Tag: ćwiczenia oddechowe

Impact of lung boost exerciser on lung compliance and quality of life in elderly

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan

Mai M. Ahmed, Manar M. Badawy, Nesreen G. El­ Nahas, Zahra M. Hassan – Impact of lung boost exerciser on lung compliance and quality of life in elderly. Fizjoterapia Polska 2021; 21(5); 26-31

Abstract
Purpose. To assess the effect of lung boost exerciser on lung compliance, aerobic functional capacity and quality of life in elderly. Materials and methods: sixty subjects of both sexes (31 women and 29 men) participated in this study with age group from 70­80 years. Subjects assigned randomly into two equal groups. Group A received a conventional physical therapy programme for the chest in form of diaphragmatic breathing exercise, pursed-lip breathing exercise and upper limb Exercises connected with respiration, while Group B received Lung boost exerciser in addition to conventional physical therapy programme for the chest. Received three sessions a week for the next 12 weeks. The treatment was applied for 12 weeks, three sessions per week. Variables were assessed before and after intervention for each subject and statistically analyzed: (forced vital capacity (FVC), forced expiratory volume in one second (FEV1), maximum inspiratory pressure (MIP) were assessed by spirometry), diaphragmatic excursion (was assessed by percussion), quality of life (was assessed by quality of life score (QoL) and aerobic functional capacity (was assessed by six-minute walk test). Results: statistical analysis using mixed MANOVA showed that there was no significant difference in all parameters between both groups before treatment (p > 0.05). Comparison between groups after treatment revealed a significant increase in FVC, FEV1, MIP, and 6MWD of the group B compared with that of the group A (p < 0.001). Also, there was a significant decrease in QoL score (p < 0.001) and a significant increase in diaphragmatic excursion of the group B compared with that of group A after treatment. Conclusions: Lung boost exerciser is an effective modality that can be added to traditional physical therapy protocols and revealed a positive impact on lung compliance and quality of life in elderly.
Key words:
elderly, respiratory exercises, lung boost exerciser, spirometry
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A program of motor rehabilitation for patients in the early phase after cardiac surgery

Jan Talar, Grzegorz Mańko, Dominika Batycka

Jan Talar, Grzegorz Mańko, Dominika Batycka – A program of motor rehabilitation for patients in the early phase after cardiac surgery. Fizjoterapia Polska 2001; 1(2); 105-110

Abstract
Background. This article describes a program of rehabilitation for patients recovering from cardiac surgery (including coronary by-passes, surgical repair of valve defects, and heart transplants) currently in use at the Cardiovascular Surgery and Transplantation Clinic at the Jagiellonian University’s Collegium Medicum in Cracow. Physiotherapeutic procedures implemented preand post-operatively are presented, with particular emphasis on respiratory and motor rehabilitation and an educational program intended to improve the patient’s sense of cognitive control. Material and methods. The effectiveness of this program was evaluated in a natural clinical experiment involving 42 patients who underwent rehabilitation after cardiac surgery. The patients were divided into two groups, matched by age and sex: a control group (K), consisting of 21 patients treated prior to the implementation of the new physiotherapy program, using traditional respiratory exercises, and an experimental group (E), also including 21 patients, who received the new program. The results were obtained from clinical observation, and from the evaluation of the patients’ scores on the Self-Evaluating Clinical Scale of cognitive, emotional, vegetative, and neurobehavioral disturbances and the Self-Evaluating Quality of Life Scale, as pertains to the patient’s health image, pain management, and the feeling of security. The patients were tested twice: once before rehabilitation (before the cardiosurgical operation), and again 7 days into the program. Results. The results obtained by these patients clearly indicated that the program here proposed is more effective than traditional programs in terms of patient satisfaction with the course of rehabilitation, increased motivation to exercise, and faster attainment of independence by the patient. The authors discuss the possible significance if brain hypoxia in the etiology of the cognitive and emotional deficits displayed by virtually all the patients. Conclusion. The rehabilitation program for patients recovering from cardiac surgery should be implemented even prior to surgery. It should include respiratory therapy and physiotherapy, with elements or patient education. The program described in this article supports improvement in the physical and psychological status of the patients in the early phase post-surgery, which leads to a better quality of life.

Key words:
cardias surgery, motor rehabilitation, respiratory exercises

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