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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Changes in the circulatory and respiratory systems under the influence of magnetic stimulation

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera – Changes in the circulatory and respiratory systems under the influence of magnetic stimulation. Fizjoterapia Polska 2004; 4(4); 316-322

Abstract

Background. The aim of our research was to evaluate the impact of magnetic stimulation on recovery following submaximal physical effort.  Material and methods. The study was conducted on a group of 19 students. The subjects performed submaximal effort on an ergometer. The test began with a 50-watt load, gradually increased to a maximum load of 3.5 watt/kg. Directly after exertion, the subjects rested 30 minutes in prone position. While resting, they were subjected to low-frequency magnetic fields (VIOFOR JPS device and a program using Ion Cyclotron Resonance, ICR) or to a placebo. During both the exertion and the resting period we continuously monitored the heart rate, oxygen consumption and minute ventilation of the lungs. The blood lactate concentration was assessed before every test and at 3, 5, 9, 15, and 30 minutes after exertion. Results. No significant differences were found in any of the tested variables between the group subjected to magnetic stimulation and the placebo controls. During the 30-minute rest period the rate of return of the variables to baseline values was identical in both groups. Conclusions. Magnetic stimulation of the whole body applied directly after submaximal physical effort did not significantly influence blood lactate elimination, heart rate, minute ventilation of lungs, or oxygen consumption.

Key words:
physical exertion, spirometry, gasometry
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