EFFECTIVENESS OF CHEST PHYSIOTHERAPY IN THE MANAGEMENT OF BRONCHIECTASIS
Physical Therapy Abstract
Bronchiectasis is a chronic disease in which clearance of sputum is disturbed because bronchi dilated perma-nently.1 So for the clearance of sputum we have to use physiotherapy techniques such as postural drainage percussion and vibration (PDPV), active cycle of brea-thing technique (ACBT), autogenic drainage, positive expiratory pressure, high frequency chest wall oscilla-tion.2
Objective: To determine the role of Chest Physical therapy intervention in the management of Bronchi-ectasis. To compare the prognosis of bronchiectasis with and without chest physiotherapy.
Methodology: Data was collected from Gulab Devi Chest Hospital, Lahore. A Randomized Control Trial (RCT) study method was used and 60 patients are stu-died. In this study, they were divided into 03 groups 1-Antibiotics Therapy 2-Chest Physical therapy 3-Anti- biotics and Chest Physical therapy. Each group consis-
Head of Department Gulab Daivi Institute of Physiotherapy, Lahore
Assistant Professor, Riphah College of Rehabilitation Sciences, Riphah International University, Lahore - Pakistan
Lecturer, Riphah College of Rehabilitation Sciences, Riphah International University, Lahore - Pakistan
ted of 20 patients. Patients are assessed on detailed questionnaire prepared for this purpose and on avai-lable medical record of Peek expiratory flow rate (PE-FR), and Modified Borg's Dyspnea scale, Sputum Quantity, Breath Sounds and SpO2 is used for scoring. Then these patients undergone through intensive chest physiotherapy in the department and regular follow up visits to department and a final assessment was made at the end of four weeks by using same questionnaire and resulting improvement was shown in results after completion.
Results: ANOVA and Post hoc test was used to ana-lyze the study hypothesis. It was observed that combi-ned effect of Antibiotic therapy and Chest Physical Therapy had significant effect on airway clearance, reduced recurrence and improvement in dyspnea, bre-ath sounds, PEFR, reduction in sputum quantity and improvement in SpO2.(P-value < 0.05).
Conclusion and Recommendation: These findings suggest that the combination of Chest Physical The-rapy along with Antibiotics Therapy is more effective than Chest or Antibiotics Therapy alone in the Rehabilitation of patients with Bronchiec-tasis. It is strongly recommended that Chest Physical Therapy should be available in all hospitals.
Key words: Bronchiectasis, Chest Physical Therapy (CPT), Modified Borg's Dyspnea scale, postural drai-nage percussion vibration (PDPV).
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