A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Khandagale, Saee
- A Randomized Control Trial of Treatment of Bronchial Asthma with Inhaled Salbutamol Combined with Pursed Lip Breathing
Authors
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
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- Effect of Diaphragmatic Breathing on Spirometric Parameters in Asthma Patients and Normal Individuals
Authors
1 Department of Cardiovascular Rehabilitation and Preventive Cardiology, IN
2 Rangoonwala College of Physiotherapy and Research, IN
3 Chest Research Foundation, IN
4 Department, Military Hospital Cardio-Thoracic Centre, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 43-48Abstract
Background: Prospective Intervention study to find out what effect does diaphragmatic breathing has on spirometric parameters in asthma patients and normal individuals. The main effect of diaphragmatic breathing in normal individuals is bronchodilation as observed in previous studies. In asthma patients it is observed that there is little or no effect. Some studies show that there is some amount of bronchoconstriction observed in a few asthma patients.
Materials and Methodology: 4 groups of 30 subjects each were taken asthma control and intervention and normal individual control and intervention. In the Asthma groups both males and females of 18- 65 years and mild to moderate controlled asthma were taken. In the normal groups males and females of 18-65 years and Asian race having no history of respiratory illness and/or smoking were taken. Baseline spirometry was taken for both intervention groups after which they were asked to do 4 diaphragmatic breaths in 1 minute and a repeat spirometry was done. This was followed by 40 diaphragmatic breaths over 10 minutes after which again a repeat spirometry was performed. Then they were given a 1 week protocol of diaphragmatic breathing exercise. A third spirometry was done after 1 week. For the control groups after a baseline spirometry a repeat was taken after 1 week.
Results: For Asthma intervention group there was a significant reduction in parameters after 4 diaphragmatic breaths over 1 minute and 40 diaphragmatic breaths over 10 minutes. Whereas, significant improvement in the parameters was observed in the Normal intervention group.For the asthma intervention group there was an increase in all the parameters after 1 week protocol of diaphragmatic breathing. However, only the value for FVC was statistically significant.For Normal intervention all parameters show significant improvement after 1 week protocol of diaphragmatic breathing.