EVALUATING THE SYNERGISTIC IMPACT OF DIAPHRAGMATIC STIMULATION AND BREATHING EXERCISES ON QUALITY OF LIFE IN RESPIRATORY DYSFUNCTION: A RANDOMIZED CONTROL TRIAL
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Keywords
Respiratory dysfunction, Diaphragmatic stimulation, Breathing exercises, Respiratory rate, Chest wall kinematics, Quality of life
Abstract
Background: Respiratory dysfunctions are the diseases or disorders like Asthma, emphysema, bronchitis, lung cancer, pulmonary hypertension, COPD and tuberculosis and recently COVID19. If they left untreated, they might be fatal and causes respiratory failure and eventually death occurs. Respiratory diseases are mainly occurs due to environmental factors and/or social behaviors that lead to lung inflammation. Among respiratory dysfunctions Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing Improving the working environment and early intervention can decrease the progression of disease. Exercises can decrease the severity of symptoms in patients with respiratory dysfunction. It can be treated by non-pharmacological and effective physiotherapy interventions like pulmonary rehabilitation. diaphragmatic stimulation and breathing exercises has shown the effective results on patients with respiratory dysfunction. Objective: This study is aimed to see the effects of diaphragmatic stimulation with breathing exercises on respiratory rate, chest wall mobility and quality of life in respiratory dysfunction individuals.
Material and methods: A single blind randomized control trial was done on 204 participants of age between 40-60 years. The participants were selected on the basis of inclusion criteria. Informed consent was taken before the start of exercise. Pulse oximeter was used to assess respiratory rate values, chest kinematics was measured by measuring tape, quality of life by for quality of life respiratory illness questionnaire was used respectively. SPSS (version 23) was used for statistical analysis.
Results: Findings show that there is marked improvement in quality of life and respiratory biomechamics. Outcomes after 6 weeks of performing interventions with the p-value <0.001which is highly significant.
Conclusion: The findings revealed that diaphragmatic stimulation, particularly when combined with breathing exercises, significantly improved respiratory rate chest wall mobility and quality of life of individuals with respiratory dysfunction
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Ramiza Khalid
University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Pakistan
Prof dr Syed Asadullah Arslan
Department of Physical therapy, Riphah International University, Lahore, Pakistan
Prof Dr Hamayun Zafar
Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
Prof Dr Ashfaq Ahmad
University Institute of Physical therapy, Faculty of Allied Health Sciences, The University of Lahore, Pakistan
Prof Dr Amir Gillani
Ibadat International University, Islamabad, Pakistan
Prof Dr Asif Haneef
University Institute of Public Health, The University of Lahore, Pakistan