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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