{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:51:26Z","timestamp":1791049886379,"version":"4.1.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2012,4,1]],"date-time":"2012-04-01T00:00:00Z","timestamp":1333238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Archives of Physical Medicine and Rehabilitation"],"published-print":{"date-parts":[[2012,4]]},"DOI":"10.1016\/j.apmr.2011.11.026","type":"journal-article","created":{"date-parts":[[2012,3,27]],"date-time":"2012-03-27T15:19:23Z","timestamp":1332861563000},"page":"571-577","source":"Crossref","is-referenced-by-count":101,"title":["Diaphragmatic Breathing Training Program Improves Abdominal Motion During Natural Breathing in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial"],"prefix":"10.1016","volume":"93","author":[{"given":"Wellington P.","family":"Yamaguti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata C.","family":"Claudino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto P.","family":"Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C.","family":"Chammas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea C.","family":"Gomes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o M.","family":"Salge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique T.","family":"Moriya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Cukier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celso R.","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.apmr.2011.11.026_bib1","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1183\/09031936.97.10030708","article-title":"Effect of hyperinflation on the diaphragm","volume":"10","author":"De Troyer","year":"1997","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib2","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1183\/09031936.97.10040934","article-title":"Hyperinflation and respiratory muscle interaction","volume":"10","author":"Decramer","year":"1997","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib3","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1002\/(SICI)1522-2586(199910)10:4<510::AID-JMRI3>3.0.CO;2-G","article-title":"Impaired respiratory mechanics in pulmonary emphysema: evaluation with dynamic breathing MRI","volume":"10","author":"Suga","year":"1999","journal-title":"J Magn Reson Imaging"},{"key":"10.1016\/j.apmr.2011.11.026_bib4","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1183\/09031936.02.00044602","article-title":"Magnetic resonance analysis of abnormal diaphragmatic motion in patients with emphysema","volume":"19","author":"Iwasawa","year":"2002","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib5","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1440-1843.2007.01194.x","article-title":"Air trapping: the major factor limiting diaphragm mobility in chronic obstructive pulmonary disease patients","volume":"13","author":"Dos Santos Yamaguti","year":"2008","journal-title":"Respirology"},{"key":"10.1016\/j.apmr.2011.11.026_bib6","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1164\/ajrccm\/142.2.276","article-title":"Factors influencing ventilatory muscle recruitment in patients with chronic airflow obstruction","volume":"142","author":"Martinez","year":"1990","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.apmr.2011.11.026_bib7","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.jelekin.2005.06.002","article-title":"Inspiratory muscular activation during threshold therapy in elderly healthy and patients with COPD","volume":"15","author":"De Andrade","year":"2005","journal-title":"J Electromyogr Kinesiol"},{"key":"10.1016\/j.apmr.2011.11.026_bib8","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1152\/jappl.1988.65.5.2181","article-title":"Respiratory sensation and pattern of respiratory muscle activation during diaphragm fatigue","volume":"65","author":"Ward","year":"1988","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.apmr.2011.11.026_bib9","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1378\/chest.98.2.298","article-title":"Correlations between dyspnea, diaphragm and sternomastoid recruitment during inspiratory resistance breathing in normal subjects","volume":"98","author":"Breslin","year":"1990","journal-title":"Chest"},{"key":"10.1016\/j.apmr.2011.11.026_bib10","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1016\/j.rmed.2007.05.024","article-title":"Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patients with COPD","volume":"101","author":"Paulin","year":"2007","journal-title":"Respir Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib11","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1164\/rccm.200508-1211ST","article-title":"American Thoracic Society\/European Respiratory Society statement on pulmonary rehabilitation","volume":"173","author":"Nici","year":"2006","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib12","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1093\/ptj\/84.12.1189","article-title":"Evidence underlying breathing retraining in people with stable chronic obstructive pulmonary disease","volume":"84","author":"Dechman","year":"2004","journal-title":"Phys Ther"},{"key":"10.1016\/j.apmr.2011.11.026_bib13","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00008483-200201000-00002","article-title":"Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: a review of the literature","volume":"22","author":"Cahalin","year":"2002","journal-title":"J Cardiopulm Rehabil"},{"key":"10.1016\/j.apmr.2011.11.026_bib14","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1136\/thx.10.3.250","article-title":"An assessment of the value of breathing exercises in chronic bronchitis and asthma","volume":"10","author":"McNeill","year":"1955","journal-title":"Thorax"},{"key":"10.1016\/j.apmr.2011.11.026_bib15","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1136\/thx.33.4.514","article-title":"Adjunct treatment with yoga in chronic severe airways obstruction","volume":"33","author":"Tandon","year":"1978","journal-title":"Thorax"},{"key":"10.1016\/j.apmr.2011.11.026_bib16","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1159\/000194357","article-title":"A study of short-term effect of rehabilitative therapy in chronic obstructive pulmonary disease","volume":"41","author":"Ambrosino","year":"1981","journal-title":"Respiration"},{"key":"10.1016\/j.apmr.2011.11.026_bib17","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1183\/09031936.98.11020408","article-title":"Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency","volume":"11","author":"Vitacca","year":"1998","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib18","doi-asserted-by":"crossref","first-page":"126","DOI":"10.2169\/internalmedicine.38.126","article-title":"Immediate effect of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern","volume":"38","author":"Ito","year":"1999","journal-title":"Intern Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib19","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1378\/chest.71.6.735","article-title":"133Xenon washout patterns during diaphragmatic breathing","volume":"71","author":"Brach","year":"1977","journal-title":"Chest"},{"key":"10.1016\/j.apmr.2011.11.026_bib20","first-page":"584","article-title":"Effects of abdominal and thoracic breathing on breathing pattern components in normal subjects and in patients with chronic obstructive pulmonary disease","volume":"130","author":"Sackner","year":"1984","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.apmr.2011.11.026_bib21","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1093\/ptj\/83.5.424","article-title":"Comparison of the oxygen cost of breathing exercises and spontaneous breathing in patients with stable chronic obstructive pulmonary disease","volume":"83","author":"Jones","year":"2003","journal-title":"Phys Ther"},{"key":"10.1016\/j.apmr.2011.11.026_bib22","first-page":"1136","article-title":"Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease","volume":"151","author":"Gosselink","year":"1995","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib23","first-page":"193","article-title":"Effects of abdominal breathing on distribution of ventilation in obstructive lung disease","volume":"48","author":"Grimby","year":"1975","journal-title":"Clin Sci Mol Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib24","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1164\/rccm.200703-456SO","article-title":"Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary","volume":"15","author":"Rabe","year":"2007","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib25","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1378\/chest.83.4.615","article-title":"Validation of respiratory inductive plethysmography in patients with pulmonary disease","volume":"83","author":"Tobin","year":"1983","journal-title":"Chest"},{"issue":"2 Pt 1","key":"10.1016\/j.apmr.2011.11.026_bib26","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1164\/ajrccm.156.2.9608031","article-title":"Effect of surgical lung volume reduction on breathing patterns in severe pulmonary emphysema","volume":"156","author":"Bloch","year":"1997","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib27","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1249\/00005768-198205000-00012","article-title":"Psychophysical bases of perceived exertion","volume":"14","author":"Borg","year":"1982","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.apmr.2011.11.026_bib28","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1148\/radiol.2282011554","article-title":"Right hemidiaphragmatic mobility: assessment with US measurement of craniocaudal displacement of left branches of portal vein","volume":"228","author":"Toledo","year":"2003","journal-title":"Radiology"},{"key":"10.1016\/j.apmr.2011.11.026_bib29","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1183\/09031936.05.00034805","article-title":"Standardisation of spirometry","volume":"26","author":"Miller","year":"2005","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib30","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1590\/S1806-37132007000400008","article-title":"New reference values for forced spirometry in white adults in Brazil","volume":"33","author":"Pereira","year":"2007","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.apmr.2011.11.026_bib31","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1378\/chest.93.3.580","article-title":"Evaluation of clinical methods for rating dyspnea","volume":"93","author":"Mahler","year":"1988","journal-title":"Chest"},{"key":"10.1016\/j.apmr.2011.11.026_bib32","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.1164\/ajrccm\/145.6.1321","article-title":"A self-complete measure of health status for chronic airflow limitation","volume":"145","author":"Jones","year":"1992","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.apmr.2011.11.026_bib33","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1590\/S0102-35862000000300004","article-title":"Validation of the Saint George\u2032s Respiratory Questionnaire in patients with chronic obstructive pulmonary disease in Brazil","volume":"26","author":"Sousa","year":"2000","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.apmr.2011.11.026_bib34","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1164\/ajrccm.166.1.at1102","article-title":"ATS statement: guidelines for the six-minute walk test","volume":"166","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib35","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1590\/S0100-879X2009005000032","article-title":"The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects","volume":"42","author":"Iwama","year":"2009","journal-title":"Braz J Med Biol Res"},{"key":"10.1016\/j.apmr.2011.11.026_bib36","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1056\/NEJMoa021322","article-title":"The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease","volume":"350","author":"Celli","year":"2004","journal-title":"N Engl J Med"},{"key":"10.1016\/j.apmr.2011.11.026_bib37","doi-asserted-by":"crossref","first-page":"c869","DOI":"10.1136\/bmj.c869","article-title":"CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials","volume":"340","author":"Moher","year":"2010","journal-title":"BMJ"},{"key":"10.1016\/j.apmr.2011.11.026_bib38","series-title":"Statistical power analysis for the behavioral sciences","author":"Cohen","year":"1988"},{"key":"10.1016\/j.apmr.2011.11.026_bib39","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1136\/thx.38.8.595","article-title":"Postural relief of dyspnoea in severe chronic airflow limitation: relationship to respiratory muscle strength","volume":"38","author":"O'Neill","year":"1983","journal-title":"Thorax"},{"key":"10.1016\/j.apmr.2011.11.026_bib40","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1378\/chest.09-0197","article-title":"Parasternal muscle activity decreases in severe COPD with salmeterol-fluticasone propionate","volume":"137","author":"Easton","year":"2010","journal-title":"Chest"},{"key":"10.1016\/j.apmr.2011.11.026_bib41","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1183\/09031936.02.00063702","article-title":"Interpreting thresholds for a clinically significant change in health status in asthma and COPD","volume":"19","author":"Jones","year":"2002","journal-title":"Eur Respir J"},{"key":"10.1016\/j.apmr.2011.11.026_bib42","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.apmr.2009.10.017","article-title":"Updating the minimal important difference for six-minute walk distance in patients with chronic obstructive pulmonary disease","volume":"91","author":"Holland","year":"2010","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.apmr.2011.11.026_bib43","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1183\/09031936.00063810","article-title":"The minimal important difference of exercise tests in severe COPD","volume":"37","author":"Puhan","year":"2011","journal-title":"Eur Respir J"},{"issue":"5 Suppl","key":"10.1016\/j.apmr.2011.11.026_bib44","doi-asserted-by":"crossref","first-page":"4S","DOI":"10.1378\/chest.06-2418","article-title":"Pulmonary rehabilitation: joint ACCP\/AACVPR evidence-based clinical practice guidelines","volume":"131","author":"Ries","year":"2007","journal-title":"Chest"}],"container-title":["Archives of Physical Medicine and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003999311010537?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003999311010537?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T09:52:04Z","timestamp":1687341124000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003999311010537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["S0003999311010537"],"URL":"https:\/\/doi.org\/10.1016\/j.apmr.2011.11.026","relation":{},"ISSN":["0003-9993"],"issn-type":[{"value":"0003-9993","type":"print"}],"subject":[],"published":{"date-parts":[[2012,4]]}}}