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Jalwan, J.
- Comparison of 6-minute Walk Distance Test and 15-step Climbing Exercise Oximetry Test in Detecting Oxygen Desaturation in Patients with Copd
Authors
1 Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, IN
2 Dr. R.M.L Hospital, New Delhi, IN
3 Faculty of Rehabilitation Science, Jamia Hamdard, New Delhi, IN
4 HSC Medical Centre, Malaysia, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 129-133Abstract
Aim: To evaluate the better assessment tool between 15-step climbing exercise oximetry (15SCT) and 6 minute walk distance test (6MWDT) for detecting oxygen desaturation in patient with COPD.
Background: Hypoxemia is a common complication of COPD and a major factor in patient's prognosis and quality of life. Cardio-pulmonary Exercise Testing (CPET) is considered as the gold standard to evaluate the response to exercise. However, due to the high cost, complicated equipment and the need for trained staff, this method is not widely practiced. Whereas 6MWDT and 15SCT has also been proven to effectively evaluate the functional status of patients with COPD.
Method: Thirty patients with stable COPD underwent 6 minutes walk test and 15 step exercise oximetry test with an interval of one hour. Patients were randomly selected into two groups. Group A performed 6MWDT followed by 15-SCT and Group B initially performed 15 SCT followed by 6MWDT. Measurement of heart rate (HR), oxygen saturation (SpO2), dyspnoea and fatigue were noted before and after the test up to 10 min of recovery.
Result: 15SCT result in less increase in HR, dyspnoea and fatigue in comparison to 6MWDT. There was also decrease in oxygen saturation during 15SCT. The significance level was set at p≤0.05. Conclusion: 15SCT is a useful measure to detect adequate oxygen de-saturation in the patients with COPD. It is a quick, simple and convenient test to detect the need for supplemental oxygen.
Keywords
Copd, 6mwdt, Oxygen Saturation, 15 Step Climbing Exercise Oximetry Test
References
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- To Compare the Immediate Effect of Deep Breathing Exercise and Incentive Spirometry on Abg after Mitral Valve Replacement Surgery
Authors
1 Jamia Hamdard, New Delhi,, IN
2 Department of Rehabilitation, Jamia Hamdard, New Delhi, IN
3 Interventional Cardiologist, Metro Heart Hospital, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 12-17Abstract
Purpose: To compare the Immediate effect of Deep Breathing Exercise and Incentive Spirometry on ABG after Mitral Valve Replacement surgery.
Methods : Thirty-two patients of elected MVR surgery with age group 20-40 years were included for the study. They were trained pre-operatively and assigned into two groups and performed either deep breathing exercise or incentive spirometry according to the group they assigned on second post-operative day.
Measurement: ABG variables; Pao2, Paco2 and Sao2 were measured on second post operative days before and after the interventions.
Results: Data analysis was performed using the software package SPSS 15.0.Independent paired test was performed to compare between the groups and paired test was used to compare all variables within group. Significant differences were found in Pao2 on second post operative days after breathing exercises. There was no significant value found in Incentive Spirometry group.
Conclusion: The result of the study suggested that deep breathing exercise could be of benefits in the treatment of post-operative oxygenation after mitral valve replacement surgery.
Keywords
Oxygenation, Breathing Exercises, Incentive Spirometry, Mitral Valve Replacement SurgeryReferences
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