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Agrawal, Ronika
- A Randomized Control Trial of Treatment of Bronchial Asthma with Inhaled Salbutamol Combined with Pursed Lip Breathing
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Authors
Affiliations
1 Department of Cardiovascular Rehabilitation and Preventive Cardiology, Noble Hospital, Pune, IN
2 M.A. Rangoonwala College of Physiotherapy and Research, Pune, IN
3 Pulmonology Department, Military Hospital, Cardio-Thoracic Centre, Pune, IN
4 Department of Cardiovascular Rehabilitation and Preventive Cardiology, Noble Hospital Pune, IN
1 Department of Cardiovascular Rehabilitation and Preventive Cardiology, Noble Hospital, Pune, IN
2 M.A. Rangoonwala College of Physiotherapy and Research, Pune, IN
3 Pulmonology Department, Military Hospital, Cardio-Thoracic Centre, Pune, IN
4 Department of Cardiovascular Rehabilitation and Preventive Cardiology, Noble Hospital Pune, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 215-220Abstract
Purpose of the study: To compare immediate and sustained effect of Pursed Lip Breathing (PLB) and Inhaled Salbutamol with Salbutamol alone on Peak Expiratory Flow Rate (PEFR) and Asthma Control Questionnaire (ACQ) in Controlled Asthmatics. Methodology: 60 Asthmatics (30 in interventional group, 30 in control group) were selected for the randomized control trial. On the first day, Pre PEFR was measured and four puffs of Salbutamol were administered using Metered Dose Inhaler (MDI) and Spacer device in both the groups. For 20 minutes, Interventional group was instructed to perform PLB and post PEFR was measured in both the groups. For 1 week, interventional group performed PLB and entire procedure performed on day 1 was repeated. ACQ scores were calculated on day 1 and day 8 in both the groups. Results: The mean increase in PEFR after treatment with Salbutamol and PLB was greater than Salbutalmol alone on day 1 and 8. The Pre PEFR value on Day 8 significantly increased compared to day 1 in the interventional group whereas Control group did not have improvement in Pre PEFR value. ACQ score significantly improved on day 8 in both the groups however on comparing improvement in both the groups, interventional group had a more significant improvement in the score. On comparing improvement in Pre and Post PEFR on day1 and Day 8, it did not differ significantly in individual groups. Conclusion: Performing PLB following inhalation of Salbutamol enhances bronchodilation in Asthmatics. Also PLB has a sustained bronchodilatory effect and resulted in a better control of symptoms of Asthma.Keywords
Bronchial Asthma, Pursed Lip Breathing, Bronchodilation, Salbutamol, Peak Expiratory Flow Rate
References
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- The Effect of Mobilization of an Asymptomatic Cervical Spine on Shoulder Pain, Shoulder Range of Motion and Shoulder disability in Patients with Shoulder Pain
Abstract Views :550 |
PDF Views:0
Authors
Affiliations
1 M. A. Rangoonwala College of Physiotherapy and Research, Pune, IN
1 M. A. Rangoonwala College of Physiotherapy and Research, Pune, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 14, No 1 (2020), Pagination: 196-201Abstract
Introduction: Shoulder pain is a common complaint for individuals of all ages and activity levels with a prevalence ranging from 7% to 34%.Along with involvement of shoulder joint, dysfunction at the cervicothoracic spine and the adjacent ribs (also called the shoulder girdle) is considered to predict the recurrence and poor outcome of shoulder complaints. When shoulder joint is highly irritable, manual therapy cannot be given to it directly. Changes in the axio-scapular muscle activity during low-load functional tasks have been shown in individuals with chronic neck pain, which play an indirect role in shoulder biomechanics. Therefore, cervical spine mobilization techniques could be used during therapy to affect the more peripheral symptoms.
Materials and method: 60 patients with shoulder pain were randomly divided into 2 groups of 30 patients each. Group A received lateral and postero-anterior Maitland’s mobilization of the C5, C6 and C7 spinous processes along with Short Wave Diathermy (SWD) to the shoulder while Group B received SWD to the shoulder alone for 5 days. Passive range of motion of the shoulder using a universal goniometer, Pain on VAS and a Shoulder Pain and Disability Index scale were assessed pre and post treatment.
Conclusion: Mobilization of the asymptomatic cervical spine lead to a significant reduction of pain, significant increase in the overall shoulder ROM and a reduction in the functional disability after 5 days of treatment in individuals with shoulder pain. It has a lasting effect on improvement in functional disability. When two groups were compared (SWD + mobilization v/s SWD alone), no one group was statistically better than the other.
Keywords
Cervical Mobilization, Shoulder Pain, Asymptomatic Cervical Spine.References
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