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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Physiotherapist’s role in physical activity of people working from home

Damian Durlak

Damian Durlak – Rola fizjoterapeuty w aktywności fizycznej u osób pracujących zdalnie. Fizjoterapia Polska 2021; 21(5); 226-232

Abstract
Introduction. COVID-19 pandemic introduced new restrictions and either forced or encouraged citizens to stay mostly in isolation, preferably at home. Many companies sent their employees to work from home. With fitness centers, gyms and other sport facilities closed by government, there were scarce chances and motivators to work out.
Objectives. This paper was dedicated to studying the possible outcomes of COVID-19 related isolation and decrease in citizen’s everyday activity. Proposed usage of telephysiotherapy is presented.
Methods. In this paper a literature review and a discussion is performed regarding the current work-from-home situation in Poland, drawbacks of prolonged isolation and areas where physiotherapists might help citizens.
Results. Reduction of physical activity has significant impact on individuals’ bodies and should not be ignored. Patients with specific diseases might use telephysiotherapy services and continue their treatment. However, there is a need to provide home office employees with a good source of motivation and properly prepared sets of exercises to remain healthy and fit. Physiotherapists have an occasion to provide such services and use their professional knowledge in this area.
Conclusions. Physiotherapistscan provide services like telephysiotherapy with sets of exercises provided for specific groups of users. This allows for a win-win situation: physiotherapists earn money on a slightly different type of tasks and patients have a professional source of profitable exercises.
Key words:
COVID-19, telephysiotherapy, physical activity, working from home