Tag: Nesreen G. El- Nahas

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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Lung Boost Training Effect on Ventilatory Functions in Choral Singers: A Randomized Controlled Trial

Rasha M. El-Marakby, Awny F. Rahmy, Mohamed M. El Batanoni, Nesreen G. El-Nahas

Rasha M. El-Marakby, Awny F. Rahmy, Mohamed M. El Batanoni, Nesreen G. El-Nahas – Lung Boost Training Effect on Ventilatory Functions in Choral Singers: A Randomized Controlled Trial. Fizjoterapia Polska 2021; 21(3); 144-149

Abstract
Background and Purpose. Despite the well-known benefits of Breathing Exercise on ventilatory functions in singers, none of the former studies had evaluated the impact of Lung Boost on ventilatory functions in choral singers. Therefore, the aim of this study was to conduct the effect of lung boost as a respiratory muscle trainer on selected ventilatory function in choral singers.  Materials and Methods. Sixty subjects of both sexes 36 female and 24 male with age ranged from 10-20 years old participated in this study in two groups A and B chosen from Qasr Al-Thaqafa in Fayoum city, all of them received traditional exercise program which includes deep breathing exercise in form of diaphragmatic, nose breathing exercises and exercise with respiration using upper limbs; thirty subjects in group A received respiratory muscle training by Lung Boost plus the traditional exercise program for 10 weeks 3 sessions per week. Ventilatory functions were measured (Forced Expiratory Volume in one second (FEV1), Forced Expiratory Volume in six second (FEV6), ratio of FEV1/FEV6 and Maximal Voluntary Ventilation (MVV)) at the beginning of the study and after 10 weeks.  Results. Comparing both groups percent of change revealed that there were statistically significant increases in FEV1, FEV6, FEV1/FEV6, MVV (p < 0.05) in favour of group (A).  Conclusion. The conjugation of lung Boost with traditional chest physical therapy program improved the ventilatory functions in choral singers.
Key words:
Choral singers, Ventilatory functions, Lung Boost
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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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Effect of Ultrabreathe Training on Pulmonary Functions in Patients with Chronic Bronchitis

Shimaa S. Mahmoud, Nesreen G. El-Nahas, Samir El Gazar, Moheb W. El Faizy

Shimaa S. Mahmoud, Nesreen G. El-Nahas, Samir El Gazar, Moheb W. El Faizy – Effect of Ultrabreathe Training on Pulmonary Functions in Patients with Chronic Bronchitis. Fizjoterapia Polska 2021; 21(1); 74-79

Abstract
Purpose. To investigate the effect of ultrabreathe training on pulmonary functions in patients with chronic bronchitis.
Methods. Randomized controlled trial. Sixty men patients, aged from 50-60 years old, having moderate chronic bronchitis based on GOLD standard 2020, were randomized into 2 equal groups. Group (A) received ultrabreathe training plus traditional chest physiotherapy for 4 weeks, while group (B) received only the same traditional chest physiotherapy for 4 weeks. All subjects in both groups were evaluated before and after training for ventilatory functions (forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and the ratio between forced expiratory volume in one second to forced vital capacity (FEV1/FVC), dyspnea scale and shuttle test.
Results. Comparing both groups post training revealed that there were statistically significant increases in FEV1, FVC and shuttle test (p < 0.05) in favour of group (A), while there were statistically non-significant differences regarding FEV1/FVC and dyspnea scale (p > 0.05).
Conclusion. The conjugation of ultrabreathe with traditional chest physical therapy program improved the ventilatory functions, dyspnea and functional capacity in chronic bronchitis patients.
Key words:
chronic bronchitis, pulmonary function, ultrabreathe, shuttle test
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Effect of Inspiratory Muscle Trainer on Selected Pulmonary Function Testing in Patients Post Liver Transplantation

Noha M. Kassem, Nesreen G. El- Nahas, Azza A. Abdel Hady, Hazem A. Mohsen

Noha M. Kassem, Nesreen G. El- Nahas, Azza A. Abdel Hady, Hazem A. Mohsen – Effect of Inspiratory Muscle Trainer on Selected Pulmonary Function Testing in Patients Post Liver Transplantation. Fizjoterapia Polska 2020; 20(2); 88-93

Abstract
Purpose. This study was conducted to determine the effect of inspiratory trainer on selected pulmonary function testing specially (DLCO) in patients post liver transplantation. Subjects. Thirty-three patients of both sexes (10 women and 23 men) with age ranged from 35-45 years post liver transplantation surgery participated in this study, received inspiratory muscle training by IMT plus traditional physical therapy program which include deep breathing exercise in form of diaphragmatic, apical and costal breathing, training about right way of cough and early ambulation from bed twice daily for 4 weeks. Blood gases were measured (pH, PaO2, PaCO2, HCO3 , DLCO/ HCO3, Blood lactate and Base excess) at the beginning of the study and after 4 weeks. Results. The results of the present study showed that inspiratory muscle trainer has a significant effect on some parameters of the measured blood gases post liver transplantation, showed in significant decrease of HCO3 by 18.27%, lactate level by 26.14% and increased DLCO by 6.5%. While the other parameters showed non-significant results appeared in a percentage of change of PaO2 by 3.5%, PaCO2 by 4.52%, pH by 0.14% and Bx by 11.32%, after training. Conclusion. Inspiratory muscle training is an effective modality added to traditional physical therapy methods post liver transplantation, as an attempt to modulate the diffusion capacity, which considered an important transfer factor for this important operation.

Key words:
Liver transplantation, Blood gases, Diffusion capacity, inspiratory trainer

 

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