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

Comparison of Inspiratory Muscle Training and Rib Raising Technique in Pulmonary Diseases Subjects


Affiliations
1 Physiotherapy college, Dehradun, UK, India
2 HIHT University, Dehradun, UK, India
3 HIHT University, Dehradun -UK, India
     

   Subscribe/Renew Journal


Aims & Objectives: Epidemiological data shows that the pulmonary diseases are the leading cause of morbidity and mortality worldwide. The Pathophysiology of respiratory disease most commonly associated with decrease in the thoracic mobility and muscle strength .Therefore use of manipulative techniques such as rib raising technique and muscle strengthening techniques will be helpful in setting up a better exercise protocol for pulmonary rehabilitation.

Methodology: This experimental study was carried out with 30 subjects of COPD and RLD including both male and female subjects with a ratio of 5:1% at chest ward of Himalayan hospital-Dehradun. The data was collected by taking outcome variables in form of Heart rate, Mean Chest Expansion, Dyspnea, SPO2, Respiratory Rate, 6MWD test. Data Analysis: Data was analyzed with the help of parametric test in form of T-test and ANOVA followed by Post hoc test Bonferroni where required .The significant level set at (p?0.05).

Result: The comparison of result among all groups shows significant changes from day1 to day 3. IMT showed more significant improvement in form of functional capacity. Other than functional capacity no other variable has been able to differentiate among all groups.

Discussion: It states that IMT group showed better result as compared to other groups in improving functional capacity. The physiology behind IMT group's better result is increasing accessory muscles and inspiratory muscle strength which are the main affected target structures in pulmonary diseases.

Conclusions: IMT is better in improving functional capacity as compared to other groups, so it should be a valuable and compulsory tool of pulmonary rehabilitation.

Keywords

COPD {Chronic Obstructive Pulmonary Diseases}, RLD {Restrictive Lung Diseases}, IMT {Inspiratory Muscle Training}, RRT {RIB Raising Technique}, RR{Respiratory Rate}, HR{Heart Rate}, SPO2 {Saturation of Partial Pressure of Oxygen
Subscription Login to verify subscription
User
Notifications
Font Size


  • Julie A. Ekstrum L. Black, Karen A. Paschal. Effects of a Thoracic Mobility and Respiratory Exercise Program on Pulmonary Function and Functional Capacity in Older Adults. Physical & Occupational Therapy in Geriatrics.2008; 27(4):310-327.

  • David M manio (MD) et al .The GOLD global strategy for the management and prevention of COPD.2009.

  • Jillo derstine polled etal. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. American J Respire Crit Care Med 1995; 152, S77-S121.

  • Siafakas, NM, Vermeire, Optimal assessment and management of chronic obstructive pulmonary disease (COPD).Eur Respir J 1995; 8, 1398-1420.

  • Lox, Curt L., Free hill, M. Jeffery Mador etal. Study on Epidemiology of Chronic Obstructive Pulmonary Disease and its Relationship with Tobacco Smoking and Environmental Tobacco Smoke Exposure, the Indian journal of chest diseases and allied sciences, 2006, vol 48.

  • Michel Silva Reis et al.. Global burden of COPD: risk factors, prevalence, and future trends. The Lancet, 2007.Volume 370, Issue 9589, 765-773.

  • Graziella Turatoa Renzo Zuinb Marina Saettaa. Pathogenesis and Pathology of COPD. Respiration 2001; 68:117–128.

  • Cahalin LP et al. Pathophysiology of airflow limitations in chronic obstructive pulmonary disease. Lancet. 2004 Aug 21-27; 364(9435):709- 21.

  • Lucy K Lewis et al . Efficacy of Diaphragmatic Breathing in Persons with Chronic Obstructive Pulmonary Disease: A Review of the Literature. Journal of cardiopulmonary rehabilitation.2002. 22 (1):7-21.

  • R A Gosselinket al.. Breathing exercises as adjuvant in the management of COPD: An overview. 2006. 23 (4):165-169.

  • RR. Michel Silva Reis etal . Effects of pursed lip expiration on the pulmonary pressure- flow relationship in obstructive lung disease.Am Rev Respir Dis 1966 ;93,100-106.

  • G.A. de F. Fregonezi , V.R. Resqueti, and R. Güell Rous. Pursed Lips Breathing- Review Article. Arch Bronconeumol 2004;40(6):279-82.

  • Rebecca Farthinga , Khali Williams, Cameron Gosling, Brett Vaughans. The effect of different rates of application of a rib raising technique on cardiovascular and respiratory measures in asymptomatic individuals.2006; 9(1):36.

  • Peter A. Guiney, DO; Rick Chou, DO; Andrea Vianna, MD; Jay Lovenheim, DO. Effects of Manipulative Treatment on Pediatric Patients with Asthma: . JAOA • 2005; 105 (1):7-12.

  • Suan E. Bockenhauer, ; Kell N. Julliard; Kimsing Lo, Emily Huang; Alpa M. Sheth. Quantifiable effects of manipulative techniques on patients with chronic asthma. JAOA. 2002; 102 (7):371-375.


Abstract Views: 458

PDF Views: 0




  • Comparison of Inspiratory Muscle Training and Rib Raising Technique in Pulmonary Diseases Subjects

Abstract Views: 458  |  PDF Views: 0

Authors

Sulbha Chawla
Physiotherapy college, Dehradun, UK, India
Ravinder Narwal
HIHT University, Dehradun, UK, India
Jagdish Rawat
HIHT University, Dehradun -UK, India

Abstract


Aims & Objectives: Epidemiological data shows that the pulmonary diseases are the leading cause of morbidity and mortality worldwide. The Pathophysiology of respiratory disease most commonly associated with decrease in the thoracic mobility and muscle strength .Therefore use of manipulative techniques such as rib raising technique and muscle strengthening techniques will be helpful in setting up a better exercise protocol for pulmonary rehabilitation.

Methodology: This experimental study was carried out with 30 subjects of COPD and RLD including both male and female subjects with a ratio of 5:1% at chest ward of Himalayan hospital-Dehradun. The data was collected by taking outcome variables in form of Heart rate, Mean Chest Expansion, Dyspnea, SPO2, Respiratory Rate, 6MWD test. Data Analysis: Data was analyzed with the help of parametric test in form of T-test and ANOVA followed by Post hoc test Bonferroni where required .The significant level set at (p?0.05).

Result: The comparison of result among all groups shows significant changes from day1 to day 3. IMT showed more significant improvement in form of functional capacity. Other than functional capacity no other variable has been able to differentiate among all groups.

Discussion: It states that IMT group showed better result as compared to other groups in improving functional capacity. The physiology behind IMT group's better result is increasing accessory muscles and inspiratory muscle strength which are the main affected target structures in pulmonary diseases.

Conclusions: IMT is better in improving functional capacity as compared to other groups, so it should be a valuable and compulsory tool of pulmonary rehabilitation.

Keywords


COPD {Chronic Obstructive Pulmonary Diseases}, RLD {Restrictive Lung Diseases}, IMT {Inspiratory Muscle Training}, RRT {RIB Raising Technique}, RR{Respiratory Rate}, HR{Heart Rate}, SPO2 {Saturation of Partial Pressure of Oxygen

References