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.

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Cite this article: Sonia U Mulay, T. Poovishnu Devi, Vaishali Krishnat Jagtap. EFFECTIVENESS OF SHOULDER AND THORACIC MOBILITY EXERCISES ON CHEST EXPANSION AND DYSPNOEA IN MODERATE CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS. Int J Physiother Res 2017;5(2):1960-1965. DOI: 10.16965/ijpr.2017.115
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