Tag: wydolność funkcjonalna

Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M.

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M. – Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis. Fizjoterapia Polska 2021; 21(5); 212-218

Abstract
Background. In patients with bronchiectasis, the elastic and muscular tissue is lost, obstructing the normal drainage of bronchial secretions, which can become chronically compromised, resulting in mild to moderate airway obstruction, which affects blood oxygenation and, as a consequence, the patients’ quality of life. Purpose: The aim of the study was to evaluate the potential effect of Aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity, and quality of life in patients with bronchiectasis. Materials and Methods. The study recruited the participation of sixty bronchiectasis patients of both genders (24 males and 36 females). They were divided into two major categories, each with 30 patients: study and control. Both groups continued to take their medications during the study period, and the study group received twice-daily training with the Aerobika positive expiratory pressure device. Before and after the study, both groups had their arterial PaO2 and PaCO2 measured, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD). Results. The study group at the end of the study showed improvement (P < 0.05) in arterial PaO2 and PaCO2, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD with no change in the control group (P > 0.05). The mean value of 6MWT showed a strong positive correlation with PaO2 (r = 0.86, P = 0.001) and at the same time showed a strong negative correlation with the SGRQ score (r = −0.64, P = 0.001). Conclusions. Aerobika positive expiratory pressure therapy provided an appropriate physiotherapy procedure for patients with bronchiectasis; it maximizes airflow, improves expiratory time and alveolar ventilation, and promotes gas exchange; overall, Aerobika demonstrated great efficacy in draining sputum and improving oxygenation.
Key words:
bronchiectasis, aerobika pep device, blood gases, functional capacity, quality of life
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Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail – Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease. Fizjoterapia Polska 2021; 21(3); 44-50

Abstract
Background. Patients undergoing maintenance hemodialysis (HD) suffer from respiratory symptoms, uremic myopathy and protein catabolism leading to reduction of functional capacity and respiratory muscle strength. Objective. To determine the efficacy of intradialytic respiratory training using concurrent flow resistance (CFR) on respiratory muscle strength and functional capacity. Subjects and methods. Forty patients with end stage renal disease on hemodialysis for at least 4 months, with their age ranged from 30 – 40 of both sexes (20 men and 20 women) participated in this study at hemodialysis center of Fayoum University Hospital, Fayoum, Egypt. A Single- interventional study group designed. The study period was 12 weeks. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), selected pulmonary function test, Functional capacity and fatigue severity scale (FSS) were evaluated before and after the study. Results. There was significant improvement in MIP, MEP, FEV1%, FVC%, 6MWT and FSS by 61.37%, 63.01%, 58.26%, 55.12%, 36.48% and 22.35% respectively, while no significant difference was recorded regarding to FEV1/FVC% ratio. Conclusion. It can be concluded that respiratory training using concurrent flow resistance (CFR) device for 12 weeks was effective therapeutic technique to improve respiratory muscle strength and functional capacity in patients with end stage renal disease on hemodialysis.
Key words:
Expand-a-Lung, Respiratory muscle strength, Functional capacity, Hemodialysis
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