Tag: bronchiectasis

A structured pulmonary rehabilitation protocol for bi-lobectomy: A case report

Manjiri Suhas Kulkarni, Gopala Krishna Alaparthi, Shyam Krishnan, Kalyana Chakravarthy Bairapareddy

Manjiri Suhas Kulkarni, Gopala Krishna Alaparthi, Shyam Krishnan, Kalyana Chakravarthy Bairapareddy – A structured pulmonary rehabilitation protocol for bi-lobectomy: A case report. Fizjoterapia Polska 2022; 22(1); 62-68

Abstract
Clinical Case. An exclusively tailored exercise program which included chest physiotherapy and graded mobilization was given to a 34-year-old patient after bi-lobectomy for seven days as a part of an in-patient rehabilitation program. The cardiovascular and respiratory response, rate of perceived exertion and six-minute walk distance were recorded before and after the intervention. Range of motion and postural correction were also given equal attention. Descriptive statistics used in order to present the data.
Discussion. A pulmonary rehabilitation protocol after surgical interventions in bronchiectasis patients is beneficial, however, the short-term effects are not well documented. Bi-lobectomy being the less common resections performed, requires a structured rehabilitation protocol in order to overcome the complications faced in the post-surgical recovery period.
Summary. The number of bronchiectasis cases are increasing rapidly, with surgical repairs gaining priority and importance as management of this condition. Pulmonary rehabilitation is encouraged in order to maximise the benefits of the surgeries by reducing the post-operative complication. Pulmonary rehabilitation protocols structured for each individual depending on their difficulties will help in reducing complications, dependency and duration of the hospital stay.
Key words:
bronchiectasis, bi-lobectomy, pulmonary rehabilitation
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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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