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
Agrawal, Ronika
- 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 RateReferences
- S K Chhabra, Bronchial Asthma; API Textbook for Medicine; Edition 8; volume 1; Section 8; Chapter 5; Pg. no. 355
- E F Christensen, T Nedergaard and R Dahl; “Long-term treatment of chronic bronchitis with positive expiratory pressure mask and chest physiotherapy”; Chest 1990;97;645-650
- Christensen EF, Dahl R. ;”Treatment of chronic bronchitis with terbutaline inhaled from a cone spacer with and without positive expiratory pressure”; Lung. 1991;169(6):325-33
- E Frischknecht-Christensen, O Norregaard and R Dahl; “Treatment of Bronchial Asthma with Terbutaline Inhaled by Conespacer Combined with Positive Expiratory Pressure Mask”; Chest 1991; 100; 317-3221
- E H Breslin; “The pattern of respiratory muscle recruitment during pursed lip breathing”; Chest 1992;101;75-78
- E Frischknecht-Christensen, O Norregaard, L W Jensen, R Dahl; “The effects of Inhaled beta 2- agonist and positive expiratory pressure in bronchial asthma. Influences on airway resistance and functional residual capacity”;Chest 1993; 104;1108-1113
- Nicola Scichilone, Roberto Marchese et al; “Bronchodilatory Effect of deep inspiration is absent in subjects with Mild COPD”; Chest 2004;125;2029-2035
- Maria Tzoufi, Spyros D. Mentzelopoulos et al, “Effects of Nebulised Salbutamol, External Positive End Expiratory Pressure, and Their Combination on Respiratory Mechanics, Hemodynamics, and Gas Exchange in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients”; Anesth Analg 2005;101:843–5
- Nigro CA, Prieto JE, Kleinert MM, Rhodius EE.; “Effects of inhaled salbutamol on dynamic intrinsic positive end-expiratory pressure in spontaneously breathing patients with stable severe chronic obstructive pulmonary disease”; Med Sci Monit. 2005 Nov;11(11):PI81-5
- Jadranka Spahija, Michel de Marchie et al; “The effects of imposed pursed lips Brething on respiratory mechanics and Dyspnea at Rest and during Exercise in COPD”; Chest 2005;128; 640-650
- Annelies M. Slats, Jacob K. Sont et al; “Improvement in Bronchodilation following deep inspiration after a course of high dose oral Prednisone in Asthma”; Chest 2006;130;58-65
- Gail Dechman, Christine Wilson; “Evidence underlying breathing Retraining in people with stable Chronic Obstructive Pulmonary Disease”; PHYS THER. 2004;84;1189-1197
- Jennifer Pryor, S Ammani Prasad; Patients’ problem, Physiotherapy management and outcome Measures; Physiotherapy for Respiratory and Cardiac Problems- Adults and Pardiatrics; Fourth Edition; chapter 6; pg. no. 230
- Jennifer Pryor, S Ammani Prasad;Pulmonary Rehabilitation in Chronic Respiratory disease; Physiotherapy for Respiratory and Cardiac Problems- Adults and Pardiatrics; Fourth Edition; Chapter 13; pg no 453
- Van der Schans et al; 1995; Mouth pressures during pursed lip breathing. Physiotherapy theory and Practice 11: 29- 34
- Mueller RE et al, 1970; Ventilation and arterial Blood gas changes induced by Pursed lip breathing. Journal of Applied Physiology28(6):784-789
- Ingram RH et al; Effect of Pursed lip expiration on the pulmonary pressure flow relationship in obstructive lung diseases; Am Rev Respir Dis 1967; 96:381-88
- Martin JG et al; Effect of continuous positive airway pressure on respiratory mechanics and pattern of breathing in induced asthma; Am Rev Respir Dis 1982; 126: 812-17
- Wilson BA et al; Effects of positive end expiratory pressure breathing on exercise induced asthma; Int J Sports Med 1981;2:27-30
- Groth S et al; Positive expiratory pressure(PEP mask) physiotherapy improves ventilation and reduces volume of trapped gas in cystic fibrosis; Bull Eur Physiopathol Respir 1985; 21:339-43
- The Effect of Mobilization of an Asymptomatic Cervical Spine on Shoulder Pain, Shoulder Range of Motion and Shoulder disability in Patients with Shoulder Pain
Authors
1 M. A. Rangoonwala College of Physiotherapy and Research, Pune, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 14, No 1 (2020), Pagination: 196-201Abstract
Introduction: Shoulder pain is a common complaint for individuals of all ages and activity levels with a prevalence ranging from 7% to 34%.Along with involvement of shoulder joint, dysfunction at the cervicothoracic spine and the adjacent ribs (also called the shoulder girdle) is considered to predict the recurrence and poor outcome of shoulder complaints. When shoulder joint is highly irritable, manual therapy cannot be given to it directly. Changes in the axio-scapular muscle activity during low-load functional tasks have been shown in individuals with chronic neck pain, which play an indirect role in shoulder biomechanics. Therefore, cervical spine mobilization techniques could be used during therapy to affect the more peripheral symptoms.
Materials and method: 60 patients with shoulder pain were randomly divided into 2 groups of 30 patients each. Group A received lateral and postero-anterior Maitland’s mobilization of the C5, C6 and C7 spinous processes along with Short Wave Diathermy (SWD) to the shoulder while Group B received SWD to the shoulder alone for 5 days. Passive range of motion of the shoulder using a universal goniometer, Pain on VAS and a Shoulder Pain and Disability Index scale were assessed pre and post treatment.
Conclusion: Mobilization of the asymptomatic cervical spine lead to a significant reduction of pain, significant increase in the overall shoulder ROM and a reduction in the functional disability after 5 days of treatment in individuals with shoulder pain. It has a lasting effect on improvement in functional disability. When two groups were compared (SWD + mobilization v/s SWD alone), no one group was statistically better than the other.
Keywords
Cervical Mobilization, Shoulder Pain, Asymptomatic Cervical Spine.References
- Michael C. Koester, MD. Shoulder impingement syndrome. The American Journal of Medicine (2005) 118, 452–455.
- Management of a Patient with Shoulder Pain and Disability: A Manual Physical Therapy Approach Addressing Impairments of the Cervical Spine and Upper Limb Neural Tissue.
- Neviaser RJ. Painful conditions affecting the shoulder. Clinical Orthopedics Related Research. 1983 March; (173):63-9.
- Karthikeyan Guru. Effect of gleno-humeral mobilization and mobilization of asymptomatic cervical spine in patients with shoulder impingement syndrome: A pilot trial. Saudi journal of Health Science 2015; 4:42-50.
- Sobel JS. Physical examination of the cervical spine and shoulder girdle in patients with shoulder complaints. Journal of Manipulative and Physiological Therapeutic. 1997 May; 20 (4):257-62.
- Bergman GD. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Annals of Internal Medicine. 2004 Sep 21; 141 (6):432-9.
- Paul Mintken. Shoulder Pain and Regional Interdependence: Contributions of the Cervicothoracic Spine. Journal of Yoga & Physical Therapy.5:179. doi:10.4172/2157-7595.1000179.
- Norlander S. Reduced mobility in the cervicothoracic motion segment--a risk factor for musculoskeletal neck-shoulder pain: a two-year prospective follow-up study. Scandinavian Journal of Rehabilitation Medicine [1997, 29(3):167-174].
- Norlander S. Mobility in the cervico-thoracic motion segment: an indicative factor of musculoskeletal neck-shoulder pain. Scandinavian Journal of Rehabilitation Medicine[1996, 28(4):183-192]
- Stiesch-Scholz M. Co-morbidity of internal derangement of the temporo-mandibular joint and silent dysfunction of the cervical spine. Journal of Oral Rehabilitation. 2003 Apr; 30 (4):386-91.
- Eric J Hegedus. The neurophysiological effects of a single session of spinal joint mobilization: does the effect last? Journal of Manipulative Therapy. 2011 Aug; 19(3): 143–15
- Geoff Maitland, et al. Maitland’s vertebral manipulation. 6th edition. 2001. Pages 4; 217. Cristiane Rodrigues Pedroni. Immediate effect of cervical mobilization in temporo-mandibular disorder patients. Braz J Oral Sci. 4(15):911-918
- Geoffrey C. Goats. PhD, MCSP. Continuous shortwave (radio-frequency) diathermy. British journal of sports medicine. Vol. 23, No. 2.
- Lynda McClatchie. Mobilizations of the asymptomatic cervical spine can reduce signs of shoulder dysfunction in adults. Manual Therapy August Volume 14, Issue 4, Pages 369–374.
- M. Sterling. Cervical mobilization: concurrent effects on pain, sympathetic nervous system activity and motor activity. Manual therapy May Volume 6, Issue 2, Page 72–81.
- Kanlayanaphotporn R, et al. Immediate effects of the central posteroanterior mobilization technique on pain and range of motion in patients with mechanical neck pain. Disabil Rehabil. 2010; 32(8):622-8.
- Vanharanta, H.et al. Short-wave diathermy effects on S3-sulfate uptake and glycosaminoglycan concentration in rabbit knee tissue Arch Phys Med Rehabil. 1982, 63, 25-28.