Effect of respiratory muscle training using Ultrabreathe device on pulmonary function in Duchenne Muscular Dystrophy through telephysiotherapy

Divya S., Malarvizhi D.


Divya S., Malarvizhi D. – Effect of respiratory muscle training using Ultrabreathe device on pulmonary function in Duchenne muscular dystrophy through telephysiotherapy. Fizjoterapia Polska 2022; 22(5); 20-24

DOI: https://doi.org/10.56984/8ZG20AR1m

Abstract

Background. Duchenne Muscular Dystrophy (DMD), an X linked disorder resulting in respiratory insufficiency, caused by progressive respiratory muscle weakness particularly in diaphragm. During this pandemic, Telerehabilitation played a major role among patients, especially disabled children. OBJECTIVE: To find out the effect on the pulmonary function in DMD children by training the respiratory muscles by telephysiotherapy. Methodology. Non Experimental design, Case series- pre and post test type. Convenient sampling, sample size was 5. Boys and girls between 9 and 16 years of age were included in the study. Procedure. 5 subjects were selected based on the inclusion and exclusion criteria and were trained for one minute with minimum resistance using ultrabreathe through Telephysiotherapy which is repeated for 3 times in a session with a rest period of 20–30 seconds for six weeks. Outcome measure. Pulmonary Function test. Results. The results of this study shows increased mean value of post test Tidal volume, Forced Vital Capacity, Inspiratory time/Respiration time and Tidal Volume / Inspiration time compared with pre test, whereas other parameters like Duration of Inspiration, Total Lung Volume, Inspiratory Capacity, Forced Expiratory Volume1 does not increased. Conclusion This study concluded that the Duchenne Muscular Dystrophy children improved in Tidal Volume, Forced Vital Capacity, Tidal Volume/Inspiration Time, and Inspiration Time/Respiration Time whereas all other parameters such as Duration of Inspiration, Total lung volume, Inspiratory capacity and Forced Expiratory volume1 maintained after 6 weeks of respiratory muscles training with ultrabreathe device.

Słowa kluczowe:
Duchenne Muscular Dystrophy, telephysiotherapy, pulmonary function test, Ultrabreathe device

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Effect of Aquatic Therapy on Ventilatory Functions in Patients with Duchenne Muscular Dystrophy: A Randomized Controlled Trial

Nehad A. Abo-zaid, Heba A. Khalifa, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee, Walaa E. Heneidy

Nehad A. Abo-zaid, Heba A. Khalifa, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee, Walaa E. Heneidy – Effect of Aquatic Therapy on Ventilatory Functions in Patients with Duchenne Muscular Dystrophy: A Randomized Controlled Trial. Fizjoterapia Polska 2021; 21(1); 206-214

Abstract
Objectives. To investigate the effect of aquatic therapy on ventilatory functions, and its impact on functional capabilities in boys with Duchenne muscular dystrophy (DMD). Subjects and Methods. Twenty-four boys with DMD were enrolled in this study, their ages ranged from seven to eleven years. They were randomly assigned into two groups of equal numbers; the land-based group received a designed land-based physical therapy program while the aquatic group received the same program underwater at the pool of the hydrotherapy unit. The treatment was conducted for all boys twice weekly for three successive months. A spirometer was used to measure the ventilatory functions including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and FEV1/FVC% ratio. Timed function tests (TFTs) including 10-m walk/run test, climb, or/descend 4 standard-size stairs test and, stand from a supine position test, followed by 6-min. walk test (6MWT) were used to assess the functional capability for both groups, before and after treatment. Results. Post-treatment findings, revealed no statistically significant differences in all variables (P > 0.05) except for FEV1/ FVC% ratio that showed a statistically significant difference (P = 0.0001) in both groups. Conclusion. Aquatic therapy has no statistically significant effect on ventilatory functions and functional capabilities among boys with Duchenne muscular dystrophy.
Key words:
Duchenne muscular dystrophy, Ventilatory functions, Aquatic therapy
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