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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

Effect sizes in relation to the intervention proposed in the studies included. DAS: Distractive Auditory Stimuli; 6;3: relaxation therapies and breathing techniques; mixed: many relaxation techniques combined together in the same session.
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fig4: Effect sizes in relation to the intervention proposed in the studies included. DAS: Distractive Auditory Stimuli; 6;3: relaxation therapies and breathing techniques; mixed: many relaxation techniques combined together in the same session.

Mentions: The kind of intervention seems to influence the efficacy of the treatment (Figure 4). In particular, there are significant differences in the FEV1 (F(3) = 34.242; p = 0.000  p < 0.05; η = 0.530; Observed Potential = 1.000), comparing cases in which the breathing techniques were used and those in which a combination of relaxation techniques was used (p = 0.000 (95% Cl.: −0.101–−0.179)). There are also differences in the FEV1 comparing cases in which a combination of many relaxation techniques was used and those in which yoga was used (p = 0.000 (95% Cl.: 0.439–1.527)) and also comparing cases in which yoga and breathing techniques were used (p = 0.001 (95% Cl.: 0.299–1.385)). Finally, there is a significant difference between a combination of many relaxation techniques and the adoption of the combination of relaxation therapies and the breathing techniques (p = 0.000 (95% Cl.: −0.808–−0.729)).


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)

Effect sizes in relation to the intervention proposed in the studies included. DAS: Distractive Auditory Stimuli; 6;3: relaxation therapies and breathing techniques; mixed: many relaxation techniques combined together in the same session.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig4: Effect sizes in relation to the intervention proposed in the studies included. DAS: Distractive Auditory Stimuli; 6;3: relaxation therapies and breathing techniques; mixed: many relaxation techniques combined together in the same session.
Mentions: The kind of intervention seems to influence the efficacy of the treatment (Figure 4). In particular, there are significant differences in the FEV1 (F(3) = 34.242; p = 0.000  p < 0.05; η = 0.530; Observed Potential = 1.000), comparing cases in which the breathing techniques were used and those in which a combination of relaxation techniques was used (p = 0.000 (95% Cl.: −0.101–−0.179)). There are also differences in the FEV1 comparing cases in which a combination of many relaxation techniques was used and those in which yoga was used (p = 0.000 (95% Cl.: 0.439–1.527)) and also comparing cases in which yoga and breathing techniques were used (p = 0.001 (95% Cl.: 0.299–1.385)). Finally, there is a significant difference between a combination of many relaxation techniques and the adoption of the combination of relaxation therapies and the breathing techniques (p = 0.000 (95% Cl.: −0.808–−0.729)).

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