The Effects of Respiratory Physiotherapy in Pneumological Patients
Abstract
Introduction: Respiratory physiotherapy includes rehabilitation techniques such as percussions, vibrations, postural drainage, autogenic drainage, ETGOL, Huffing & Puffing. The treatment protocol is used in patients with pulmonary disease, intensive therapy, cardiopathy, neurological diseases and damage to the locomotor apparatus, which change the rhythm and the respiratory balance. Objective: The main objective of the study is to identify the effects of respiratory physiotherapy in patients with pneumological problems in enhancing vital capacity and improving the patient's overall condition. Methodology: The study is a prospective, experimental type, realised over a six-month period from January to June 2017 at the Vlora Regional Hospital and Fizio Life Clinic with 40 patients in the pneumology and pediatric ward. Treated diseases include bronchial asthma, bronchitis and pneumonia. The rehabilitation protocol used is the postural and autogenic drainage techniques 2 times a day for 20 minutes; and 30 minutes Huffing & Puffing for children. The measurement is used with spirometry for vital capacity and BORG scale for dispnea. Results: Of the patients studied, the most affected are children 50% of the cases, and the highest prevalence is in males with 60% of cases. After physiotherapy, respiratory frequency normalization, increased vital capacity, and reduction of hospital stay were observed. Conclusions: Postural and autogenic drainage regulate the respiratory cycle, improve ventilation, aspirate secretions, and normalize the general condition of the patient. Huffing & Puffing techniques are ideal in treating pediatric patients with pulmonary problems.
Keywords:respiratory physiotherapy, postural drainage, pneumology.
References
McConnell, A. Inspiratory muscle training: history and putative mechanisms. Frontiers in Sport and Exercise Science and Medicine Seminar on inspiratory muscle training, Centre for Sports Medicine and Human Performance, Brunel University, April 2013
McConnell, A. Implementing respiratory muscle training. Chapter 6 in: Respiratory Muscle Training: Theory and Practice. Elsevier, 2013.
McConnell, A. Methods of respiratory muscle training. Chapter 5 in: Respiratory Muscle Training: Theory and Practice. Elsevier, 2013.
Thomson A, Skinner A, Piercy J. Tidy's Physiotherapy. 12th edition.Butterworth Heinemann publication.
Larner, E., Galey, P. Active cycle of breathing technique. Available from: http://www.nnuh.nhs.uk/docs%5Cdocuments%5C580.pdf (accessed 20 Oct 2013).
"Measuring Physical Activity Intensity". CDC.
Internal Medicine Journal, “Improvements in outcomes for chronic obstructive pulmonary disease (COPD) attributable to a hospital‐based respiratory rehabilitation programme” P. Young M. Dewse W. Fergusson J. Kolbe
Derliz Mereles et.al. "Exercise and Respiratory Training Improve Exercise Capacity and Quality of Life in Patients With Severe Chronic Pulmonary Hypertension"
Zamunér, A.R., et. al. “Assessment of Subjective Perceived Exertion at the Anaerobic Threshold with the Borg CR-10 Scale”, 2011
Eleanor, M., Rosemary, C., & Di Newham, J.S. "Respiratory physiotherapy vs. suction: the effects on respiratory function in ventilated infants and children", 2004
Stena, R. (2017). The Efficacy of TENS in Hemiplegic Patients. International Journal of Medicine & Healthcare, 2(2), 1-7.
Duma, F. H., Sofijanova, A., Stamatova, A., Avramovska, V. S., Bojadzieva, S., & Angelkova, N. (2017). Surgical Treatment of a Seven-Year-Old Boy with Refractory Epilepsy Due to Focal Cortical Dysplasia, Case Report. International Journal of Medicine & Healthcare, 2(1), 9-16.
Boçi, B., Thomai, K., Sinani, R., & Ballomas, I. (2017). Tumors of Parotid Gland in Albania, 10 Year Study Results. International Journal of Medicine & Healthcare, 2(1), 17-22.
Topi, S., Koduzi, G., & Hidri, S. (2017). Healthcare Workforce Motivation as Crucial Element of Healthcare Reform Success. International Journal of Medicine & Healthcare, 2(1), 23-26.
Vuçitërna, A., Bejiqi, R., Maloku, A., Sadiki, A., Shehu, K., Vuçitërna, B., ... & Dobra, D. (2017). Pediatric Age-Headaches in our Clinical Experience. International Journal of Medicine & Healthcare, 2(1), 27-30.
Vuçitërna, B., Shehu, K., Sadiki, A., Maloku, A., & Aliu, F. (2017). The Nurses Role in Palliative Care with Children in Severe Health Conditions. International Journal of Medicine & Healthcare, 2(1), 31-34.
Mustaqe, P., Sinani, L., & Haxhiaj, F. (2017). Limbs' Simple and Combined Arterial Traumas. International Journal of Medicine & Healthcare, 1(1), 9-11.
Vuçitërna, A., Vuçitërna, A., Aliu, F., Hoxha, B., Maloku, A., & Thaqi, A. (2017). Management and Evaluation of Patient Satisfaction to Health Care in the Pediatric Clinic of the University Clinical Center of Kosovo. International Journal of Medicine & Healthcare, 1(1), 12-14.
Vuçitërna, A., Idrizaj, A., Bejiqi, R., Azemi, M., Zeka, N., Gerguri, A., ... & Shema, A. (2017). The Link between Genetic Factors in Children with Febrile Convulsions Appearance. International Journal of Medicine & Healthcare, 1(1), 15-17.
Thaqi, A., Vuçitërna, A., Dragusha, A., Shehu, K., Dragusha, K., & Venhari, A. (2017). Pharmacist Role in Pharmacotherapy Counseling, a Necessary Obligation–Our Experience. International Journal of Medicine & Healthcare, 1(1), 18-20.
Vuçitërna, A., Kraja, E., Bardhi, N., Rugova, N., Sadiki, A., Thaqi, A., ... & Shema, A. (2017). Brain Ultrasound as a Diagnostic and Follow up Method of Lateral Ventricle Dilatation in Hospitalised Children at the Neurology Department–Pediatric Clinic. International Journal of Medicine & Healthcare, 1(1), 21-23.
Kraja, E., Bardhi, N., Vuçitërna, A., & Kutllovci, F. (2017). The Role of Psychology in Children with Epilepsy and the Impact of the Disease in the Daily Lives of these Children-Psychological Therapy a Screening Obligatory Method-Our Clinical Experience. International Journal of Medicine & Healthcare, 1(1), 24-26.
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