Tag: Basant Hamdy Elrefaey

Effect of combining inspiratory and expiratory training on pulmonary function and health status in patients with COPD: a randomized controlled trial

Basant Hamdy Elrefaey, Hagar Ahmed Elhadidy, Heba Ahmed Moussa

Basant Hamdy Elrefaey, Hagar Ahmed Elhadidy, Heba Ahmed Moussa – Effect of combining inspiratory and expiratory training on pulmonary function and health status in patients with COPD: a randomized controlled trial. Fizjoterapia Polska 2020; 20(2); 70-74

Streszczenie

Objectives. Chronic Obstructive Pulmonary Disease (COPD) patients suffers from respiratory muscle dysfunction. The current study aimed to assess the effect of combined respiratory muscle training (both inspiratory and expiratory) on pulmonary function and health status of chronic obstructive pulmonary disease patients. Methods. Sixty men (40-60 years old) with (COPD) were enrolled. They were assigned randomly with 30 patients allocated to the control group and 30 patients allocated to the experimental group. The control group received a guideline protocol chest physiotherapy, whereas the experimental group received the same program in addition to respiratory muscle training using power lung device. Both groups received the treatment sessions three times per week for 3 successive months. Measurement of ventilatory function, respiratory muscle strength and the COPD Assessment Test (CAT) was done before and after the intervention. Results. Both groups demonstrated significant improvements in ventilatory function and respiratory muscle Strength after treatment, with significantly greater improvements seen in the experimental group. No significant difference was detected between groups regarding (CAT). Conclusions. Training both inspiratory and expiratory muscles improves pulmonary function and health status in in patients with COPD.

Słowa kluczowe: Chronic Obstructive Pulmonary Disease, health status, pulmonary function, respiratory muscle training

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Acute aerobic Exercise Induced Irisin Release in Type 2 Diabetic patients: Randomized Clinical Trial

Basant Hamdy Elrefaey, Heba Ali Abd EL-Ghaffaar,Doaa Mohammed Mahmoud Allam, Mohamed Abd EL-Motaal Safa

Basant Hamdy Elrefaey, Heba Ali Abd EL-Ghaffaar,Doaa Mohammed Mahmoud Allam, Mohamed Abd EL-Motaal Safa – Acute aerobic Exercise Induced Irisin Release in Type 2 Diabetic patients: Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 58-63

Abstract
Background. Type 2 diabetic subjects have lower irisin level, irisin discovery has provides a modern track for energy homeostasis and opens a chance for development of curative components to manage metabolic disorders. Purpose: The Objective of this study was to explore acute irisin response to two different types of aerobic training modes in type 2 diabetics. Methods. Thirty-one type 2 diabetic patients aged between 45 and 60 years, were randomly assigned into two exercise groups: (EX1) group (n = 16) who received continuous aerobic exercise and (EX2) group (n = 15) who received interval aerobic exercise. The program in both groups was in the form of treadmill walking for 60 min. Blood collection of primary outcome (irisin) and assessment of oxygen saturation (SpO2) and heart rate (HR) were done at baseline and immediately after single aerobic bout. 6MWT was used to determine individual training intensity for each subject.
Results. After single aerobic exercise bout, there was significant improvement in irisin in both groups (p = 0.0001, 0.01 respectively), increase in HR (p = 0.0001 in both groups) & decrease in SPO2 in EX1 (p = 0.002) with non significant difference between groups in the mean values of HR & SpO2 post exercise (p < 0.05),however there was significant difference between groups in the mean values of irisin level favoring EX1 group (p = 0.03). Conclusion. Acute aerobic exercise is effective in improving irisin level in type 2 diabetes and the superiority in irisin improvement was to continuous exercise than interval exercise. Further studies are required to discover irisin response in type 2 diabetes with different types of exercise protocols rather than aerobics.

Key words:
acute, aerobic exercise, irisin, type 2 diabetes

 

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