The purpose of this descriptive survey was to do a follow-up study on patients with COPD to find out to what extent these patients have followed instruction to continue exercising the abdominal and diaphragmatic muscles, with the utilization of a breathing pattern. Literature was reviewed which revealed contradictory findings in regard to the physiological benefits of the use of the breathing pattern. Nine patients met the criteria and signed a consent sheet to be visited in their homes. An Observation Data Sheet and Interview Guide were the tools used to collect data. A point system was constructed and used with the Observation Data Sheet for correct use of the breathing pattern. Data was compiled and compared. Findings that seemed to be significant were: that age and daily practice had no influence on the correct use and performance of the breathing pattern, that an understanding of the rationale of the breathing pattern was no indication for its correct use, and that a majority of patients who had received an explanation on the use of the breathing pattern had used the breathing pattern correctly and had performed well.

The findings upheld the literature showing that the exercise program resulted in physical improvement. It was concluded that patients generally followed the instruction to continue exercises with the use of the breathing pattern, did not understand why they were doing them, and felt the need of longer-supervised practice periods. Recommendations regarding the giving of instruction were: that a patient's understanding concerning the reasons for utilizing the breathing pattern be re-checked one day before discharge, that more time for supervision of the breathing exercises be given, and that written instructions be included in the teaching program.

LLU Discipline





Graduate School

First Advisor

Matila Ababelle Mills

Second Advisor

Jane Annette Mundin

Third Advisor

Karen Jean Radke

Degree Name

Master of Science (MS)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Lung Diseases, Obstructive



Page Count

vi; 65

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives