The role of physiotherapy in the treatment, prevention, and rehabilitation of chronic bronchitis

Volodymyr Mizin

Volodymyr Mizin – The role of physiotherapy in the treatment, prevention, and rehabilitation of chronic bronchitis. Fizjoterapia Polska 2001; 1(3); 237-242

Abstract

Background. Within the framework of the Global Initiative for Chronic Obstructive Disease there has been considerable scientific discussion and a search for original, modem approaches to the treatment of chronic bronchitis. The success of these endeavors is conditional upon the precise definition of the goals and the application of the appropriate means to achieve them. A review of the literature shows no reports on the potential of physiotherapeutic methods of treatment in this area. The goal of our research was to evaluate the use of electrostimulation of the torso and dalargin electrophoresis to relieve respiratory distress in patients with chronic bronchitis. Materials and methods. The research on the impact of these procedures on the cardiopulmonary system and immune system involved 67 patients. Respiration, hemodynamics, T- and B-lymphocyte content, and immunoglobulin E levels were tested. A biomechanical model was used to simulate the strength of the erython and the respiratory and cardiac muscles, as well as general physical capacity, minute blood volume, and deviation of these parameters from the optimal values. Simulation and calculation of the coefficients consumption by the cardiopulmonary system and the organism was using a synergetic model of aerobic metabolism. Results. Correlation, regression, and factor analyses show that the effects of electrostimulation and dalargin electrophoresis make a major contribution to the realization of numerous treatment goals, including the relief of respiratory distress. The tested factors increase the fuctional capacity of the cardiopulmonary system to supply the organism with oxygen, improve the equilibrium of the vegetative nervous system and the balance of B- and T-lymphocytes, increase the level of T-lymphocytes and lower the level of IgE. The results of factor analysis suggest that lowering the level of IgE decreases the virulence of inflammatory processes. An increases was observed in oxygen consumption and reserve capacity, and an increase – of particular importance – in the integral coefficient of oxygen metabolism in the organism. Conclusions. The tested procedures of electrostimulation of the torso and dalargin electrophoresis produce effects that are beneficial in achieving many strategic and tactical goals in the treatment and rehabilitation of patients with chronic bronchitis, especially reducing the activity of IgE as a risk factor, countering the effects of respiratory insufficiency, inhibiting inflammatory reactions, and improving the status of the immune system, respiratory functions, and hemodynamics. These procedures bring about improvement in the vegetative nervous system, the metabolic systems, and oxygen consumption. These effects make it possible a comprehensive program to reduce respiratory distress in patients with chronic bronchitis.

Key words:
chronic bronchitis, Stress, physiotherapy, electrostimulation, Electrophoresis, dalargin
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