Immediate effects of Taping of Upper Back on Peak Expiratory Flow Rate (PEFR) in Stable Chronic Obstructive Pulmonary Disease (COPD) Subjects
Objectives of the study: To determine the PEFR values pre and post-taping in experimental group, to determine the PEFR values pre and post-taping in control group, to compare the PEFR values pre and post-taping within the groups and to compare the PEFR values pre and post-taping between the groups.
Methodology: 34 stable COPD subjects were recruited through convenience sampling. All the subjects were randomly allocated to experimental group (17) and control group (17). The PEFR was measured by peak flow meter as baseline data for both the groups. The experimental group was given proprioceptive facilitation through taping of upper back by instructing the subjects to erect their spine and retract their shoulders whereas control group was given sham taping. The PEFR for both the groups was measured pre and post taping.
Results: Paired t test was done to compare the PEFR values within the groups and independent t test was used for comparison between the groups. Interpretation: On analyzing the test, significant results were seen in the experimental and control group. The experimental group showed significant improvement in PEFR value(p
Conclusion: The results suggest that proprioceptive facilitation of upper back through taping in COPD subjects improves pulmonary function.
- Johnson P, Balakrishnan K, Ramaswamy P. Prevalence of chronic obstructive pulmonary disease in rural women of Tamil Nadu: implications for refining disease burden assessments attributable to household biomass combustion. Global Health Action [Internet]. 2011 [cited 2011 Dec 15]; 4, 7226 – DOI.
- Raherison C, Girodet PO. Epidemiology of COPD. Eur Respir Rev [Internet]. 2009 [cited 2011 Dec 20]; Vol. 18, 114, Pp. 213-221.
- Celli BR, MacNee W. (2004) Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Resp J [Internet]. 2004 [cited 2011 Dec 20]; 23, Pp.932-46.
- Trevor TH, Peter JB. Recent Advances in the Pathophysiology of COPD. London: Birkhauser; 2004.
- Dias CS. (2006) Kinematics of the scapula: cervical and thoracic spine in subjects with COPD. [Internet] 2006 [cited 2011 Dec 25]
- De Troyer A, Estenne M. (1988) Functional anatomy of the respiratory muscles. Clin. Chest Med [Internet]. 1988 [cited 2011 Dec 25]; 9, Pp.175-193.
- Cassart M, Gevenois PA, Estenne M. Rib cage dimensions in hyperinflated patients with severe chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care. Med [Internet]. 1996 [cited 2011 Dec 25]; 154, Pp.800-805.
- Schroeder JK.A caixa torácica do idoso, in: Kauffman TL. Manual de Reabilitacao Geriatrica. 2001; Pp. 94-99.
- Orozco-Levi M, Gea J, Monells J, Aran X, Aguar MC, Broquetas JM. Activity of latissimus dorsi muscle during inspiratory threshold loads. Eur. Respir. J [Internet]. 1995 [cited 2011 Dec 26]; 8, Pp.441-445.
- Neumann DA. Shoulder Complex, in: Neumann DA. Kinesiology of the Musculoskeletal System. 2006; Pp. 91-132
- Yokoba M, Abe T, Katagiri M, Tomita T, Easton PA. (2003) Respiratory muscle electromyogram and mouth pressure during isometric contraction. Respir. Physiol Neurobiol [Internet]. 2003 [cited 2011 Dec 28]; 137, Pp. 51-60.
- Sharp JT, Drutz WS, Moisan T, Foster J, Machnach W. Postural relief of dyspnea in severe chronic obstructive pulmonary disease. Am. Rev. Respir. Dis [Internet].1982 [cited 2011 Dec 28]; 122, Pp. 201-211.
- Aliverti A. 2008. ‘Chest Wall Mechanics in COPD’, Current Respiratory Medicine Reviews [Internet] 2008 [cited 2011 Dec 28]; 4, Pp.240-249.
- Ninane V, Yernault JC, Troyer A. (1992) Intrinsic PEEP in patients with chronic obstructive pulmonary disease. Role of expiratory muscles. Am Rev Respair Dis [Internet] 1992 [cited 2011 Dec 31]; 148, Pp.1037-42.
- Kera T, Maruyama H. (2005) The Effect of Posture on Respiratory Activity of the Abdominal Muscles. J Physiol Anthropol Appl Human Sci [Internet] 2005 [cited 2011 Dec 15]; 24(4), Pp.259-265.
- Austin JH, Ausubel P. Enhanced respiratory muscular function in normal adults after lessons in proprioceptive musculoskeletal education without exercises. Chest:1992;102;186-490 [Internet] 1992 [cited 2012 Jan 3].
- Barrett J, Cerny F, Hirsch JA, Bishop B. Control of breathing patterns and abdominal muscles during graded loads and tilt. J Appl Physiol 76:2473-2480 [Internet].1994 [cited 2012 Jan 10].
Abstract Views: 359
PDF Views: 0