Related Experiment Video
Updated: May 4, 2026
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
[Cost-consequence analysis of respiratory preventive intervention among institutionalized older people: randomized
Maria Dels Àngels Cebrià I Iranzo1, M Ángeles Tortosa-Chuliá2, Celedonia Igual-Camacho3
1Departament de Fisioteràpia, Universitat de València, Valencia, España; Servicio de Rehabilitación, Hospital Universitari i Politècnic La Fe, Valencia, España.
Introduction:
The institutionalized elderly with functional impairment show a greater decline in respiratory muscle (RM) function. The aims of the study are to evaluate outcomes and costs of RM training using Pranayama in institutionalized elderly people with functional impairment.
Material And Methods:
A randomized controlled trial was conducted on institutionalized elderly people with walking limitation (n=54). The intervention consisted of 6 weeks of Pranayama RM training (5 times/week). The outcomes were measured at 4 time points, and were related to RM function: the maximum respiratory pressures and the maximum voluntary ventilation. Perceived satisfaction in the experimental group (EG) was assessed by means of an ad hoc questionnaire. Direct and indirect costs were estimated from the social perspective.
Results:
The GE showed a significant improvement related with strength (maximum respiratory pressures) and endurance (maximum voluntary ventilation) of RM. Moreover, 92% of the EG reported a high satisfaction. The total social costs, direct and indirect, amounted to Euro 21,678.
Conclusions:
This evaluation reveals that RM function improvement is significant, that intervention is well tolerated and appreciated by patients, and the intervention costs are moderate.
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