IJPR.2017.115
Type of Article: Original Research
Volume 5; Issue 2 (April 2017)
Page No.: 1960-1965
DOI: https://dx.doi.org/10.16965/ijpr.2017.115
EFFECTIVENESS OF SHOULDER AND THORACIC MOBILITY EXERCISES ON CHEST EXPANSION AND DYSPNOEA IN MODERATE CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS
Sonia U Mulay *1, T. Poovishnu Devi 2, Vaishali Krishnat Jagtap 3.
Krishna College of Physiotherapy, KIMSDU, Karad, India.
Address for Correspondence: Sonia U Mulay, Krishna College of Physiotherapy, KIMSDU, Karad, Satara, Maharashtra, India. E-Mail: mulay.sonia5551@gmail.com
ABSTRACT
Background: Chronic obstructive pulmonary disease (COPD) is characterized by acute exacerbation causing breathlessness, cough and reduced chest expansion. COPD is a currently the fourth leading cause of death in the world. In COPD, expiratory airflow is limited due to obstruction, leading to air trapping and hyperinflation.
Materials and Methods: It was an experimental study carried out at the pulmonology department of Krishna hospital, Karad. A total of 40 subjects were selected by convenient sampling and they were randomly allocated into two groups .Group A received conventional chest physiotherapy and Group B received shoulder and thoracic mobility exercises along with conventional chest physiotherapy. Treatment duration was 30 minutes/session, twice daily for three days. The outcome measures were chest expansion using inch tape and Modified Borg Scale (MBS) for dyspnoea.
Result and Discussion: Paired t test and wilcoxon matched pairs test was used to analyze the effect within the groups. There was significant difference for chest expansion at 3 levels in group A (p=0.0286), (p=0.0358), (p =0.0298) and extremely significant difference in group B (p<0.0001), (p<0.0001), (p<0.0001). In MBS, there was extremely significant difference (p<0.0001) in group A also there was extremely significant difference (p<0.0001) in group B.
Unpaired t test and Mann Whitney test was used to analyse the effect between the groups. There was extremely significant difference for chest expansion in post values (p<0.0001), (p<0.0001), (p<0.0001) between group A and B. In MBS, post value (p<0.0001) was extremely significant between group A and B.
Conclusion: Hence, It was concluded that shoulder and thoracic mobility exercises were more effective in improving chest expansion and reducing dyspnoea in COPD patients.
KEY WORDS: Chronic obstructive pulmonary disease, Breathlessness, Modified Borg scale, Chest expansion, Shoulder and thoracic mobility exercises.
REFERENCES
- Rekha,Vijayalakshmi A,D Samuel Sundar Doss ,Vaiyapuri Anandha. Effect of home based upper extremity exercises in chronic obstructive pulmonary disease. Clinical Research 2016;8(9):1351-1355
- Ganesan Kathiresan, Senthil Kumar Jeyaram , Jayachandra Jaganathan. Effect of upper extremity exercises in people with COPD. J Thorac Dis 200. 2ISSN: 2072-1439.
- Rekha K,Shristi Rai,Vaiyapuri Anandh,Samuel Sundar Doss D. Effect of stretching respiratory accessory muscles in chronic obstructive pulmonary disease. ASIAN JORNAL OF PHARMACEUTICALS ANS CLINICAL RESEARCH 2016;9(1);2455-3891.
- Parmar Dharmesh Journal of exercise sciences and physiotherapy published by Exercise Fitness and Health Alliance JESP 2015;11(2):134-141. DOI: 10.18376/2015/v11i/67713.
- Bellemare , F Grassino,A. Force reverse of the diaphragm in patients with COPD.J Appl.Physiol., 1983;55:8-15.
- Ito M, Kakizaki F, Tsuzura Y,Yamada M. Immediate effect of respiratory muscle stretch gymnastic and diaphragmatic on respiratory pattern. Respiratory muscle Conditioning Group. Intern Med 1999;38(2):126-32.
- Lisa Hopp PhD, RN, Jane Walker, PhD, RN. Effectiveness of Arm Exercise on Dyspnea in patients with Chronic Obstructive Pulmonary Disease: A Systemic Review.
