Impact of lung boost exerciser on lung compliance and quality of life in elderly

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan – Impact of lung boost exerciser on lung compliance and quality of life in elderly. Fizjoterapia Polska 2021; 21(5); 26-31

Abstract
Purpose. To assess the effect of lung boost exerciser on lung compliance, aerobic functional capacity and quality of life in elderly. Materials and methods: sixty subjects of both sexes (31 women and 29 men) participated in this study with age group from 70­80 years. Subjects assigned randomly into two equal groups. Group A received a conventional physical therapy programme for the chest in form of diaphragmatic breathing exercise, pursed-lip breathing exercise and upper limb Exercises connected with respiration, while Group B received Lung boost exerciser in addition to conventional physical therapy programme for the chest. Received three sessions a week for the next 12 weeks. The treatment was applied for 12 weeks, three sessions per week. Variables were assessed before and after intervention for each subject and statistically analyzed: (forced vital capacity (FVC), forced expiratory volume in one second (FEV1), maximum inspiratory pressure (MIP) were assessed by spirometry), diaphragmatic excursion (was assessed by percussion), quality of life (was assessed by quality of life score (QoL) and aerobic functional capacity (was assessed by six-minute walk test). Results: statistical analysis using mixed MANOVA showed that there was no significant difference in all parameters between both groups before treatment (p > 0.05). Comparison between groups after treatment revealed a significant increase in FVC, FEV1, MIP, and 6MWD of the group B compared with that of the group A (p < 0.001). Also, there was a significant decrease in QoL score (p < 0.001) and a significant increase in diaphragmatic excursion of the group B compared with that of group A after treatment. Conclusions: Lung boost exerciser is an effective modality that can be added to traditional physical therapy protocols and revealed a positive impact on lung compliance and quality of life in elderly.
Key words:
elderly, respiratory exercises, lung boost exerciser, spirometry
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Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier – Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°. Fizjoterapia Polska 2003; 3(1); 21-29

Abstract
Both the values of the spirometric parameters in people with low-degree scoliosis and their changes in course of the rehabilitation treatment aiming to correct the body posture are subjects rarely mentioned in literature. Just sparse articles give evidence for the presence of respiratory disturbances even in early stages of the development of scoliosis. The hypothesis claiming that normalisation of the values of selected spirometric parameters, decreased earlier, during attempts of correction of the body posture could be obtained was brought forward for needs of the presented report. 60 children with scolioses of Ist and IInd degree and without any coexisting health problems participated. The evaluation of the values of selected spirometric parameters was performed twice: at the beginning of the treatment (initial test) and after its termination (final test). The time of therapeutic influence averaged 28,77 days (SD = 9,47) and daily load with corrective exercises about 3 hours with supplementary procedures. During the period of time between initial and final tests most of the assessed spirometric parameters showed significant improvement increasing their values and bringing them closer to standards (FVC EX, FVC IN, FEV1, PEF, PIF, VC, IC). The ERV parameter didn’t show any important alterations. The volumes TV and MV as well as Tiffeneau coefficient maintained their previous rise tendencies.According to the stated hypothesis the corrective rehabilitation treatment improved values of selected spirometric parameters, which were decreased in course of low-degree scoliosis. Basing on the results some practical clues concerning corrective treatment of this postural fault may also be formulated.

Key words:
Scoliosis, rehabilitation treatment, Spirometry, spirometric parameters

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Changes in the circulatory and respiratory systems under the influence of magnetic stimulation

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera – Changes in the circulatory and respiratory systems under the influence of magnetic stimulation. Fizjoterapia Polska 2004; 4(4); 316-322

Abstract

Background. The aim of our research was to evaluate the impact of magnetic stimulation on recovery following submaximal physical effort.  Material and methods. The study was conducted on a group of 19 students. The subjects performed submaximal effort on an ergometer. The test began with a 50-watt load, gradually increased to a maximum load of 3.5 watt/kg. Directly after exertion, the subjects rested 30 minutes in prone position. While resting, they were subjected to low-frequency magnetic fields (VIOFOR JPS device and a program using Ion Cyclotron Resonance, ICR) or to a placebo. During both the exertion and the resting period we continuously monitored the heart rate, oxygen consumption and minute ventilation of the lungs. The blood lactate concentration was assessed before every test and at 3, 5, 9, 15, and 30 minutes after exertion. Results. No significant differences were found in any of the tested variables between the group subjected to magnetic stimulation and the placebo controls. During the 30-minute rest period the rate of return of the variables to baseline values was identical in both groups. Conclusions. Magnetic stimulation of the whole body applied directly after submaximal physical effort did not significantly influence blood lactate elimination, heart rate, minute ventilation of lungs, or oxygen consumption.

Key words:
physical exertion, spirometry, gasometry
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Rehabilitation treatment results among patients suffering from obturative pulmonary disease

Patrycja Rąglewska, Grażyna Cywińska-Wasilewska, Aleksander Barinow-Wojewódzki

Patrycja Rąglewska, Grażyna Cywińska-Wasilewska, Aleksander Barinow-Wojewódzki – Rehabilitation treatment results among patients suffering from obturative pulmonary disease. Fizjoterapia Polska 2006; 6(2); 117-120

Abstract

Background. The influence of respiratory rehabilitation on lung dynamic capacity parameters and physical efficiency of patients suffering from Chronic Obturative Pulmonary Disease (COPD) has been examined for the period of three weeks. COPD is the most frequently chronic disease of lungs. It makes healthcare, economical and social significant problems of the world. There are 4-5 million people suffering on obturative diseases in Poland. Material and methods. 16 individuals (5 women, 11 men) suffered from Chronic Obturative Pulmonary Disease (COPD) from S. Staszic Regional Specialistic Hospital of Tuberculosis and Lung Disease care in Ludwikowo participated in the study. Patients’ were about 58.5 years old. All the individuals participated in 3-weeks rehabilitation, composed of kinesitherapy generally improvement, diaphragm path breathing exercises, implementation of physical agents as well as cykloergometer training, and physiotherapy (inhalations with broncholytic agents, expose chest to radiation using Solux lamp with red filter, expose solar plexus to radiation with Bioptron lamp, patting the chest, relaxing hand massage or vibratory massage of chest). Results of the treatment were evaluated by using a spirometer abc PNEUMO PC, RS, 2000 and the six — minute walking test. To the evaluation of lungs function were used respiratory parameters: (FVC) — forced vital capacity, (FEV1) — forced expiratory volume in one second, (FEV1 % FVC) ratio of the forced expiratory volume in one second to the forced vital capacity, (MEF25, MEF50, MEF75) — maximal expira-tory flow when 25%, 50%, 75% of vital capacity, (PEF) — peak expiratory flow. Results and Conclusions. After 3-weeks rehabilitation 12% improvement of in patients spirometric parameters was observed. After 3 — weeks rehabilitation patients suffering from (COPD) displayed a significant improvement (15.5%) in a six—minute walking test, also their capacity to spare energy increased (9.7%). The aforementioned results points on very effective influence at pul-monary rehabilitation on improvement of spirometric parameters of patients suffered from COPD.

Key words:
chronic obturative pulmonary disease, respiratory rehabilitation, spirometry, six-minute walking test
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The impact of cardiac rehabilitation on haemodynamic parameters, respiratory function and cardiovascular disease risk factors in heart failure patients

Dominika Zielińska, Jerzy Bellwon, Andrzej Rynkiewicz, Małgorzata Kusiak-Kaczmarek, Stanisław Bakuła

Dominika Zielińska, Jerzy Bellwon, Andrzej Rynkiewicz, Małgorzata Kusiak-Kaczmarek, Stanisław Bakuła – The impact of cardiac rehabilitation on haemodynamic parameters, respiratory function and cardiovascular disease risk factors in heart failure patients. Fizjoterapia Polska 2008; 8(2); 139-152

Abstract
Background. Recent scientific data are revealing an epidemic of heart failure. The aim of the study was to evaluate the effect of exercise on left ventricular function and spirometry results and assess the usefulness of cardiac rehabilitation for modification of cardiovascular risk factors. Material and methods. 61 patients with NTHA class II-III heart failure (54 men, 7 women) aged 60±10 years, LVEF≤ 40%; 51 due to coronary artery disease and 10 due to non-ischaemic dilatedcardiomyopathy. 43 patients (REHAB group) underwent 3 week ambulatory exercise program. 18 subjects refused to participate (NREHAB group) and were instructed about the influence of exercise and lifestyle modification on prognosis in heart failure. REHAB patients continued the exercise program for 9 weeks at home. Spirometry, echocardiography and lipid profile determination were performed on entry and on completion of the program. Results. Testing systolic blood pressure in REHAB decreased from 117,2±14,2 mmHg on entry to 106,4±14,8 mmHg at the end of rehabilitation (p&lt;0,05). LVEF increased significantly in the REHAB group from 32,7±8,3% do 35±8,4%. The lipid profile improved, with TC decreasing from 218,8±39,7 do 189,4 ±18,4 mmol/l, TG decreasing from 150,2 ± 76,8mmol/l to 117,4 ± 52,8mmol/l). VC ex and in increased significantly. In the NREHAB group, these parameters did not change significantly. Conclusions. Cardiac rehabilitation appears to improve left ventricular systolic function as assessed with the ejection fraction, and some parameters of pulmonary function. It faciliates the correction of some cardiovascular risk factors in patients witch chronic heart failure.
Key words:
heart failure, physical exercise, spirometry
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Does duration ofintubation influence ventilation parameters following CABG?

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed – Does duration ofintubation influence ventilation parameters following CABG? Fizjoterapia Polska 2010; 10(1); 78-83

Abstract
Background. Contemporary cardiac surgery is increasingly relying on less invasive techniques to minimise hospital stay. We asses-sed the influence ofartificial ventilation time in CABG patients on ventilation parameters.Materiał and methods. The study enrolled 92 men aged 35-75 years following CABG undergoing rehabilitation. Patients were divi-ded into two groups based on duration of intubation: Group I included patients with artificial ventilation time (AVT) &lt;17 hours and Group II those with AVT &gt; 17h The correlation between AVT and respiratory capacity was assessed by spirometry before CABG, on fifth po-stoperative day, and at three months post-CABG.Results. The parameters decreased significantly in both groups on 5th post-operative day, except ERV (ns) in Group II. At 90 days post-surgery, all parameters had increased significantly compared to the 5th post-operative day readings in both groups, but FEV1 had not reached the preoperative level in either group. FVC EX was higher than pre-CABG value in Group I (ns) but not in Group II (p&lt;0.05). VC failed to reach preoperative levels in both groups (Gr I ns, Gr II p&lt;0.005).Conclusions. Most spirometric parameters tended to behave in the same manner irrespective of the duration ofAVT. Shorter AVThad a significant effect only on VC and FVC EX at 90 days after the surgery. The decrease in respiratory capacity was apparently related to the sternotomy associated with cardiac surgery.
Key words:
CABG, spirometry, cardiac rehabilitation
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Assessment of some respiratory parameters in the group of healthy and hearing impaired boys – the role of physical activity

Małgorzata Fortuna, Bogusława Majewska, Jacek Szczurowski, Anna Konieczna-Gorysz

Małgorzata Fortuna, Bogusława Majewska, Jacek Szczurowski, Anna Konieczna-Gorysz – Assessment of some respiratory parameters in the group of healthy and hearing impaired boys – the role of physical activity. Fizjoterapia Polska 2012; 12(3); 286-290

Abstract
The aim of the paper was to estimate some respiratory parameters in a group of healthy and hearing impaired boys aged 12-14 years including the role of physical activity and respiratory exercises. The first research group included 17 boys with hearing impairment. The second research group included 19 healthy boys with higher level of activity compared to the first group. The experimental group included boys aged 12-14. All the respondents underwent spirometric examinations: FVC, FEV1, FEV1/FVC. The table of recommended model values was used in the research. The BMI was measured. All the results were measured by means of statistical analysis. The analysis of results indicates significant differences of the evaluated parameters FVC and FEV1 between two groups with exception of parameter FEV1/FVC.Hearing damage does not determine values of the respiratory parameters FVC and FEV1. Parameters FVC and FEV1 depend on the level of physical activity. Hearing damage and a lower level of physical activity did not significantly affect BMI in the studied groups.
Key words:
Spirometry, impairment of hearing, Respiratory System
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