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
Ajith, S.
- Effect of Midprone Decubitus on Pulmonary Function Test Values in Young Adults with Undesirable Body Mass Indices (BMI)
Authors
1 Dept. of Physiotherapy, NITTE University, Mangalore, IN
2 Dept. of Physiology, NITTE University, Mangalore, IN
3 Dept of Medicine, NITTE University, Mangalore, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 280-284Abstract
Background and purpose: Body positioning is prescribed by Physical Therapists to directly enhance oxygen transport and oxygenation, to minimize the risk of aspiration, and to drain pulmonary secretion in most of the intensive care units. The aim of this study is to assess pulmonary function in sitting, right mid-prone, left mid prone position in healthy young adult subjects and to compare the effect of Body Mass Index (BMI) on pulmonary function in sitting, right and left mid prone position.Materials and Methods: We recruited 60 healthy male volunteers by using convenience sampling with the mean age 20.5 ranges from 18-30 years. The subjects were divided into two groups based on their BMI (Group A BMI 18.5-24.9kg/m2and Group B BMI>25kg/m2 ). The spirometric test was done to measure Forced Vital Capacity (FVC), Forced expiratory volume in 1 second (FEV1), Slow Vital Capacity (SVC), Maximum Voluntary Ventilation (MVV) in sitting, right side lying and left side lying position, the values of three different positions were compared with in the groups and between the groups.
Results: FVC and FEV1 values show significant changes in three different positions in normal and obese subjects. The MVV of normal and obese groups in sitting, right side lying and left side lying was significantly varied. There was no significant difference in other values.
Conclusion: With right side and left side lying position the FVC and FEV1 values decreased significantly in compare to the sitting position, and there is no difference in lung volumes between normal and obese except MVV. MVV is significantly reduced in right and left side lying position. Upright sitting position will increase the lung volumes and capacities compared to the other positions.
Keywords
Midprone Decubitus, Pulmonary Function Test, Body Mass Indices (BMI)
References
- Faintuch J, Souza SAF, Valexi AC, Sant´ana AF, Gama-Rodrigues JJ. Pulmonary function and aerobic capacity in asymptomatic bariatric candidates with very severe morbid obesity. Rev Hosp Clin Fac Med S Paulo. 2004; 59:181-86.
- Koenig, SM. Pulmonary Complications of obesity. Am J Med Sci. 2001; 321:249-79.
- Ladosky W, Botelho MAM, Albuquerque JP. Chest mechanics in morbidly obese non-hypo ventilated patients. Respir Med. 2001; 95:281-6.
- Lotti P, Gigliotti F, Tesi F, Stendardi L, Grazzini M, Duranti R et al. Respiratory muscles and dyspnea in obese nonsmoking subjects. Lung. 2005; 183:311-23.
- Rasslan Z., Junior RS, Stirbulov R, Fabbri RMA, Lima CAC. Evaluation of Pulmonary Function in Class I and II Obesity. J Bras Pneumol. 2004; 30: 508-14.
- Heather M Ochs-Brydon Pulmonary Function and Abdominal Adiposity in the General Population. Chest 2006; 129; 853-862.
- Biring MS, LewisMI, LiuJT, etal.Pulmonary physiologic changes of morbid obesity. Am J Med Sci 1999; 318:293-297?
- PelosiP, Croci M RavagnamI,et al. The effects of body mass on Lung volumes, respiratory mechanics and gas exchange during general anaesthesia.AnesthAnalg 1998; 87:654-660.
- WatsonRA, PrideNB.Postural changes in lung volumes and respiratory resistance in subjects with obesity ApplyPhysiol2005; 98:512–517.
- SahebjamiH,GartsidePS.Pulmonary Function in obese subjects with a normal FEV1/FVCChest 1996; 110:1425–1429
- Sahebjami.H.Dysnea in obese healthy men Chest 1998; 114:1373-1377.
- RayCS, SueDY, Bray G et al Effects of obesity on respiratory function. Am Rev Respiir Dis1983;128:50 -506
- CollinsLC, HobertyPD, WalkerJF, etal.The effect of body fat distribution on pulmonary function tests. Chests 1995; 107:1298-1302.
- Dean E. Effect of body position on pulmonary function. Phyther 1985; 65:613-618.
- Ross J, Dean E Body positioning .in Zadai C,ed, Clinic in Physical Therapy;1992:79-98.
- Dean E. Invited commentary on “Are incentive spirometry, intermittent positive pressure breathing, and deep breathing exercises effective in the prevention of postoperative pulmonary complications after upper abdominal surgery? A systematic overview and meta-analysis” Phys Ther.1994; 74:10-15.
- GarrowJS, WebsterJ. Quetelet’s index as measure of fatness. Int J Obese 1985; 9(2):147-153.
- DurninJV,WomersleyJ.Body fat assessed from the body density and its estimation from skin fold thickness on measurements on 481 men and women aged 16 to 72 years.Br J Nutr 1974;32: 77-97
- Fiona Manning, Elizabeth Dean, Jocelyn Ross, Raja T Abbound. Effects of side lying on lung function in older individuals. Physical therapy, 1999; 79 (5): 456-466.
- Behrakis PK, Baydur A, Jaeger MJ, Milic-Emili J. Lung mechanics in sitting and horizontal body positions. Chest. 1983; 83:643– 646.
- Wafaa R. Al-Bader, J. Ramadan, A Nasr-Eldin , M. Barac-Nieto. Pulmonary Ventilatory Functions and Obesity in Kuwait. Med Princ Pract 2008; 17:20–26.
- K Parameswaran, DC Todd, M Soth. Altered respiratory physiology in obesity. Can Respir J 2006; 13(4):203-210.
- Comparison of Quality of Life in off-pump Versus on-pump Coronary Artery bypass Graft (CABG) Patients before and after Phase II Cardiac Rehabilitation
Authors
1 Dep. of Physiotherapy, NITTE University, Mangalore, IN
2 Dep. of Medicine, NITTE University, Mangalore, IN
3 Dep. of Cardio Thoracic Surgery, NITTE University, Mangalore, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 285-290Abstract
Background and purpose: Coronary artery Bypass Graft (CABG) is the commonly performed revascularization procedure after a major vessel block. Many studies have indicated that there is a reduction in Quality of Life after CABG. The aim of our study was to compare the Quality of Life (QOL) in off pump and on pump CABG patients before and after phaseII Cardiac rehabilitation and to find out the effectiveness of cardiac rehabilitation to improve the QOL.Materials and Methods: The QOL of 50 patients consisting of two groups were studied on two different occasions before phase II cardiac rehabilitation and after Phase II cardiac rehabilitation respectively by using SF-36v2 questionnaire.
Results: 50 patients with the mean age 47.9 years, (range 40-58) completed the study. Following the cardiac rehabilitation there was a marked improvement in the QOL of both the groups, and the physical and mental components scores in the SF-36v2 questionnaire were increased. The difference between the scores of off pump and on pump CABG was significant before phase II cardiac rehabilitation. After phaseII cardiac rehabilitation, there were no significant changes between the scores except for those of general health (p=.005), emotional role functioning (p
Conclusion: The QOL was seen to increase significantly after 3 months of structured cardiac rehabilitation program(comprising of Phase I and Phase II cardiac rehabilitation) in both on pump and off pump CABG patients .There were significant changes in the all the 8 domains in the SF-36v2 questionnaire in both groups before and after Phase II cardiac rehabilitation, but there was no significant difference in QOL between on pump and off pump CABG subjects after Phase II cardiac rehabilitation program.
Keywords
Quality of Life (QOL), off Pump CABG (OPCAB), on Pump CABG, Phase II Cardiac RehabilitationReferences
- Kolesov VI. Mammary artery-coronary artery anastomosis as a method of treatment of angina pectoris. J Thorac Cardiovascular Surg. 1967; 54: 535–544.
- Favaloro RG. Saphenous vein autograft replacement of severe segmental coronary artery occlusion: operative technique. Ann Thorac Surg. 1968; 5: 334–339.
- H S Rissam, S Kishore, N Trehan Coronary Artery Disease in young Indians- The missing link. J Indian Academy of clinical Medicine. 2001Julyseptember; 2(3).
- Thomas A .Schwann.Effects of body size on operative, intermediate, and long-term outcomes after coronary artery bypass operation.Ann Thoracic Surg. 2001; 71:521-530.
- Reeves BC,Ascione R, Chamberlain MH,Angelini GD. Effect of body mass index on early outcomes in patients undergoing coronary artery bypass surgery. J Am Coll Cardiol. 2003; 42:668-676.
- D Johnson. Postoperative physical therapy after coronary artery bypasses surgery. Am. J. Respir. Crit. Care Med. Sep 1995; 152(3):953-958.
- Elisabeth Westerdahl. Chest physiotherapy after CABG surgery- A comparison of three different deep breathing techniques. Rehab Med. 2001; 33:79-84.
- Ignacio J. Ferreira-Gonza´lez, Aida Ribera, Purificacio´n Cascant and Gaieta´ Permanyer- Miralda1. The ARCA study group Epidemiology Unit, Department of Cardiology, Vall d’Hebron Hospital, Paseo Vall d’Hebron. European Heart Journal. 2006; 27: 2473–2480.
- Bo Hedback, Joep Perk, Mikael H¨ornblad and Ulf Ohlsson. Cardiac rehabilitation after coronary artery bypass surgery:10-year results on mortality, morbidity and readmissions tohospital. Journal of Cardiovascular Risk. 2001; 8:153–158.
- Yaacov Drory MD. Cardiac Rehabilitation after Coronary Artery Bypass GraftSurgery: Urgently Needed. IMAJ. 2001; 3:427-429.
- Eagle KA, Guyton RA, Davidoff R, Ewy GA, Fonger, J, Gardner TJ, Gott JP, Herrmann HC, Marlow RA, Nugent WC, O’Connor GT, Orszulak TA, Rieselbach RE, Winters WL, Yusuf S. ACC/ AHA guidelines for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Committee.
- Oldridge N, Furling W, Feeny D. Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction. Am J Cardiol.1993; 72:154–161.
- Levin LA, Perk J, Hedb B. Cardiac rehabilitation – a cost analysis. J Intern Med. 1991; 230:427–434.
- Ades PA, Pashkow F, Nestor JR. Cost-effectiveness of cardiac rehabilitation after myocardial infarction. J Cardiopulm Rehabil. 1997; 17: 222–231.
- Dempster M, Donnelly M. Measuring healthrelated quality of life among people with ischaemic heart disease. Heart. 2000; 83:641–644.
- John E. Ware, Jr., PhD, founder/CEO of Quality Metric Health Outcomes Solutions, releases the User’s Manual for the SF 36v2 Health Survey – Second Edition. Lincoln RI – September 2007.
- Morag K. Thow Dip PE, BSc, PhD, MCSP .Exercise Leadership in Cardiac Rehabilitation An evidence-based approach. Glasgow Caledonian University Glasgow, UK.page1 and page 9.
- Machionni N, Fattirolli F, Fumagalli S. Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized controlled trail. Circulation.2003; 107: 2201-2206.
- American College of Sports Medicine (ACSM) - Guidelines for exercise testing and prescription. 7th Ed. Philadelphia: Lippincott, Williams and Wilkines.2006.
- Mohammad H Haddadzadeh, Arun G Maiya, Bjan Shad, Fardin Mirbolouk, R Padmakumar, Vasudeva Guddattu .Effect ofcardiac rehabilitation on myocardial contractility in coronary artery disease patients: A trail from Iran.ijcrr.2011 september;03(09):149-158.
- Comparison of Epley Maneuver and Brandt- Daroff Exercises on Short- Term Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) - Related Quality of Life
Authors
1 Laxmi Memorial College of Physiotherapy, Mangalore, Karnataka, IN
2 Nitte Institute of Physiotherapy, Nitte University, Mangalore, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 109-113Abstract
Background and purpose: Benign paroxysmal positional vertigo (BPPV) is a recurrent chronic disease of the inner ear and the handicap caused by it is usually underestimated. Several studies have indicated that physical therapy, including rehabilitative exercises and physical maneuvers, is an effective treatment for BPPV. The aim of the present study was to determine the impact of treatment with the Epley maneuver and that with the Brandt- Daroff exercises on short- term BPPV related quality of life and at comparing the effects of the two treatment approaches.
Study design: Comparative prospective study.
Materials and method: Out of 30 subjects suffering from posterior canal BPPV, 15 were administered a single sitting of the Epley maneuver and 15 underwent a home exercise program of the Brandt- Daroff exercises for two weeks. Analysis of the efficacy of treatment was done based on the Dizziness handicap Inventory scores before and after the treatment.
Results: The patients who received the Epley maneuver showed a highly significant mean improvement in the DHI scores of 48.67(p= .001). The Brandt- Darff exercise group too, demonstrated a highly significant improvement of 40.00 (p= .001). There was no significant difference in the improvements shown by the patients between the two groups.
Conclusion: Both the Epley maneuver and the Brandt- Daroff exercises are highly effective in treating posterior canal BPPV, reducing the BPPV- related perceived disability handicap and at improving short- term BPPV- related quality of life.