EFFECT OF DIAPHRAGMATIC STIMULATION WITH BREATHING EXERCISES ON CLINICAL OUTCOMES AMONG PATIENTS WITH RESPIRATORY DYSFUNCTION
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Keywords
Diaphragmatic stimulation, oximeter, oxygen saturation, dyspnea, breathing rate, spirometry, Asthma, COPD, breathlessness, physiotherapy
Abstract
Asthma and COPD are the most common chronic respiratory diseases among respiratory dysfunction in the world characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath. Asthma is clinically classified according to the frequency of symptoms; it has a complex heterogeneity with many clinical phenotypes whose varying expression depends on interplay between numerous environmental factors along with many different susceptibility genes. In COPD lungs cab be damaged due to phlegm with symptoms cough with phlegm, difficult breathing and tiredness. The aim of conducting this research is to find out the effectiveness of diaphragmetic stimulation with breathing exercises on clinical outcomes among patients with respiratory dysfunction. We selected 30 patients with respiratory dysfunction due to asthma and COPD. The participants were selected on the basis of inclusion criteria. Informed consent was taken before the start of exercises. Pulse oximeter was used to assess oxygen saturation values and respiratory rate, MRC dyspnea scale was used to find out the grade of breathlessness and Spirometer was used to find the values of spirometry variables like FVC, FEV1, PEF, FEF respectively. Patients received treatment for 4 weeks, diaphragm stimulation Technique 5 repetitions each for 4 seconds duration 3 times a week for 4 weeks, 2 times a week for subsequent weeks and measurement taken at 6th week. By using paired t test analysis that there is a statistically significant improvement p< 0.05 in oxygen saturation rate and respiratory rate. Findings show that there is marked improvement in respiratory Outcomes after 6 weeks of performing diaphragmatic stimulation with breathing exercises exhibit the p-value<0.05 which is highly significant. According to statistics, we find out that the oxygen saturation has improved with the mean value of – 1.900 and standard deviation of 1.094. FVC with the mean value of -.5634 and standard deviation of .66365. All respiratory variables are highly significant with the p-value<0.05. it is concluded that diaphragmetic stimulation shown to be effective in clinical outcomes among patients with respiratory dysfunction
References
2. Jones, T. L., Neville, D. M., & Chauhan, A. J. (2018). Diagnosis and treatment of severe asthma: a phenotype-based approach. Clinical Medicine, 18(Suppl 2), s36
3. Shilpa, J. (2019). Patel and Stephen J. Asthma. Pediatrics in Review, 40(11), 549-567.
4. Ding, S., & Zhong, C. (2020). Exercise and asthma. Physical Exercise for Human Health, 369-380
5. Korshøj, M., Lidegaard, M., Skotte, J. H., Krustrup, P., Krause, N., Søgaard, K., & Holtermann, A. (2015). Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scandinavian journal of work, environment & health, 140-152.
6. Kaminsky, L. A., Imboden, M. T., Arena, R., & Myers, J. (2017, February). Reference standards for cardiorespiratory fitness measured with cardiopulmonary exercise testing using cycle ergometry: data from the Fitness Registry and the Importance of Exercise National Database (FRIEND) registry. In Mayo Clinic Proceedings (Vol. 92, No. 2, pp. 228-233). Elsevier
7. Raghuveer, G., Hartz, J., Lubans, D. R., Takken, T., Wiltz, J. L., Mietus-Snyder, M., ... & American Heart Association Young Hearts Athero, Hypertension and Obesity in the Young Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in the Young. (2020). Cardiorespiratory fitness in youth: an important marker of health: a scientific statement from the American heart association. Circulation, 142(7), e101-e118.
8. Korshøj, M., Lidegaard, M., Skotte, J. H., Krustrup, P., Krause, N., Søgaard, K., & Holtermann, A. (2015). Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scandinavian journal of work, environment & health, 140-152.
9. Santuz P., Baraldi E., Filippone M., Zacchello F.(1997). Exercise performance in children with asthma: is it different from that of healthy controls? Eur Respir J. 10(6): 1254-60.
10. Pianosi P.T., Davis H.S. (2004). Determinants of physical fitness in children with asthma. Pediatrics. 113(3 Pt 1): 225-9.
11. 11.Alfaro V., Torras R., Prats M.T., Palacios L., Ibáñez J. (1996). Improvement in exercise tolerance and spirometric values in stable chronic obstructive pulmonary disease patients after an individualized outpatient rehabilitation programme. J Sports Med Phys Fitness. 36(3): 195-203.
12. 12.Hallstrand T.S., Bates P.W., Schoene R.B. (2000). Aerobic conditioning in mild asthma decreases the hyperpnea of exercise and improves exercise and ventilatory capacity. Chest. 118(5): 1460-9.
13. 13.Fesharaki M, Omolbanin Paknejad SMJ, Kordi R. (2010). The effects of aerobic and strength exercises on pulmonary function tests and quality of life in asthmatic patients. Tehran University Medical Journal. 68(6): 348-354.
14. 14.Emtner M, Herala M, Stålenheim G. (1996). Highintensity physical training in adults with asthma. A 10-week rehabilitation program. Chest. 109(2): 323-30.
15. 15.Yong MS, Lee HY, Lee YS. Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults. Journal of physical therapy science. 2017;29(1):85-7
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Ramiza khalid
College of Physical Therapy, Government College University Faisalabad
Prof dr Syed Asadullaha Arsalan
Department of Physical therapy, Riphah International University, Lahore
Prof Dr Hamayun zafar PT, PhD
Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
Prof Dr Ashfaq Ahmad
Professor of Physical therapy, University Institute of Physical therapy, Faculty of Allied Health Sciences, University of Lahore
Prof Dr Amir Gillani
Rector, Ibadat International University, Islamabad
Prof Dr Asif Haneef
University Institute of Public Health, University of Lahore