Original Research Article
Year: 2019 | Month: May | Volume: 9 | Issue: 5 | Pages: 209-217
Effect of 4-7-8 Breathing Technique on Anxiety and Depression in Moderate Chronic Obstructive Pulmonary Disease Patients
Pratibha Pradip Pandekar1, Poovishnu Devi Thangavelu2
1Student, Faculty of Physiotherapy, Krishna Institute Of Medical Sciences Deemed To Be University, Karad, Maharashtra, India.
2Associate Professor, Department of Cardio pulmonary, Faculty of Physiotherapy, Krishna Institute Of Medical Sciences Deemed To Be University, Karad, Maharashtra, India.
Corresponding Author: Poovishnu Devi Thangavelu
ABSTRACT
Background: chronic obstructive pulmonary disease (COPD) patients has difficulty in expiration and 4-7-8 breath is a new breathing technique in which the numbers 4-7-8 refers to counts of inspiration, holding the breath and expiration respectively which overcomes the expiratory defect .
Objectives: (1) To determine the effect of conventional breathing technique on anxiety and depression in moderate COPD patients and (2) To determine the effect of 4-7-8 breathing technique on anxiety and depression in moderate COPD patients.
Methods: Ethical clearance was obtained from the Institutional Ethical Committee. A total of 87 patients diagnosed with moderate COPD were selected based on inclusion criteria. Randomization was done by simple random sampling and divided into two groups, Group A (N=43) received conventional therapy which includes nebulization, breathing exercises and chest physiotherapy. Group B (N=44) received 4-7-8 breathing technique along with conventional therapy. The outcome measures for dyspnea and anxiety and depression were assessed by Modified Medical Research Council grading and Hospital Anxiety and Depression Scale. Pretest was assessed on third day of admission and Posttest after 4 days of intervention.
Result: Within group A statistical analysis for MMRC grading (p 0.0034) was significant, for HADS (p 0.0814) it was not significant. Within group B, MMRC grading and HADS (p<0.0001) shows statistically significant. Between group comparison, MMRC and HADS (p<0.0001) which was extremely statistically significant.
Conclusion: 4-7-8 breathing technique focus on time factor of inspiration, hold and expiration is effective in reducing dyspnea, anxiety and depression in moderate chronic obstructive pulmonary disease patients
Key words: 4-7-8 breathing technique, Chronic Obstructive Pulmonary Disease, Anxiety, Depression