The Effect of Harmonica Exercise on Inspiratory Capacity, Dyspnea, Exercise Capacity and Quality of Life of Chronic Obstructive Pulmonary Disease Patients

Angga M. Raharjo, Suradi Suradi, Jatu Aphridasari

Abstract


Background: Chronic inflammation in chronic obstructive pulmonary disease (COPD) causes respiratory muscle dysfunction and decreased respiratory muscle capacity. Incongruity of the capacity and the burden of the respiratory muscle results in increased symptoms of breathlessness, decreased inspiratory capacity, exercise capacity, and quality of life. The objectives of the study were to analyze the effect of harmonica exercise as a pulmonary rehabilitation modality on inspiratory capacity, shortness of breath symptoms, exercise capacity, and quality of life on stable COPD patient.
Methods: Clinical trials with pre and post test group design were performed on 30 stable COPD patients at the respiratoy clinic at Dr. Moewardi Hospital Surakarta in August - September 2017 taken by purposive sampling. Evaluation of inspiratory capacity (IC) by spirometry, symptoms of breathlessness by mMRC, exercise capacity by 6MWT and quality of life by SGRQ were measured at baseline and after 6 weeks in the harmonic and control exercises group.
Results: A total 30 stable COPD subjects met criteria and divided into two groups. The harmonica training group increased IC (1.78±0.30 litre) and 6MWT (420.00±35.49 meters), decreased mMRC score (1.00±0.458) and SGRQ score (33.87±6.05) after exercise were had significant differences (p<0.005).
Conclusion: Harmonica exercises increase IC, decrease symptoms of shortness of breath, increase exercise capacity, and improve the quality of life of people with stable COPD. The harmonica exercise had benefit and could be applied as a pulmonary rehabilitation program in stable COPD patients. (J Respir Indo 2019; 39(1): 1-13)

Keywords


COPD, inspiratory capacity, mMRC, SGRQ, 6MWT

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References


Amin M, Yunus F, Antariksa B, Djajalaksana S, Wiyono WH, Sutoyo D, et al. Penyakit paru obstruktif kronik: diagnosis dan penatalaksanaan. 2016 edition. Perhimpunan Dokter Paru Indonesia, editor. Jakarta: UI Press; 2016. p. 1¬56.

Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, mana¬ gement, and prevention of chronic obstructive pulmonary disease. In: Global Initiative for Chronic Obstructive Lung Disease Committee, ed. Global strategy for the diagnosis, mangement, and preven¬ tion of chronic obstructive pulmonary disease. 2017 edition. Barcelona: Global Initiative for Chronic Obstructive Lung Disesase; 2017. p.1–139.

Senior RM, Pierce RA, Atkinson J. Chronic obstructive pulmonary disease: epidemiology, pathophysiology, pathogenesis, and α1¬antitrypsin deficiency. In: Grippi MA, Elias JA, Fishman JA, Kotloff RM, Pack AI, Senior R, editors. Fishman’s Pulmonary Diseases and Disorders. 5 edition. New York: McGraw¬Hill Education; 2015. p. 613–45.

Macnee W, Vestbo J, Agusti A. COPD: pathogenesis and natural history. In: Broaddus VC, Mason RJ, Ernst JD, King TE, Lazarus RC, Murray JF, et al., editors. Murray & Nadel’s Textbook of Respiratory Medicine. 6 edition. Philadelpia: Elsevier Saunders; 2016. p. 751–89.

Canga B, Azoulay R, Raskin J, Loewy J. Clinical trial paper AIR: advances in respiration music therapy in the treatment of chronic pulmonary disease. Respir Med. 2015;109:1532–9.

Spruit MA, Singh SJ, Garvey C, Zuwallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188:13–64.

Rochester CL, Vogiatzis I, Holland AE, Lareau SC, Marciniuk DD, Spruit M, et al. An official American Thoracic Society/European Respiratory Society policy statement: enhancing implementation, use, and delivery of pulmonary rehabilitation. Am J Respir Crit Care Med. 2015;192:1373–86.

Kayser S. Music therapy as part of a holistic rehabilitation for people suffering from COPD. Bergen Univ. 2011;33:1–107.

Hänninen S. Breathing woodwind¬music therapy for asthma and COPD rehabilitation. Music Heal. 2014;41:1–55.

Kon SSC, Canavan JL, Jones SE, Nolan CM, Clark AL, Dickson MJ, et al. Minimum clinically important difference for the COPD assessment test: a prospective analysis. Lancet Respir. 2014;2:195–203.

Dahlan M. Uji hipotesis komparatif variabel numerik dua kelompok. In: Dahlan M, editor. Satistik untuk kedokteran dan kesehatan: deskriptif, bivariat, dan multivariat. 4 edition. Jakarta: Salemba Medika; 2009. p. 59–83.

Harun SR, Rahajoe NN, Putra ST, Wiharta AS, Chair I. Uji klinis. In: Sastroasmoro S, Ismael S, editors. Dasar¬dasar metodologi penelitian klinis. 1 edition. Jakarta: Binarupa Aksara; 1995. p. 109–26.

Madiyono B, Moeslichan MS, Budiman I, Purwanto S. Perkiraan besar sampel. In: Sastroasmoro S, Ismael S, editors. Dasar¬dasar metodologi pene¬ litian klinis. 1 edition. Jakarta: Binarupa Aksara; 1995. p. 187–213.

Tumbelaka AR, Riono P, Wirjodiarjo M, Pudji¬ astuti P, Firman K. Pemilihan uji hipotesis. In: Sastroasmoro S, Ismael S, editors. Dasar¬dasar metodologi penelitian klinis. 1 edition. Jakarta: Binarupa Aksara; 1995. p. 173–87.

Aphridasari J. Pengaruh exercise training dan neuromuscular electrostimulation (NMES) ter¬ hadap derajat obstruksi dan kekuatan otot quadriceps penderita penyakit paru obstruktif kronik. [Thesis]. Departement of Pulmonology and Respiratory Medicine Medical Faculty: Sebelas Maret University; 2007.

Makhabah D. Peran wiifit nintendo pada nilai toleransi exercise, gejala sesak napas, dan kualitas hidup penderita PPOK. [Thesis]. Departement of Pulmonology and Respiratory Medicine Medical Faculty: Sebelas Maret University;2014.

Karloh M, Palu M, Mayer A. Methods for assessing functional capacity in patients with COPD. Con Sci Saude. 2014;13:633–49.

Ottenheijm CAC, Heunks L, Dekhuijzen P. Pul¬ monary perspective diaphragm muscle fiber dys¬ function in chronic: toward a pathophysiological concept. Am J Respir Crit Care Med. 2007; 175:1233–40.

Reiter M, Zipko H, Pohl W, Wanke T. Effects of inspiratory muscle training on dynamic hyperinfla¬ tion in patients with COPD. Int J COPD. 2012;7:797–805.

Bolton CE, Bevan¬smith EF, Blakey JD, Crowe P, Elkin SL, Garrod R, et al. British Thoracic Society guideline on pulmonary rehabilitation in adults. Thorax. 2013;68:1–12.

Ottenheijm CAC, Heunks LMA, Dekhuijzen P. Pul¬ monary perspective diaphragm muscle fiber dysfunc¬ tion in COPD toward a pathophysiological concept. Am J Respir Crit Care Med. 2007;175:1233–40.

Standley J. Music research in medical/dental treatment: meta¬analysis and clinical applications. J Music Ther. 1986;23:56–122.

Chivington K. The effect of music therapy and harmonica with pediatric patients admitted for respiraory issues. [Thesis]. College of Music: Florida State University; 2016.

Saraswati N. Pengaruh incentive spirometry dan pursed lip breathing terhadap kapasitas inspirasi, gejala sesak napas, kapasitas exercise, dan kualitas hidup penderita PPOK stabil. [Thesis]. Departement of Pulmonology and Respiratory Medicine Medical Faculty: Sebelas Maret University; 2017.

Parmar D. Benefits of inspiratory muscle training in COPD patients. Int J Sci Res. 2015;4:680–4.




DOI: https://doi.org/10.36497/jri.v39i1.42

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