Share This Article:

Respiratory Physiotherapy in a Web Browser, Feasibility Study

Abstract Full-Text HTML Download Download as PDF (Size:183KB) PP. 150-153
DOI: 10.4236/ojrd.2013.34023    2,854 Downloads   5,061 Views   Citations

ABSTRACT

In this paper, feasibility of web based breathing exercises for respiratory rehabilitation is examined. A system included visual guidance in a web browser and a microphone equipped headset for biofeedback and interaction. Feasibility was assessed in a controlled environment on 34 subjects with anxiety disorders that were not offered any help from the personnel. Weak points of comprehensibility were identified as applying headset (21%) and adhering to breathing exercises instructions (7%). No adverse events were identified. Design flaws that correlated with poor user’s experience were 1) the unpleasant feelings induced by watching the computer screen (21%) and 2) ease/difficulty of physically applying headset (14%). We conclude that conducting breathing exercises by using an acoustic microphone and a web browser is feasible and should be further researched. Additionally we conclude that audio feedback might be more pleasant to some people.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

M. Leskovsek, M. Lasič and D. Ahlin, "Respiratory Physiotherapy in a Web Browser, Feasibility Study," Open Journal of Respiratory Diseases, Vol. 3 No. 4, 2013, pp. 150-153. doi: 10.4236/ojrd.2013.34023.

References

[1] F. E. Hargreave and K. Parameswaran, “Asthma, COPD and Bronchitis Are Just Components of Airway Disease,” European Respiratory Journal, Vol. 28, No. 2, 2006, pp. 264-267. http://dx.doi.org/10.1183/09031936.06.00056106
[2] B. R. Celli, W. MacNee, A. Agusti, A. Anzueto, B. Berg, A. S. Buist, et al., “Standards for the Diagnosis and Treatment of Patients with COPD: A Summary of the ATS/ ERS Position Paper,” European Respiratory Journal, Vol. 23, No. 6, 2004, pp. 932-946. http://dx.doi.org/10.1183/09031936.04.00014304
[3] K. F. Rabe, S. Hurd, A. Anzueto, P. J. Barnes, S. A. Buist, P. Calverley, et al., “Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: GOLD Executive Summary,” American Journal of Respiratory and Critical Care Medicine, Vol. 176, No. 6, 2007, p. 532. http://dx.doi.org/10.1164/rccm.200703-456SO
[4] J. D. Miller, T. Foster, L. Boulanger, M. Chace, M. W. Russell, J. P. Marton, et al., “Direct Costs of COPD in the U.S.: An Analysis of Medical Expenditure Panel Survey (MEPS) Data,” COPD: Journal of Chronic Obstructive Pulmonary Disease, Vol. 2, No. 3, 2005, pp. 311-318. http://dx.doi.org/10.1080/15412550500218221
[5] R. J. Halbert, J. L. Natoli, A. Gano, E. Badamgarav, A. S. Buist and D. M. Mannino, “Global Burden of COPD: Systematic Review and Meta-Analysis,” European Respiratory Journal, Vol. 28, No. 3, 2006, p. 523. http://dx.doi.org/10.1183/09031936.06.00124605
[6] E. Nabel, “Morbidity and Mortality: 2007 Chart Book on Cardiovascular, Lung and Blood Diseases,” National Heart, Lung and Blood Institute.
[7] C. D. Mathers and D. Loncar, “Projections of Global Mortality and Burden of Disease from 2002 to 2030,” PLOS Medicine, Vol. 3, No. 11, 2006, p. e442. http://dx.doi.org/10.1371/journal.pmed.0030442
[8] C. P. Van der Schans, W. De Jong, E. Kort, P. J. Wijkstra, G. H. Koeter, D. S. Postma, et al., “Mouth Pressures during Pursed Lip Breathing,” Physiotherapy Theory and Practice, Vol. 11, No. 1, 1995, pp. 29-34. http://dx.doi.org/10.3109/09593989509022395
[9] E. H. Breslin, “The Pattern of Respiratory Muscle Recruitment during Pursed-Lip Breathing,” Chest, Vol. 101, No. 1, 1992, p. 75. http://dx.doi.org/10.1378/chest.101.1.75
[10] G. A. De FFregonezi, V. R. Resqueti and R. G. Rous, “Pursed Lips Breathing,” Archivos de Bronconeumologia, Vol. 40, No. 6, 2004, pp. 279-282. http://dx.doi.org/10.1016/S1579-2129(06)70099-4
[11] A. L. Barach, “Physiologic Advantages of Grunting, Groaning, and Pursed-Lip Breathing: Adaptive Symptoms Related to the Development of Continuous Positive Pressure Breathing,” Bulletin of the New York Academy of Medicine, Vol. 49, No. 8, 1973, p. 666.
[12] R. Garrod and T. Mathieson, “Pursed Lips Breathing Are We Closer to Understanding Who Might Benefit?” Chronic Respiratory Disease, Vol. 10, No. 1, 2013, pp. 3-4. http://dx.doi.org/10.1177/1479972312472689
[13] J. Roa, S. Epstein, E. Breslin, T. Shannon and B. Celli, “Work of Breathing and Ventilatory Muscle Recruitment during Pursed Lip Breathing in Patients with Chronic Airway Obstruction,” American Review of Respiratory Disease, Vol. 143, 1991, p. A77.
[14] M. Leskovsek, D. Ahlin, R. Cancer, M. Hosta, D. Enova, N. Pusenjak, et al., “Low Latency Breathing Frequency Detection and Monitoring on a Personal Computer,” Journal of Medical Engineering & Technology, Vol. 35, No. 6-7, 2011, pp. 322-329. http://dx.doi.org/10.3109/03091902.2011.591481
[15] M. A. Khan, “Clinical Trial ‘Application of an Individual Inhaler-Training Device in Cases of Breathing Disorders and Vegetal Vascular Dystonia in Children’,” Federal State Institution Scientific Centre of Restorative Medicine and Balneology Roszdrav, Scientific Centre of Restorative Medicine, Moscow, 2004.
[16] S. Medvedeva, “Clinical Trial for Individual Simulator Inhaler,” Introduced by Dinamika LTD, 2004.
[17] N. P. Bahtina, “Clinical Trial of the Individual Inhaler- Training Device Produced by the ‘Dinamika’ Company,” 2004.
[18] V. P. Lozovskaya, “Clinical Trial Protocol of Individual Inhaler-Training Device Produced by the ‘Dinamika’ Company,” Clinic of Scientific Centre of Clinical and Experimental Medicine Siberian Branch of the Russian Medical Academy, 2004.
[19] V. A. Epofanov and I. A. Baukina, “Rationale for Application of Individual Inhaler-Training Device in System of Rehabilitation,” Moscow State Medical-Dentistry University, Moscow, 2006.
[20] L. Lloyd and S. Marcos, “Respiratory Resistance Training on Sleep Quality in Persons with Spinal Cord Injury,” Texas State University, San Marcos, 2008.
[21] A. Munshi, “A Prospective Study of Variation in Breath Holding Times at Various Phases of Respiration during the Course of Radiotherapy Including the Effect of Respiratory Training in Lung Cancer Patients,” Tata Memorial Hospital, 2011.
[22] D. Martin, “Inspiratory Muscle Strength Training Improves Weaning Outcome in Failure to Wean Patients: A Randomized Trial,” Critical Care, Vol. 15, 2011, p. R84. http://dx.doi.org/10.1186/cc10081
[23] B. Gavish, “Device-Guided Breathing in the Home Setting: Technology, Performance and Clinical Outcomes,” Biological Psychology, Vol. 84, No. 1, 2010, pp. 150-156. http://dx.doi.org/10.1016/j.biopsycho.2010.02.013
[24] W. J. Elliott and J. L. Izzo Jr., “Device-Guided Breathing to Lower Blood Pressure: Case Report and Clinical Overview,” Medscape General Medicine, Vol. 8, No. 3, 2006, p. 23.
[25] G. Parati and R. Carretta, “Device-Guided Slow Breathing as a Non-Pharmacological Approach to Antihypertensive Treatment: Efficacy, Problems and Perspectives,” Journal of Hypertension, Vol. 25, No. 1, 2007, p. 57. http://dx.doi.org/10.1097/HJH.0b013e328012bf0f
[26] R. Viskoper, I. Shapira, R. Priluck, R. Mindlin, L. Chornia, A. Laszt, et al., “Nonpharmacologic Treatment of Resistant Hypertensives by Device-Guided Slow Breathing Exercises,” American Journal of Hypertension, Vol. 16, No. 6, 2003, pp. 484-487. http://dx.doi.org/10.1016/S0895-7061(03)00571-5
[27] M. H. Schein, B. Gavish, T. Baevsky, M. Kaufman, S. Levine, A. Nessing, et al., “Treating Hypertension in Type II Diabetic Patients with Device-Guided Breathing: A Randomized Controlled Trial,” Journal of Human Hypertension, Vol. 23, No. 5, 2008, pp. 325-331. http://dx.doi.org/10.1038/jhh.2008.135

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.