IJPR.2021.155

Type of Article:  Original Research

Volume 9; Issue 4 (August 2021)

Page No.: 3949-3953

DOI: https://dx.doi.org/10.16965/ijpr.2021.155

Chest Mobility Exercise with Staked Breathing Versus Chest Mobility Exercises with Incentive Spirometery On Chest Expansion with Pleural Effusion Patient: A Comparative Study

Minhaj Tahir *¹, Tahzeeb Fatima ², Devendra Trivedi ³, Manjit Kumar ⁴.

^*1 Assistant Professor, Department of Physiotherapy, Rama University, Kanpur, Uttar Pradesh, India.

² Assistant Professor, Department of Physiotherapy, Rama University, Kanpur, Uttar Pradesh, India.

³ Assistant Professor, Department of Physiotherapy, Rama University, Kanpur, Uttar Pradesh, India.

⁴ Assistant Professor, Department of Physiotherapy, Rama University, Kanpur, Uttar Pradesh, India.

Corresponding Author: Dr. Minhaj Tahir, Assistant Professor, Department of Physiotherapy, Rama University, Kanpur, Uttar Pradesh, India. E-Mail: minhajtahirsmart@gmail.com

ABSTRACT

Background: Pleural effusion is one of the commonly seen respiratory conditions in India with approximately 1 million people being diagnosed each year. Twenty to forty percent of hospitalized patients with bacterial pneumonia develop pleural effusion. In India unlike western countries, tuberculosis pleura effusion is common. The pleural cavity is involved in approximately 5% of all patients with tuberculosis. Since there was no literature regarding the effectiveness chest mobility exercise with staked breathing or chest mobility exercises with incentive spirometery in pleural effusion. There was a need to find out as to which approach are the best ones to implement. Objective: To compare the efficacy of chest mobility exercise with stacked breathing versus chest mobility exercise with incentive spirometery on chest expansion in patients with pleural effusion.

Materials and Method: 20 patients with pleural effusion were selected by easy sampling and randomly assigned into two groups (10 patients each groups). Group A received chest mobility exercises and intensive spirometery and group B received chest mobility exercises and stacked breathing. Both groups were instructed to perform the intervention 3 time per day, 8 to 10 time per session for one week. Chest expansion was measured by thoracic flow cytometry before and after one week of intervention.

Result: In group A chest expansion increase from 2.68 to 2.87 which was statistically significant (P value < 0.0023). In Group B the chest expansion increases from 2.94 to 3.09 which was not statistically significant (P value < 0.216). Conclusion: It was concluded from the result that both chest mobility exercises with intensive spirometery and chest mobility exercise with stacked breathing are equally effective in improving the chest expansion in subject with pleural effusion.

Key words: Pleural effusion, Chest mobility exercises, Incentive Spirometry, Stacked breathing, Thoracic flow cytometry.

REFERENCES

[1]. Hough Alexandra 2001. Physiotherapy in respiratory care. An evidence based approach to respiratory and cardiac management 3rd ed. P.98.
[2]. Gupta A.K, berry, M. Ventriculo-peritonial shunt presenting with recurrent pleural effusion; Report a new complication. Pediatric Radiology. 1994;24(2). Dio: 10.1007/bf02020178. ISSN 030-0449. PMID 8078722. S2CID 29-16135.
[3]. Jardins, T.D., Burton, G.G. clinical manifestation and assessment of respiratory disease. 5th ed. p. 319-323.
[4]. McGrath, E.E., Anderson, P.B. Diagnosis of pleural effusion: A systematic Approach. American journal of critical care. 2001;March; 20(2).
[5]. De Menezes Lyra R. A modified outer cannula can help thoracentesis after pleural biopsy’’. Chest. 1997;112(1):296. Doi; 10.1378/ chest. 112.1.296. PMID 9228404.
[6]. Galagan et al. color atlas of body fluids.CAP press, Northfield, 2006
[7]. Light RW, Girard WM, Jenkinson SG, George RB, Parapneumonoc effusion. A.M J Med 1980; 69:507-12.
[8]. Squire, LUCY Frank; Novelline, Robert A. (2004). ‘’ Squire fundamental of radiology ‘’. Cambridge: Harvard University Press. PP. 132-3. ISBN 0-674-01279-8.
[9]. Downie, P.A. 1987.Cash’s textbook of chest, heart and vascular disorders for physiotherapy. 4th ed. P. 533.
[10]. Vikram, M., Leonard, J.H. and Kamaria, K. Chest Wall Stretching Exercise as an Adjunct Modality in Post Operative Pulmonary Management. 2012;Mar 4.
[11]. Ferreira, G.M., Haeffner, M.P, Barreto, S.S., Dall’Ago, P. Incentive spirometry with expiratory positive airways pressure brings benefits after myocardial revascularization. 2010 Feb; 94(2):230-5, 246-51, 233-8.
[12]. Baker, W.L., Lamb, V.J., Marini, J.J. Breathstacking increases the depth and duration of chest expansion by incentive spirometry. 1990 Feb; 141(2):343-6.
[13]. Agostini, P. and Singh, S. Incentive spirometry following thoracic surgery: what should we be doing? 20o9 Jun; 95(2):76-82. Epub 2009 Mar 3.
[14]. Vikram, M., Leonard, J.H. and Kamaria. Chest Wall Stretching Exercise as an Adjunct Modality in Post Operative Pulmonary Management. Mar 4.2012.
[15]. Kakizaki, F., Shibuya, M., Yamazaki, T., Yamada, M., Suzuki H. and Homma, I. Preliminary report on the effects of respiratory muscle stretch gymnastics on chest wall mobility in patients with COPD. Respir Care, 1999;44:409-14.
[16]. Milojević, M., Kuruc, V. Laser biostimulation in the treatment of pleurisy. 2003 Nov-Dec; 56(11-12):516-20.
[17]. AARC Clinical Practice Guideline; Reprinted from the December 1991 issue of Respiratory Care [Respir Care 1991;36(12):1402–1405.

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