The Position of Leaning Forward to Reduce Breathing of COPD Patients: Literature Review

Riri Riri Maria


COPD patients often experience shortness of breath as a result of inflammation in the lungs that develops in the long term. COPD is generally characterized by difficulty breathing, coughing with phlegm, and wheezing or wheezing. In this condition, the patient often finds a comfortable position to reduce shortness of breath. The aim of this study was to look at appropriate and effective interventions in reducing spasms in COPD patients. This literature study was created by analyzing scientific articles, at least in retrospective research from 2012 to 2020 and in English. Data obtained from databases include Pubmed, CINAHL, Scopus, Proquest and Google Scholar with the keywords position for breathing in COPD, position forward lean trunk for short breathing in COPD, and best position for COPD. The results of this literature obtained 5 articles that match the inclusion and exclusion criteria. The results have been found that the forward leaning position is effective in reducing shortness of breath in COPD patients because of the involvement of the respiratory accessory muscles so that the pulmonary ventilation process is good.

Full Text:



Albarrati, Ali., Hamayun Zafar., Alghadir., Ahmad H., Shahnwaz Anwer., (2018). Effect of Upright and Slouched Sitting Postures on the Respiratory Muscle Strength in Healthy Young Males. National Library of Medecine. DOI: 10.1155 / 2018/3058970

Angelis, N., Porpodis, K., Zarogoulidis, P., Spyratos, D., Kioumis, I., Papaiwannou, A., Pitsiou, G. et al. (2014). Airway inflammation in chronic obstructive pulmonary disease. J. Thorac. Dis. 6, 4 9.

António Mesquita Montesa., Carolina Tam., Carlos Crastoa., Cristina Argel de Meloa., Paulo Carvalhoa., Rita Santosa., Rui Vilarinhoa., João Paulo Vilas-Boas. (2018). Forward trunk lean with arm support affects the activity of accessory respiratory muscles and thoracoabdominal movement in healthy individuals. Elsevier. Human Movement Science 61.167-176

António Mesquita Montesa., Carolina Tam., Carlos Crastoa., Cristina Argel de Meloa., Paulo Carvalhoa., Rita Santosa., Rui Vilarinhoa., João Paulo Vilas-Boas. (2017). Abdominal muscle activity during breathing in different postures in COPD "Stage 0" and healthy subjects. Elsevier. Respiratory Physiology & Neurobiology 238. 14-22

Bhatt, SP., Guleria, R., Luqman-Arafath, TK., Gupta, AK., Mohan, A., Nanda, S., & Stoltzfus, JC 2009. Effect of tripod position on objective parameters of respiratory function in stable chronic obstructive pulmonary disease. Indian J Chest Dis Allied Sci. 51: 83–85

Booth., (2006). APARQ (Adolscent Physical Activity Recall Questionare. University Sydney: NSW.

Delgado, HR, Braun, S R., Skatrud, JB, Reddan, WG, & Pegelow, DF (1982). Chest wall and abdominal motion during exercise in patient with chronic obstructive pulmonary disease. The American Revieum of Pulmonary Disease, 126, 200-2005

Disease Global Initiative For Chronic Obstructive Lung. Pocket Guide To Copd Diagnosis, Management, And Prevention A Guide for Health Care Professionals 2017 EDITION.

Gosselink, 2013.Controlled Breathing and Dyspnea in Patients with Chronic Obstructive Pulmonary Disease (COPD). Journal of Rehabilitation Research and Development. Vol. 40 No.5.

Indonesia KKR. (2013). Basic Health Research 2013.

Juncheol Lee., And Dongwook Han. (2017). Effect of the trunk forward bending angle in sitting position on slow vital capacity. Physical Therapy Science. 12: 2220–2223.

Khasanah, S., & Maryoto, M. (2016). Effect of leaning forward (CKD) with pursed lips breathing (PLB) on the improvement of the respiratory conditions of patients with Chronic Obstructive Pulmonary Disease (COPD)

Ki-song Kim., Min-kwang Byun., Won-hwee Lee., Heon-seock Cynn., Oh-yun Kwon., And Chung-hwi Yi. (2012). Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients with chronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine

KNGF. (2008). Chronic Obstructive Pulmonary Disease. Practice Guidelines. England: Royal Dutch Society For Physical Therapy.

Miniño., BAM., Murphy, SL & Xu, J. (2011). National Vital Statistics Reports Deaths: Final Data for 2008. 59.

NHS. (2009). National Health Service Standard Contract. NHS England. Pp. 1–22. Available at:

Nutsupa Ubolnuar., Anong Tantisuwat., Premtip Thaveeratitham., Somrat Lertmaharit., Chathipat Kruapanich., Jaturong Chimpalee., And Witaya Mathiyakom. (2020). Effects of pursed-lip breathing and forward trunk lean postures on total and compartmental lung volumes and ventilation in patients with mild to moderate chronic obstructive pulmonary disease. Medicine: doi: 10.1097 / MD.0000000000023646

Permadi, AW., & Wahyudi, AT. (2017). The effect of pursed lip breathing and sustained maximal inspiration to increase the strength of the respiratory muscles to reduce complaints of shortness of breath in cases of cardio respiration. Interest: Journal of Health Sciences, 6 (2)

Singh D., Agusti A., Anzueto A., Barnes PJ., Bourbeau J., Celli BR, et al. (2019). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: the GOLD science committee report 2019. The European respiratory journal; 53 (5).

Sharp, JT, Drutz, WS, Moisan, T., Foster, J., & Machnach, W. (1980). Postural relief of dyspnoe in severe chronic obstetrical pulmonary disease. The American Review of Respitaory disease, 122.201-211.

Stockley RA., Mannino D., Barnes PJ. (2009). Burden and Pathogenesis of Chronic Obstructive Pulmonary Disease. Proceedings of the American Thoracic Society; 6 (6): 524-6.

Zuriati Zuriatia., Melti Suryab., Zahlima. (2020). Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to tripod position in increase of oxygen saturation in patients with COPD, West Sumatera. Elsevier. Enferimeria Clinica. 164-167.



  • There are currently no refbacks.

Copyright (c) 2022 JIKO (Jurnal Ilmiah Keperawatan Orthopedi)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ilmiah Keperawatan Orthopedi is Indexed By :

Creative Commons License
Jurnal Ilmiah Keperawatan Orthopedi Ciptaan disebarluaskan di bawah Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats