Publication details
Efekt respirační fyzioterapie a tréninku nádechových svalů u nemocných s těžkým stupněm chronické obstrukční plicní nemoci
| Title in English | The effect of respiratory physiotherapy and inspiratory muscle training in patients with severe chronic obstructive pulmonary disease |
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| Authors | |
| Year of publication | 2013 |
| Type | Conference abstract |
| MU Faculty or unit | |
| Citation | |
| Description | The main aim of rehabilitation in patients with chronic lung disease is improving of exercise tolerance. An important aspect of the success of this therapy is to reduce the subjective perception of dyspnea and the quality of life in all its components. Objective: The aim of the present study was to evaluate the 12th the effect of weekly physiotherapy and inspiratory muscle training in patients with severe chronic obstructive pulmonary disease (COPD IV. according to GOLD) to ventilation and strenght parameters and the degree of dyspnea in daily activities questionnaire London Chest Activity of Daily Living scale (LCADL). Material and Methods: The study included 23 patients (63.83; SD 5.41 years) with severe chronic obstructive pulmonary disease on the basis of indications pulmonologist for individual respiratory physiotherapy. Patients underwent a 2 week outpatient program RF (soft tissue techniques, training ACBT, PLB, exercises to increase mobility chest and activate the deep stabilizing system of the spine) and home inspiratory muscle training (2x daily 15 to 30 minutes) for the 12th weeks. Results: In patients who undergo individual respiratory therapy training and inspiratory muscle no significant changes in ventilatory parameters, FVC reached the limit of significance (p = 0.052), the strength parameter Pimax there was a significant difference (before RF 5.16 kPa, the RF 6 , 35 kPa, P = 0.007). Value respiratory capacity P0.1/PImax coming along physiotherapy to the borderline of significance (before RF 9.35%, the RF 9.17%, p = 0,07). Evaluation questionnaire LCADL the domain itself is expressed care trend reduction in dyspnea (p = 0,06). Conclusion: The results suggest that the RF outpatient program led to a significant increase in inspiratory muscle strength, indicating a trend improvement in FVC and reduce dyspnea in the domain itself LCADL care questionnaire in patients with severe chronic obstructive pulmonary disease. |