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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Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis

Volodymyr Mizin

Volodymyr Mizin – Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis. Fizjoterapia Polska 2003; 3(2); 197-204

Abstract
A review of the literature in Poland shows no reports on the treatment potential of the physiotherapeutic techniques used in the treatment of chronic bronchitis in the health resorts of Yalta (in Crimea). The goal of this article is to present the current picture of this treatment. The clinical goals and tasks for prevention, resort treatment and rehabilitation in chronic bronchitis are discussed. The effects and doses for the physiotherapeutic factors used in Yalta health resorts are described, including aerotherapy, inhalation, aromatotherapy, electrotherapy, light therapy, magnetotherapy, ultra sound therapy, acupuncture, massage, gymnastics, physical training, climatotherapy, thalassotherapy, balneology, heat therapy and phytotherapy

Key words:
chronic bronchitis, physiotherapy, resort treatment

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Effect of Ultrabreathe Training on Pulmonary Functions in Patients with Chronic Bronchitis

Shimaa S. Mahmoud, Nesreen G. El-Nahas, Samir El Gazar, Moheb W. El Faizy

Shimaa S. Mahmoud, Nesreen G. El-Nahas, Samir El Gazar, Moheb W. El Faizy – Effect of Ultrabreathe Training on Pulmonary Functions in Patients with Chronic Bronchitis. Fizjoterapia Polska 2021; 21(1); 74-79

Abstract
Purpose. To investigate the effect of ultrabreathe training on pulmonary functions in patients with chronic bronchitis.
Methods. Randomized controlled trial. Sixty men patients, aged from 50-60 years old, having moderate chronic bronchitis based on GOLD standard 2020, were randomized into 2 equal groups. Group (A) received ultrabreathe training plus traditional chest physiotherapy for 4 weeks, while group (B) received only the same traditional chest physiotherapy for 4 weeks. All subjects in both groups were evaluated before and after training for ventilatory functions (forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and the ratio between forced expiratory volume in one second to forced vital capacity (FEV1/FVC), dyspnea scale and shuttle test.
Results. Comparing both groups post training revealed that there were statistically significant increases in FEV1, FVC and shuttle test (p < 0.05) in favour of group (A), while there were statistically non-significant differences regarding FEV1/FVC and dyspnea scale (p > 0.05).
Conclusion. The conjugation of ultrabreathe with traditional chest physical therapy program improved the ventilatory functions, dyspnea and functional capacity in chronic bronchitis patients.
Key words:
chronic bronchitis, pulmonary function, ultrabreathe, shuttle test
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