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

Evidence-based Complementary and Alternative Medicine : ECAM
Eleonora VolpatoFrancesco Pagnini

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.

References

Sep 1, 1991·Chest·C F EmeryN R MacIntyre
Nov 1, 1993·Clinical Nursing Research·L E MoodyH Yarandi
Jul 1, 1997·The European Respiratory Journal·N EiserF Quirk
May 30, 1998·Journal of Advanced Nursing·D Carroll, K Seers
Jul 31, 2001·Family Practice·S M Oliver
Aug 21, 2001·The European Respiratory Journal·C P EngströmM Sullivan
Jan 15, 2004·Journal of Advanced Nursing·Hua-Shan WuLi-Chan Lin
Mar 5, 2004·Patient Education and Counseling·Johan B Wempe, Peter J Wijkstra
Aug 7, 2004·Occupational Therapy International·Stephanie Wai-Shan Louie
Nov 16, 2004·Palliative Medicine·Linnéa Carling Elofsson, Joakim Ohlén
Sep 13, 2005·Health and Quality of Life Outcomes·Elisabeth StåhlBo Lundbäck
Jan 3, 2006·The European Respiratory Journal·K R ChapmanR Beasley
Feb 3, 2006·The European Respiratory Journal·A D LopezS Buist
Feb 17, 2007·American Journal of Physical Medicine & Rehabilitation·Hildegarde Paz-DíazBartolome R Celli
Aug 2, 2007·Journal of Cardiopulmonary Rehabilitation and Prevention·Margaret A NieldSilverio Santiago
Sep 4, 2007·Lancet·David M Mannino, A Sonia Buist
Jan 19, 2008·American Journal of Respiratory and Critical Care Medicine·Eileen G CollinsFranco Laghi
May 6, 2008·Proceedings of the American Thoracic Society·Samuel KrachmanSteven M Scharf
Jun 4, 2008·BMC Psychiatry·Gian Mauro ManzoniEnrico Molinari
Jul 31, 2008·Journal of General Internal Medicine·Terri R Fried, John R O'Leary
Mar 3, 2009·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·DorAnne Donesky-CuencoVirginia Carrieri-Kohlman
Mar 17, 2010·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Aileen W K ChanWilson W S Tam
Mar 23, 2011·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Bobby H P NgThomas Y W Mok
Apr 9, 2011·Respiration; International Review of Thoracic Diseases·Arnoldus J R van GestelHelmut Teschler
Apr 27, 2011·Archives of Internal Medicine·Gloria Y YehRussell S Phillips
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Oct 25, 2011·International Journal of Yoga·Catherine Woodyard
Oct 26, 2011·Archives of Internal Medicine·Karen J ShermanRichard A Deyo
Feb 18, 2012·American Journal of Respiratory and Critical Care Medicine·Mark B ParshallUNKNOWN American Thoracic Society Committee on Dyspnea

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Citations

Feb 2, 2018·The European Respiratory Journal·Ingeborg Farver-VestergaardRobert Zachariae
May 11, 2018·Multidisciplinary Respiratory Medicine·Eleonora VolpatoFrancesco Pagnini
May 23, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Jesús Recio IglesiasJosé Manuel Varela Aguilar
Nov 19, 2020·BioMed Research International·Joanna BiałkowskaJoanna Wojtkiewicz

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