Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Immediate Effects of Active Cycle of Breathing Technique and Conventional Chest Physiotherapy in Subjects with Bronchiectasis - a Comparative Study


Affiliations
1 Srinivas College of Physiotherapy & Research Centre, Mangalore, Karnataka, India
2 SRM College of Physiotherapy& Research Centre, SRM University, Chennai,Tamil Nadu, India
     

   Subscribe/Renew Journal


Background: The prevalence of Bronchiectasis in India, is 10 fold increase in in persons with high exposure to Arsenic caused skin lesions in West Bengal in 2005.The prevalence was higher among women than men 71 vs 32/1, 00,000 and increased markedly with age 4/1, 00,000 for people aged 18- 34 years&amp;272/1, 00,000 for those aged 75. Aim: The aim of the study is to compare the Immediate effects of Active Cycle of Breathing Technique and Conventional Chest Physiotherapy in subjects with Bronchiectasis. Methodology: StudyDesign-Experimental Design; Study Type-Comparative Study;Sample Size- 30Subjects; Sampling Method - Convenient Sampling;Sampling Specification - Group A-15 subjects&amp;Group B-15 subjects; Study Setting - Department of TUBERCULOSIS AND CHEST DISEASES, SRM Medical college Hospital&amp;Research centre, Kattankulathur. chennai. Tamilnadu, India. Study Duration - 3 months. Results: Comparing the values of Sputum volume between Group A and Group B, Group B showed a significant difference than Group A. (P<0.05). By comparing the values of Peak expiratory flow rate within the Group A, it shows a significant difference between Pre-test and Post-test values (P<0.05). By comparing the values of Peak expiratory flow rate within the Group B, it shows a significant difference between Pre-test and Post-test values (P<0.05).By comparing the values of Peak expiratory flow rate between the Group A and Group B, there was no significant difference between Pre-test and Post-test values (P>0.05). Conclusion: The results of this study thus concluded that subjects who underwent Conventional Chest Physiotherapy showed good improvement in their Sputum clearance than subjects who underwent Active Cycle of Breathing Technique and there was a good improvement between Pre and Post Peak expiratory flow rate with both Conventional Chest Physiotherapy and Active Cycle of Breathing Technique.Thus, this study will be useful for selection of intervention in subjects with Bronchiectasis.

Keywords

Active Cycle of Breathing Technique, Bronchiectasis, Peak Flow Meter, Chest Physiotherapy
Subscription Login to verify subscription
User
Notifications
Font Size


  • Nick HT ten Hacken and Thys Vander molen(2010); Definition, Diagnosis for Bronchiectasis;British Medical Journal, 341:c2766.

  • Parker R (2001); Description of Bronchiectasis.EurJ of cardiac surgery, 2001, 20:19-24.

  • Notaranglelo et. al (2010); Causes for Bronchiectasis.emedicine specialities Encyclopedia, 06-22.

  • United states National Heart,Lung,BloodInstitute(1999); Incidence and prevalence ofBronchiectasis.

  • Joshua o Benditt, (2008); Pathophysiology ofBronchiectasis.Merk manual Professional.

  • Naidich DP, McCauley DI, Khouri NF, Stitik FP,Siegelman SS. (1982); Computed tomography inthe recognition of bronchiectasis. J Comput AssistTomogr ; 6:43.

  • Mackenzie CF, Shin B, Hadi F, Imle PC. (1980);Changes in total lung/thorax compliancefollowing chest physiotherapy. Anesth Analg;59(3):207-210.

  • Clarke SW (2005); Effect of Sputum on Pulmonaryfunction .Thorax 28:262.

  • University of California San Francisco, (2009);Medical management for Bronchiectasis.

  • Ethen E Emmons et.al (2010); Physical therapyTechniques used for Airway clearance tomaintain the Bronchial Hygiene. emedicinespecialities Encyclopedia.

  • Smith M, Ball V (2005); Cash’s Text book ofCardiovascular Respiratory physiotherapy;Elsevier.

  • Good fellow LT (2002); Bronchial hygienetherapy. Am J Nurs, 102, 1, 37-42.

  • Jones A, Rowe BH. (2000); Bronchopulmonaryhygiene physical therapy in bronchiectasis andchronic obstructive pulmonary disease: Asystematic review. Heart Lung 2000; 29:125-35.

  • O’Neill B, Bradley J, McArdle N, McMahon J(2000); The current physiotherapy managementof patients with bronchiectasis: A UK survey. IntJ Clin Pract ; 56:34–35.

  • Lannefors L,wollmer P(2002);Mucus Clearancewith three chest physiotherapy regimes in Cysticfibrosis,a comparison to postural drainage, PEPand physical exercise.Eur Respir J 5:748-753 H.

  • Jamal ali moiz, et al (2007); A comparison ofAutogenic Drainage and the Active Cycle ofBreathing Technique in patients with acuteexacerbation of Chronic Obstructive pulmonarydisease. Indian Journal of Physiotherapy andOccupational therapy 2007; vol.1, no.2.

  • Savci, Sema, Ince Deniz (2000); A comparison ofAutogenic drainage and Active cycle ofBreathing Technique in COPD disease. Journalof Cardiopulmonary Rehab 20:36-43.

  • Syed N (2009); Active cycles of breathingtechnique (ACBT) versus conventional chestphysical therapy on airway clearance inbronchiectasis – a crossover trial. AdvPhysiotherapy, 11, 4, 193-8.

  • Hristara-Papadopoulou,et al (2007);.Results ofActive cycle of Breathing Technique andConventional Chest Physiotherapy inmucociliary clearance in children with CysticFibrosis.Hippokratia 2007;11,4:202-204.

  • MC Cool.FD. (2006); Conventional chestphysiotherapy for airway clearance to improveLung mechanics and gas exchange to preventinfection. ACCP evidence based clinical practiceguidelines.

  • Ashaour M, Al-Kattan K, Rafay MA, Saja KF,Hajjar W, Al-Fraye AR.(1999);Current surgicaltherapy for bronchiectasis. World J Surg 1999;23:1096- 104.

  • Annest LS, Kratz JM, Crawford FA Jr. (1982);Current results of treatment of bronchiectasis. JThorax Cardiovascular Surg 1982; 83:546-50.

  • Eaton T (2007); A randomized evaluation of theacute efficacy, acceptability and tolerability ofFlutter and active cycle of breathing with andwithout postural drainage in non-cystic fibrosisbronchiectasis. Chron Respir Dis, 4: 23-30.

  • Oermann CM, Swank PR, Sockrider (2000);Validation of an instrument measuring patientsatisfaction with physiotherapy techniques inCystic fibrosis.

  • Baldwin (2007); Effect of addition of exercise tochest physiotherapy on sputum expectorationand lung function in Cystic fibrosis adults. RespirMed, 88, 49-53.

  • Pryor JC (2005); Mucociliary clearance; Key issuesin Cardio respiratory Physiotherapy.

  • Janet E. Patterson (2005); Airway Bronchiectasis:A Randomized Crossover Trial of Active Cycleof Breathing Techniques versus AcapellaClearance in Bronchiectasis Vol. 72, No. 3.

  • Lapin, Waldes R, Sampson D, Newhouse MT.(2002); Effect of chest physiotherapy on theremoval of mucus in patients with cystic fibrosis.Am Rev Respir Dis 1982; 126:131-135.

  • W.R.Douma (1997); Mini-Wright’s peak flowmeters are reliable after 5 years.Eur. Resp J;457-459.

  • Sutton PP, Parker RA, Webber BA, Newman SP,Garland N, Lopez-Vidriero MT,et al.(1993);Assessment of the forced expiration techniquepostural drainage and directed coughing in chestphysiotherapy. Eur J Respir Dis 1993; 64:62-68.

  • Butler SG, Sutherland RJ (1998); Current airwayclearance techniques. overview of manualtechniques, breathing techniques, devices andexercise. NZ Med J, 111, 183-6


Abstract Views: 1006

PDF Views: 2




  • Immediate Effects of Active Cycle of Breathing Technique and Conventional Chest Physiotherapy in Subjects with Bronchiectasis - a Comparative Study

Abstract Views: 1006  |  PDF Views: 2

Authors

S. Ram Anand
Srinivas College of Physiotherapy & Research Centre, Mangalore, Karnataka, India
D. Anandhi
SRM College of Physiotherapy& Research Centre, SRM University, Chennai,Tamil Nadu, India

Abstract


Background: The prevalence of Bronchiectasis in India, is 10 fold increase in in persons with high exposure to Arsenic caused skin lesions in West Bengal in 2005.The prevalence was higher among women than men 71 vs 32/1, 00,000 and increased markedly with age 4/1, 00,000 for people aged 18- 34 years&amp;272/1, 00,000 for those aged 75. Aim: The aim of the study is to compare the Immediate effects of Active Cycle of Breathing Technique and Conventional Chest Physiotherapy in subjects with Bronchiectasis. Methodology: StudyDesign-Experimental Design; Study Type-Comparative Study;Sample Size- 30Subjects; Sampling Method - Convenient Sampling;Sampling Specification - Group A-15 subjects&amp;Group B-15 subjects; Study Setting - Department of TUBERCULOSIS AND CHEST DISEASES, SRM Medical college Hospital&amp;Research centre, Kattankulathur. chennai. Tamilnadu, India. Study Duration - 3 months. Results: Comparing the values of Sputum volume between Group A and Group B, Group B showed a significant difference than Group A. (P<0.05). By comparing the values of Peak expiratory flow rate within the Group A, it shows a significant difference between Pre-test and Post-test values (P<0.05). By comparing the values of Peak expiratory flow rate within the Group B, it shows a significant difference between Pre-test and Post-test values (P<0.05).By comparing the values of Peak expiratory flow rate between the Group A and Group B, there was no significant difference between Pre-test and Post-test values (P>0.05). Conclusion: The results of this study thus concluded that subjects who underwent Conventional Chest Physiotherapy showed good improvement in their Sputum clearance than subjects who underwent Active Cycle of Breathing Technique and there was a good improvement between Pre and Post Peak expiratory flow rate with both Conventional Chest Physiotherapy and Active Cycle of Breathing Technique.Thus, this study will be useful for selection of intervention in subjects with Bronchiectasis.

Keywords


Active Cycle of Breathing Technique, Bronchiectasis, Peak Flow Meter, Chest Physiotherapy

References