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Savadatti, Ravi
- Effect of Postural Brace for Correcting Forward Shoulder Posture and Kyphosis in Patients with Chronic Obstructive Pulmonary Disease: A Pilot Study
Authors
1 SDM College of Physiotherapy, Dharwad, IN
2 Respiratory Medicine, JNMedical College Belgaum, KLE University, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 228-233Abstract
Objectives: 1.To evaluate the effect of postural brace in correcting forward shoulder posture and kyphosis in patients with chronic obstructive pulmonary disease.( COPD) 2. To evaluate the effect of postural correction on inspiratory muscle strength in COPD patients.Design: A Pilot study comparing baseline values with post-test values.
Subjects: A total of 30 subjects between age group of 45-60 years of either gender, diagnosed to have COPD with forward shoulder posture and Kyphosis were studied.
Methods: Daily inspiratory muscle training(IMT) sessions of 30 minutes' duration and weekly training load increments of -2 to -4cmH2O over a 8-week period with the training device at loads of >30% of baseline maximal inspiratory pressure (PImax) was given. Posture was corrected by a brace and patients were asked to wear it throughout the day for 8 weeks.
Outcome measures: Posture was assessed by Plumbline (PL), intra scapular distance(ISD) and percentage of kyphotic index(KI). Inspiratory muscle strength was measured by deriving maximal inspiratory pressure (PIMax)
Results: All subjects tolerated the training load, improved their inspiratory muscle strength, and reported correction of posture.
Conclusion: A combination of posture correction by a brace and inspiratory muscle training using TIMT is beneficial in improving posture and the strength of inspiratory muscles of COPD patients.
Keywords
COPD, Posture, Kyphosis, Forward Shoulder Posture, Maximal Inspiratory PressureReferences
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- Assessment of Maximal Inspiratory Mouth Pressure in Healthy Individuals of Different Age Group: Normal Values
Authors
1 S.D.M.College of Physiotherapy, Manjushre nagar, Sattur, Dharwad, Karnataka, IN
2 Department of Respiratory Medicine, J.N.Medical College, Belgaum, Karnataka, IN
3 S.D.M.College of Physiotherapy, Manjushree Nagar, Sattur, Dharwad, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 163-166Abstract
BackgroundThe strength of the inspiratory muscle is measured by maximal insiratory pressure. In this study we analyzed the normal values of Maximal inspiratory mouth pressure in healthy participants of different age groups and either gender.
Subject and Methods160 healthy individuals between the age group of 30 to 69 years of either gender were taken for the study. Males and females participants were separated in groups and each group was divided into four sub groups of 20 individuals according to age (Subgroup:30-39 years, 40-49 years, 50-59 years and 60- 69 years). Maximum inspiratory pressure was measured using a mechanical pressure guage. The largest negative pressure sustained for 1 second on the pressure gauge was recorded. All participants were allowed to rest for about one minute, and then repeated the maneuver 5 times.
ResultsThe normal mean MIP values in 30-39 age group of male subjects was 125 cmH2O, in 40-49 age group it was 120 cmH2O, in 50-59 age group it was 110 cmH2O and in 60-69 age group it was 93 cmH2O. Similarly the mean PI max value in 30-39 age group of female subjects was 85 cmH2O, in 40-49 age group it was79 cmH2O, in 50-59 age group it was 75 cmH2O and in 60- 69 age it was 71 cmH2O. MIP reduced with advancing age and males had greater MIP values than compared to females(P<0.01).
ConclusionThe MIP values obtained in our literature can be used as base line values to measure inspiratory muscle strength. MIP is greater in males when compared to females and these values decline in advancing age.