{"id":148,"date":"2017-04-11T05:16:25","date_gmt":"2017-04-11T05:16:25","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=148"},"modified":"2017-04-11T05:16:37","modified_gmt":"2017-04-11T05:16:37","slug":"ijpr-2017-115","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-115","title":{"rendered":"IJPR.2017.115"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.5.2\/IJPR.2017.115.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol5_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 2 (April 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a01960-1965<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2017.115<\/h3>\n<h3 style=\"text-align: justify;\">EFFECTIVENESS OF SHOULDER AND THORACIC MOBILITY EXERCISES ON CHEST EXPANSION AND DYSPNOEA IN MODERATE CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS<\/h3>\n<p style=\"text-align: justify;\"><strong>Sonia U Mulay *<sup>1<\/sup>, T. Poovishnu Devi <sup>2<\/sup>, Vaishali Krishnat Jagtap <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\">Krishna College of Physiotherapy, KIMSDU, Karad, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence: <\/strong>Sonia U Mulay, Krishna College of Physiotherapy, KIMSDU, Karad, Satara, Maharashtra, India.<strong> E-Mail: <\/strong>mulay.sonia5551@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods:<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Result and Discussion: <\/strong>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&lt;0.0001), (p&lt;0.0001), (p&lt;0.0001). In MBS, there was extremely significant difference (p&lt;0.0001) in group A also there was extremely significant difference (p&lt;0.0001) in group B.<\/p>\n<p style=\"text-align: justify;\">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&lt;0.0001), (p&lt;0.0001), (p&lt;0.0001) between group A and B. In MBS, post value (p&lt;0.0001) was extremely significant between group A and B.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>Hence, It was concluded that shoulder and thoracic mobility exercises were more effective in improving chest expansion and reducing dyspnoea in COPD patients.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS: <\/strong>Chronic obstructive pulmonary disease, Breathlessness, Modified Borg scale, Chest expansion, Shoulder and thoracic mobility exercises.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>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<\/li>\n<li>Ganesan Kathiresan, Senthil Kumar Jeyaram , Jayachandra Jaganathan. Effect of upper extremity exercises in people with COPD. J Thorac Dis 200. 2ISSN: 2072-1439.<\/li>\n<li>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.<\/li>\n<li>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.<\/li>\n<li>Bellemare , F Grassino,A. Force reverse of the diaphragm in patients with COPD.J Appl.Physiol., 1983;55:8-15.<\/li>\n<li>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.<\/li>\n<li>Lisa Hopp PhD, RN, Jane Walker, PhD, RN. Effectiveness of Arm Exercise on Dyspnea in patients with Chronic Obstructive Pulmonary Disease: A Systemic Review.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> 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\u00a0Res 2017;5(2):1960-1965. DOI: 10.16965\/ijpr.2017.115 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 2 (April 2017) Page No.:\u00a01960-1965 DOI:\u00a0https:\/\/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<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-115\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-148","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/148"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=148"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/148\/revisions"}],"predecessor-version":[{"id":149,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/148\/revisions\/149"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}