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Garg, Chaya
- The Comprehensive Plan for Management and Treatment of Bronchiectasis: A Review
Authors
1 BCIP, New Delhi, IN
2 Pulmonary Medicine at R.B.I.P.M.T, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 44-47Abstract
Bronchiectasis is a worldwide spread disorder of respiratory airways and lung tissues. It includes different types of treatment management like, medical treatment, surgical treatment and both these treatment modules concise with physiotherapy treatment.Aim: The aim of this project is to review latest studies, articles, knowledge of treatment and effect of physiotherapy on the disease prognosis.
Methodology: A total of 6 books have been referred. Various internet databases were used to search articles on the set topic and 11 articles were short listed for review. Also 5 patients diagnosed as cases of bronchiectasis as thoroughly assessed to understand the clinical presentation of disease.
Discussion: Most of the information on long term outcome is from historical data and suggests that antibiotic therapy has had an effect. Nevertheless; this still indicates a significant reduction in life expectancy in patients with bronchiectasis. More recent data suggest a better prognosis, although it is recognised that the general health of patients with bronchiectasis can be poor and certain subsets (particularly those colonised with Pseudomonas aeruginosa) are particularly affected, with continued ill health and progressive deterioration. But early recognition and adequate treatment can help control bronchiectasis and decrease symptoms. Life- long awareness of the need for treatment may allow people with bronchiectasis to minimize complications and maximize life expectancy.
Conclusion: Early recognition and adequate treatment can help control bronchiectasis and decrease symptoms. Life- long awareness of the need for treatment may allow people with bronchiectasis to minimize complications and maximize life expectancy. The outlook depends upon the underlying reason for developing bronchiectasis. Congenital causes of bronchiectasis, like cystic fibrosis, may have a worse prognosis than acquired diseases.
Keywords
Bronchiectasis, Pathology, Signs and Symptoms, Investigations, Treatment and Management, Physiotherapy Treatment, Techniques
References
- Crofton and Douglas’s Respiratory Disease (Fifth Edition), Vol. 1
- British Thoracic Society Guideline for non-cf bronchiectasis (2010)
- Bronchiectasis- review article, medical progress, Alan F Barker, M.D., N Engl J Med, Vol. 346, No. 18, May 2, 2002 (www.nejm.org)
- Thomson A, Skinner A, Piercy J, Tidy’s Physiotherapy, twelfth edition, chapter- chronic obstructive airway disease, bronchiectasis.
- Chest-1995
- Chest-1981
- (i) Slutzker AD, Kinn R, Said SI. Bronchectasis and respiratory failure following smoke inhalation. Chest 1989;95:1349. (ii) Mahut B, Delacourt C, de Blic J et al. bronchiectasis in a child after acreolin inhalation. Chest 1993; 104:1286. (iii) Dossing M, Khan JH. Nasal or oral oil application on infants: a possible risk factor for adult bronchiectasis. Eur J Epidermiol 1995; 11:141.
- Cochrane Database Syst Rev 2003
- Thorax 2004 Jun; 59(6): 540-1
- Pushpal Kumar Mitra, Handbook of practical chest physiotherapy (First Edition), Jaypee publisher (chapter- functional anatomy of the respiratory mechanism)
- casaburi/petty principles and practice of pulmonary rehabilitation (copyright 1993 by W.B. saunders company), (chapter-controlled breathing techniques and chest physical therapy)
- M C Mazzocco, G R Owens, L H Kirilloff and R M Rogers, Chest 1985;88;360-363, (http:// chestjournal.chestpubs.org/content/88/3/360)
- Cash’s textbook of chest, heart and vascular disorders for physotherapists, 4th edition, jaypee publisher.
- M.D Gardiner, The principles of exercise therapy, 4th edition, reprint in 2004, CBS publication, Delhi, India. 15. Lee et al. BMC Pulmonary Medicine 2010, 10:5, (http://www.biomedcentral.com/1471-2466/ 10/5)
- Effects of Isotonic (dynamic Constant External Resistance) Eccentric Strength Training at Various Speeds on Concentric and Isometric Strength of Quadriceps Muscle
Authors
1 Banarsidas Chandiwala Institute of Physiotherapy, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 3 (2009), Pagination: 24-30Abstract
Study designRandomized controlled trial.
Background and purpose
The velocity of muscular contraction used to perform dynamic muscle actions affect the neural81,26,48, hypertrophic41 and metabolic49 responses to resistance exercise. The purpose of this study was to find out differential training effects of slow and fast eccentric strength training (no concentric contraction) on concentric and isometric strength of the quadriceps muscle.
Subjects
Physically active normal males and females (n=45) in the age group of 18-25 yrs with asymptomatic knee function were included.
Methods
The subjects were randomly assigned to three groups: Group A (fast eccentric training), Group B (slow eccentric training), Group C (control group with no training). Group A and B underwent eccentric training for a period of 4 weeks for 3days/week, whereas group C acted as a control group with no training.
Results
A change of 15.01%, 37.71 % and 1.38% was observed in lRM value for Group A, Group B and Group C respectively The isometric strength for Group A improved by 9.78%,8.35% and 8.52% at 15°,45° and 75° respectively and for Group B' improved by 22.7%, 24.58% and 24.16% at 15°, 45° and 75° respectively whereas insignificant changes occurred for Group C. The change in thigh circumference during the study period was found to be insignificant for all the three groups.
Conclusion
The eccentric training can be used as an effective stimulus to develop concentric and isometric strength for Quadriceps muscles in previously untrained individuals. The significant difference obtained between Group A and Group B indicates that eccentric strength training at slower velocities can produce greater amount of strength gains as compared to training at comfortable natural speed.
Keywords
Eccentric, Velocity, Strength Training, Dynamic Constant External ResistanceReferences
- De LormeT.L. & A.L.Watkins. (1948). Techniques of progressive resistance exercise. Archieves ofPhvsical Medicine and Rehabilitation, 29: 263-273.
- De Lorme T.L. (1945) Restoration ofmusc1e power by heavy resistance exercise. Journal of Bone & Joint Surgery, 27 (4), 645-667.
- American College of Sports Medicine. (1998). Position Stand: The recommended quality and quantity of exercise for developing & maintaining cardio respiratory and muscular fitness & flexibility in healthy adults. Medicine and Science for Sports and Exercise, 30, 975-991.
- American College of Sports Medicine. (1998). Exercise and physical activity for older adults. Medicine and Science for Sports and Exercise, 30: 992-1008.
- American College of Sports Medicine (2002) Position stand on Progression models in resistance training for healthy adults. Medicine and Science for Sports and Exercise, 34(2); 364-380.
- Keogh JWL. G.J. Wilson, R.P.Weatherby. (1999). A cross-sectional comparison of different resistance training techniques in the bench press. Journal of Strength Conditioning and Research, 13: 247-258. (abs)
- Keeler L.K., L.H. Finkelstein, W. Miller, B. Fernhall. (2001). Early phase adaptations to traditional speed vs. slow speed resistance training on strength and aerobic capacity in sedentary individuals. Journal of Strength Conditioning and Research, 15;309-314. (abs)
- Lachance, P.F., T.Hortobagyi. (1994). Influence of cadence on muscular performance during push-up and pull-up exercises. Journal of Strength Conditioning and Research, 8; 76-79. (abs)
- Jones K., G.Hunter, G.Fleisig, R.Escamilla, L.Lemax. (1999). The effect of compensatory acceleration on upper body strength and powering collegiate football players. Journal of Strength Conditioning and Research, 13; 99-105. (abs)
- Moss B.M, P.E.Refsnes, A.Abildgaard, K.Nicolaysen, J.Jensen. (1997). Effects of maximal effort strength training with different loads on dynamic strength, cross sectional area, load-power, and load-velocity relationships. European Journal of Applied Physiology, 75: 193-199.
- WestcottW.L., R.AWinett, E.S.Anderson , J.R.Wojcik, R.L.R.Loud, E.Cleggett, S.Glover. (2001). Effects of regular and slow speed resistance training on muscle strength. Journal of Sports Medicine and Physical Fitness, 41: 154-158.
- Morrissey M.C., E.AHarmen, P.N.Frykman, and K.H.Han. (1998). Early phase differential effects of slow and fast barbell squat training. American Journal of Sports Medicine, 26; 221-230.
- Young WB., Bibly GE. (1993). The effect of voluntary effort to influence speed of contraction on strength, muscular power, and hypertrophy development. Journal of Strength Conditioning and Research, 7; 172-178. (abs)
- Morganti,C.M., M.E.Nelson, M.A.Fiatarone,et al. (1995). Strength improvements with 1 yr of progressive resistance training in older women. Medicine and Science for Sports and Exercise, 27: 906-912.
- Hakkinen K., P. V. Komi, and M. Alen. (1985). Changes in isometric force and relaxation time, electromyographic and muscle fiber characteristics of human skeletal muscle during strength training and detraining. Acta Physiol. Scand., 125; 573-585.
- Hortobagyi T., J.Barrier, D.Beard, et. al. (1996). Greater initial adaptations to submaximal muscle lengthening than maximal shortening. Journal of Applied Physiology, 81:1677-1682.
- HoushD.J., T.J.Housh , G.O.Johnson &W.K.Chu. (1992). Hypertrophic response to unilateral concentric isokinetic resistance training. Journal of Applied Physiology, 73; 65-70.
- Hakkinen K., P.V.Komi, M. Alen. (1985). Effect ofexplosive type strength training on isometric force and relaxation time, electromyographic and muscle fiber characteristics of leg extensor muscle. Acta. Phvsiol. Scand. 125: 587-600.
- Ballor D.L., M.D. Becque, V.L.Katch. (1987). Metabolic responses during hydraulic resistance exercise. Medicine and Science for Sports and Exercise, 19: 363-367.
- Eloranta V., Komi PV. (1980). Function of the quadriceps femoris muscle under maximal concentric and eccentric contractions. Electroencephalogr. Clin. Neurophysiol. 20; 159.
- Nardone A, Romano C, Schieppati M. (1989). Selective recruitment of high threshold human motor units during voluntary isotonic lengthening of active muscles. Journal of Physiology, 409; 451.
- Doxey G.E. (1987). Assessing quadriceps femoris muscle bulk with girth measurements in subjects with patellofemoral pain. Journal of Orthopeadic and Sports Physical Therapy,.9(5), 177-183.
- Young A., Stokes M., Round M., &Edwards RHT. (1983). The effect of high- resistance training on the strength and cross-sectional area of the human quadriceps. Eur. J. Clin. Inves.,13, 411-417.
- Martin A., Martin L., Morlon B. (1995). Changes induced by eccentric training on force velocity relationships of the elbow flexor muscles. European Journal of Applied Physiology, 72; 183-185.
- Weir JP, Housh DJ, Housh TJ, Weir LL. (1995). The effect of unilateral eccentric weight training and detraining on the joint angle specificity, cross training, and the bilateral deficit. Journal of Orthopeadic and Sports Physical Therapy, 22(5); 207-15.
- Moritani T., and Devries H. (1979) Neural factors vs hypertrophy in the time course of muscle strength gain. American Journal of Physical Medicine, 58: 115-130.
- John N. Howell. Motor control of eccentric muscle activity. In Mark Albert. Eccentric muscle training in Sports and Orthopeadics (II ed) Churchill Livingstone, New York. 1995.
- McDounagh MJN, Davies CTM. (1984). Adaptive response of mammalian skeletal muscle to exercise at high loads. European Journal of Applied Physiology, 52: 139--155.
- Phillips SM. (2000). Short-term training: when do repeated bouts of resistance exercise become training? Canadian Journal of Applied Physiology, 25: 185-193.
- Functional Performance in Community-dwelling Elderly People: Six-minute Walk Test, Berg Balance Scale, Timed Up and Go Test and Gait Speeds
Authors
1 Banarsidas Chandiwala Institute of Physiotherapy, Kalkaji, New Delhi-110019, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 29-33Abstract
Background and PurposeThe interpretation of patient’s score on clinical tests of physical mobility in different age groups is limited by a lack of data describing the range of performance among people without disabilities in the different age groups especially the elderly adults. The purpose of this study was to provide data for the values of four clinical tests- 6 Minute Walk Test, Berg Balance Scale, Timed Up and Go test and Normal and Fast walking speeds in community dwelling older adults.
SubjectsNormal males and females (n=45) in the age group of 50- 79 yrs with asymptomatic knee function were included in the study after they gave their informed consent.
MethodsThe subjects were allocated to the three groups according to their age Group A (50-59 years), Group B (60-69 years), and Group C (70-79 years). Subjects were told to wear comfortable shoes and were tested for: 6-minute walk test, Berg Balance Scale, Comfortable Gait speed, Fast Gait speed, Timed up and go test.
ResultsUsing a Pearson product moment correlation test the results showed a significant decline in performance for commonly used performance tests with increase in age in community-dwelling elderly people.
ConclusionAge dependant normative values for performance tests should be developed especially for commonly used tests like the 6-Minute walk test, Berg Balance Scale, Gait speed and the Timed Up & Go test.