both. Although higher quality research is required, our results sustain the importance of relaxation techniques as a tool to manage COPD.

No MeSH data available.


Related in: MedlinePlus

Flow chart of study selection.
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Related In: Results  -  Collection


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fig1: Flow chart of study selection.

Mentions: We identified the potential articles and read the abstracts to determine whether they met the inclusion criteria. We excluded 77 studies, because they were case reports, letters, reviews, editorials, or cohort studies (see Figure 1). For the remaining papers, we read the full text: in this way, an additional 15 studies that did not include an appropriate comparison group were excluded (see Figure 1). Though consistent with our inclusion and exclusion criteria, another 13 studies were excluded, because they adopted a different intervention such as Inspiratory Muscle Training (IMT), autogenic drainage, psychoeducational care, or active cycle breathing techniques (ACBT). After the exclusion of these 28 studies, an additional 3 studies were excluded because they were not in English, 6 were excluded because they were not obtainable, and 19 were excluded because they did not meet one of the inclusion criteria shown above. The resulting meta-analysis included 25 studies (see Figure 1). Only one of the studies included is under submission [55] while 24 are published in a scientific journal.


Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis.

Volpato E, Banfi P, Rogers SM, Pagnini F - Evid Based Complement Alternat Med (2015)

Flow chart of study selection.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4539049&req=5

fig1: Flow chart of study selection.
Mentions: We identified the potential articles and read the abstracts to determine whether they met the inclusion criteria. We excluded 77 studies, because they were case reports, letters, reviews, editorials, or cohort studies (see Figure 1). For the remaining papers, we read the full text: in this way, an additional 15 studies that did not include an appropriate comparison group were excluded (see Figure 1). Though consistent with our inclusion and exclusion criteria, another 13 studies were excluded, because they adopted a different intervention such as Inspiratory Muscle Training (IMT), autogenic drainage, psychoeducational care, or active cycle breathing techniques (ACBT). After the exclusion of these 28 studies, an additional 3 studies were excluded because they were not in English, 6 were excluded because they were not obtainable, and 19 were excluded because they did not meet one of the inclusion criteria shown above. The resulting meta-analysis included 25 studies (see Figure 1). Only one of the studies included is under submission [55] while 24 are published in a scientific journal.

Bottom Line: Results.The higher effect size was found in the quality of life value (d = 0.38; 95% Cl: 0.51-0.24).Relaxation training can have a moderate impact on both psychological well-being and respiratory function, resulting in noticeable improvements in both.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy ; Department of Neuromuscular Disease, Fondazione Don Carlo Gnocchi, 20149 Milan, Italy.

ABSTRACT
Introduction. Chronic Obstructive Pulmonary Disease (COPD) people suffer from severe physical impairments, which often elicit significant psychological distress and impact their quality of life. This meta-analysis aimed to assess evidence from the scientific literature on the effects of relaxation techniques. Methods. We investigated 9 databases to select 25 RCTs. Studies included both inpatients and outpatients with COPD. Both respiratory and psychological outcomes were considered. Results. Relaxation techniques showed a little positive effect on the value of the percentage of predicted FEV1 (d = 0.20; 95% Cl: 0.40--0.01) as well as a slight effect on levels of both the anxiety (d = 0.26; 95% Cl: 0.42-0.10) and depression (d = 0.33; 95% Cl: 0.53-0.13). The higher effect size was found in the quality of life value (d = 0.38; 95% Cl: 0.51-0.24). The assessed quality of the studies, based on the PEDro Scale, was generally medium/high. Conclusion. Relaxation training can have a moderate impact on both psychological well-being and respiratory function, resulting in noticeable improvements in both. Although higher quality research is required, our results sustain the importance of relaxation techniques as a tool to manage COPD.

No MeSH data available.


Related in: MedlinePlus