Indian Journal of Public Health Research & Development

Gaurav S. Chandolkar ¹, Javid H. Sagar ¹, Govindhan Vardharajulu ¹

Affiliations
1 Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, IN

Abstract

Objectives: The objective was to evaluate the effect of structured exercise programme on pulmonary function and physical performance in geriatric population.

Methodology: Ethical clearance was obtained from the Institutional Ethical Committee, KIMSDU, Karad. A total of 61 subjects between 60-80 years of age, who were able to ambulate independently and able to understand instructions, who did not suffer from any musculoskeletal, neurological or cardiopulmonary disease were given structured exercise programme which consisted of warmup and cool down period along with resisted training, treadmill walking and static cycling for 4 weeks duration (5times/week). The subjects were assessed using Pulmonary function test (PFT), six minute walk test (6MWT) and Short Form 36 (SF- 36) Health- related quality of life questionnaire before and after intervention.

Results: Statistical analysis was performed using Paired t- test. The results showed significant difference in all three measures that is PFT Values (FVC, FEV₁ and FEV₁/FVC ratio), 6MWT with p value of <0.0001 and SF-36 questionnaire with the p value of <0.0005 when compared between pre and post intervention results.

Conclusion: It can be concluded that structure exercise programme on physical performance and pulmonary function along with health-related quality of life in geriatric population has shown significant improvement when assessed with 6 MWT, PFT and SF-36 questionnaire.

Keywords

Pulmonary Function, Physical Performance, Structured Exercise Programme.

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Sushma Singh ¹, Javid H. Sagar ², G. Varadharajulu ³

Affiliations
1 MPTh (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
2 Professor Unit Head (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
3 Dean/ Professor/HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra,, IN

Abstract

Aim: To study the effect of PNF pattern on respiratory parameters in chronic bronchitis. Objectives: To find the effect of PNF pattern on respiratory parameters and to compare the effects of pursed lip breathing and PNF pattern in chronic bronchitis. Materials and Method: 60 patients were included according to inclusion and exclusion criteria by consecutive random sampling and were divided into two groups, group A (Conventional-PLB) and group B (D1 & D2 flexion and extension) - with 30 patients in each group. The treatment was given for 2 weeks thrice a day. After 2 weeks effect of interventions were assessed by taking Respiratory Rate (R.R), Oxygen Saturation (SpO₂) and FEV₁/FVC. Results:. There was significant difference in R.R, SpO₂ and FEV₁/FVC seen with PNF pattern exercises. The intra group comparison showed significant improvement in R.R, SpO₂ and FEV₁/FVC. The inter group comparison showed no significant improvement in SpO₂ and FEV₁/FVC except R.R Conclusion: PNF pattern has shown significant improvement in SpO₂, R.R and FEV₁/FVC.

Keywords

Chronic Bronchitis, PNF, PLB, PFT.

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Sushmita Goswami ¹, Javid H. Sagar ², G. Varadharajulu ³

Affiliations
1 MPTh (Cardio-Pulmonary), Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
2 Professor/Unit Head, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN
3 Dean/Professor/HOD, Krishna College of Physiotherapy, Krishna Institute of Medical Science Deemed to be University, Karad, Maharashtra, IN

Abstract

Aim: To study the impact of Thera-Pep and Forced Expiratory Technique in Chronic Bronchitis patients.

Objectives: To find the effect of Thera-pep device in mobilizing secretion. To find the effect of forced expiratory technique in mobilizing secretion and To compare the effect of Thera-pep and forced expiratory technique in chronic bronchitis patients.

Materials and Method: 54 patients were included according to inclusion and exclusion criteria, were randomized by chit method into two groups. Group A (Forced Expiratory technique with coughing) and Group B (Thera-PEP device with coughing) - with 27 patients in each group. All the patients were assessed with Six Minute Walk Test (6MWT) and Peak Expiratory Flow Rate (PEFR). The treatment was given for twice a day for 6 days a week for 2 weeks. After 2 weeks, effect of interventions were assessed by 6MWT and PEFR.

Results: There was no significant difference in 6MWT and PEFR score in comparison of both experimental and conventional intervention. The inter group values of 6MWT and PEFR showed significant improvement in chronic bronchitis patients. The intra group values of 6MWT and PEFR showed no significant improvement in comparison of the techniques in chronic bronchitis patients.

Conclusion: Both the techniques are effective on removal and mobilizing of secretion individually in chronic bronchitis patients. However, the techniques when compared with each other were equally effective and there was no significant difference between each other.

Keywords

FET, 6MWT, Chronic Bronchitis, PEFR, Thera-PEP Device.

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Vishva D. Bhuva ¹, Javid H. Sagar ²

Affiliations
1 Intern of Physiotherapy, Department of Cardio-Pulmonary sciences, Faculty of Physiotherapy, KIMS “Deemed To Be University” Karad, Maharashtra, IN
2 Professor,Department of Cardio-Pulmonary Sciences, Faculty of Physiotherapy, KIMS “Deemed To Be University” Karad, Maharashtra, IN

Abstract

Background: The study aimed to find the effect of Structured Cardiorespiratory fitness protocol on Physical Function Performance in geriatric patients undergoing long term physiotherapy treatment. Method: An Experimental Study was conducted among 45 Geriatric patients undergoing more than 2 month Physiotherapy treatment. The intervention were carried out daily for 6 weeks. All Patients received Structured Cardiorespiratory fitness Protocol. The interpretation of the study was done on the basis of comparing pretest and post-test assessment of Peak Expiratory Flow Rate (PEFR), Respiratory Rate, Borg scale. Result: pre and post-test Comparison result, respiratory rate (13.6 ± 1.42 and 13.8 ± 1.25; p=0.026) and PEFR (168.67 ± 48.97 and 171.11 ± 49.55; p=0.02) were found to be statistically significant and Borg scale were found to be extremely significant (15.73 ± 1.42 and 15.02 ± 0.23; p< 0.0001). Conclusion: A Structured Cardiorespiratory fitness protocol was improved the physical function performance in geriatric patient undergoing long term physiotherapy treatment.

Keywords

Cardiorespiratory Fitness, Geriatric Patients, Physical Function, Structured Protocol.

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