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VOLUME 12 , ISSUE 2 ( April-June, 2019 ) > List of Articles

Original Article

Effectiveness of Localized Basal Expansion Technique vs Chest Manipulation Technique on Improving Respiratory Status among Patients with Lower Respiratory Tract Disorders at MGMCRI, Puducherry: A Comparative Study

Ariraman Praimathi, Surendran Raju, K Renuka

Keywords : Chest manipulation technique, Localized basal expansion technique, Lower respiratory tract disorders, Respiratory status

Citation Information : Praimathi A, Raju S, Renuka K. Effectiveness of Localized Basal Expansion Technique vs Chest Manipulation Technique on Improving Respiratory Status among Patients with Lower Respiratory Tract Disorders at MGMCRI, Puducherry: A Comparative Study. 2019; 12 (2):38-41.

DOI: 10.5005/jp-journals-10084-12113

License: CC BY-NC 4.0

Published Online: 28-07-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Oxygen is very much important for the human body. Oxygen plays a vital role in breathing processes and in the metabolism of the living organism. The primary purpose of respiratory system is gas exchange which involves the transfer of oxygen and carbon dioxide that are passively exchanged by a diffusion process between the gaseous external environment and the blood. The exchange processes occurs in the alveolar region of the lungs. The respiratory system enables to produce energy by supplying the body with a continuous oxygen supply. It is also responsible for eliminating carbon dioxide, which is an end product of cell metabolism, whereas oxygen is necessary for human respiration. Materials and methods: A quantitative research approach was used for this study. The research design used for this study is an experimental research design. This study was conducted in MGMCRI, Puducherry. The population of this study was 60 (30 local basal expansion technique and 30 chest manipulation technique) and was selected by using a simple random sampling technique (randomization with lottery method). The data were collected through a structured questionnaire consisting of part A and part B. Part A consists of sociodemographic data, and part B consists of rating scale to assess the respiratory status. Results: Discussion on the finding was arranged based on the objective of this study. This study revealed that out of 30 samples, 23 (76.6%) of them had poor respiratory status, 7 (23.3%) of them had very poor respiratory status, and none of them had good respiratory status in pretest, whereas in posttest, 19 (63.3%) of them were in good respiratory status, 11 (36.6%) of them were in poor respiratory status, and none of them were in very poor respiratory status for the localized basal expansion technique. This finding revealed that out of 30 samples, 21 (70%) of them had poor respiratory status, 9 (30%) of them had very poor respiratory status, and none of them had good respiratory status in pretest, whereas in posttest, 26 (86.6%) of them were in good respiratory status, 4 (13.3%) of them were in poor respiratory status, and none of them were in very poor respiratory status for the chest manipulation technique. Conclusion: This study implies that when compared with the localized basal expansion technique, the chest manipulation technique was effective in improving the respiratory status among patients with respiratory disorders.


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  1. Dechman G, Wilson CR. A study on the efficiency of pursed lip breathing and diaphragmatic breathing in the rehabilitation of people with COPD; 2005;84(12):1189–1197.
  2. Lewis SL, Heitkemper MM, Dirksen SR, OBrien PG, Bucher L. Medical surgical nursing 7th ed., Philadelphia: Mosby Elsevier Publications; 2006.
  3. Onodera A, Yazaki K. Effects of a short-term pulmonary rehabilitation program on patients with chronic respiratory failure due to pulmonary emphysema. Nihon Kokyuki Gakkai Zasshi 1998;36(8):679–683.
  4. Polaski AL, Tatro SE. Luckmann's Core Principles and Practice of Medical Surgical Nursing. 5th ed., W. B. Saunders Company; 1996.
  5. Breslin EH. The pattern of chest wall muscle recruitment during pursed lip breathing. Nlm Catalog 1992;101(1):75–78. DOI: 10.1378/chest.101.1.75.
  6. Rhoads CS, Yoneda KY. Chronic Obstructive Lung Disease. (Online) vol. 1, 2002; pp. 112–115.
  7. Chawla K, Mukhopadhay C, Majumdar M, Bairy I. Bacteriological profile and their antibiogram from cases of acute exacerbations of chronic obstructive pulmonary disease: a hospital based study. J Clin Diagn Res 2008;2:612–616.
  8. Collins EG, Langbein WE, Fehr L, Maloney C. Breathing pattern retaining and exercises training and exercise training in patients with chronic obstructive pulmonary pulmonary diseases. J Respir Med 2008;98(13):1234–1240.
  9. Ignatavicius DD, Linda Workman M, Mishler MA. Medical Surgical Nursing. W.B. Saunders Company; 1995.
  10. American Lung Association of Minnesota Report: COPD Hospitalizations on the Rise Across State. 2008. COPD Statistics; 2008 (online).
  11. Scanlon PD, Connet JE, Waller LA, Altose MD, Bailey WC, Sonia Buist A, et al. A study on smoking cessation and lung function in mild-to-moderate chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2000;161(2):381–390. DOI: 10.1164/ajrccm.161.2. 9901044.
  12. Perry P. Basic nursing – essentials for practice. 5th ed., St Louis: Mosby-Elsevier; 2003.
  13. Pulmonary and critical care bulletin. Chronic obstructive lung disease (online). vol. VIII, No. 4, October 15, 2002.
  14. Ritz T, Roth WT. Behavioral interventions in asthma. Breathing training. Behav Modif 2003;27(5):710–730.
  15. Spahija J, Marchie M, Grassino A. Effects of imposed pursed lips breathing on respiratory mechanics and dypsnea at rest and during exercise in COPD. Chest J 2005;128(2):640–650. DOI: 10.1378/chest.128.2.640.
  16. Langer D, Ciavaglia C, Faisal A, Webb KA, Neder JA, Gosselink R, et al. Types of exercise breathing retraining and inspiratory muscle. J Physio 2007;101(2):225–232.
  17. Zhang ZQ, Chen RC, Yang QK, Li P, Wang CZ, Zhang ZH, et al. The effect of pulmonary rehabilitation with respiratory physiologyzhongguo. Wei thong bingjijiu xue 2008;20(10):607.
  18. Wedzicha JC, Paul EA, Garrod R, Garnham R, Paul EA, Jones PW. Randomized controlled trial of pulmonary rehabilitation in severe chronic obstructive pulmonary disease patients, stratified with the MRC dyspnoea scale. Eur Respir J 1999;54(3):581–586. DOI: 10.1136/thx.54.3.242.
  19. Jones P, Calverley P, Larsson T. St George's Respiratory Questionnaire (SGRQ) scores may help identify COPD patients at increased risk of death over 1 year. Fifth International Multidisciplinary Conference on Chronic Obstructive Pulmonary Disease (COPD5), Birmingham, UK; 2006.
  20. Bausewein C, Farquhar M, Booth S, Gysels M, Higginson IJ. Measurement of breathlessness in advanced disease: a systematic review. Respir Med 2007;101(3):3339–3410. DOI: 10.1016/j.rmed.2006.07.003.
  21. Cross J, Elender F, Barton G, Clark A, Shepstone L, Blyth A, et al. A randomised controlled equivalence trial to determine the effectiveness and cost-utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX). Health Technol Assess 2010;14(23):1–147. DOI: 10.3310/hta14230.
  22. McCool FD, Rosen MJ. Nonpharmacologic airway clearance therapies ACCP evidence-based clinical practice guidelines. Chest 2006;129(Suppl 1):250S–259S. DOI: 10.1378/chest.129.1_suppl.250S.
  23. Tydeman DE, Cross JL. Respiratory physiotherapy manual techniques: review of the literature. Physiotherapy 2001;87(11):603. DOI: 10.1016/S0031-9406(05)61134-0.
  24. Fruchter O. Predictors of long-term survival in elderly patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease. Respirology 2008;13(6):851–855. DOI: 10.1111/j.1440-1843.2008.01367.
  25. Bernard-Narbonne F, Daoud P, Castaing H, Rousset A. Effectiveness of chest physiotherapy in ventilated children with acute bronchiolitis [article in French]. Arch Pediatr 2003;10(12):1043–1047. DOI: 10.1016/j.arcped.2003.09.033.
  26. Greenberg-Dotan S, Reuveni H, Tal A, Oksenberg A, Cohen A, Shaya FT, et al. Increased prevalence of obstructive lung disease in patients with obstructive sleep apnea. 2014;18(1):69–75. DOI: 10.1007/s11325-013-0850-3.
  27. Button BM, Heine RG, Catto-Smith AG, Phelan PD, Olinsky A. Postural drainage and gastro-oesophageal reflux in infants with cystic fibrosis. Arch Dis Child 1997;76(2):148–150. DOI: 10.1136/adc.76.2.148.
  28. Nicholas KJ, Dhouieb MO, Marshall TG, Edmunds AT, Grant MB. An evaluation of chest physiotherapy in the management of acute bronchiolitis. Physiotherapy 1999;85(12):669–674. DOI: 10.1016/S0031-9406(05)61230-8.
  29. Mayordomo-Colunga J, Medina A, Rey C, Díaz JJ, Concha A, Los Arcos M, et al. Predictive factors of non invasive ventilation failure in critically ill children: a prospective epidemiological study. Intensive Care Med 2009;35(3):527–536. DOI: 10.1007/s00134-008-1346-7.
  30. Ntoumenopoulos G, Gild A, Cooper DJ. The effect of manual lung hyperinflation and postural drainage on pulmonary complications in mechanically ventilated trauma patients. Anaesth Intensive Care 1998;26(5):492–496. DOI: 10.1177/0310057X9802600503.
  31. Clini EM, Antoni FD, Vitacca M, Crisafulli E, Paneroni M, Chezzi-Silva S, et al. Intrapulmonary percussive ventilation in tracheostomized patients: a randomized controlled trial. Intensive Care Med 2006;32(12):1994–2001. DOI: 10.1007/s00134-006-0427-8.
  32. Magill SS, Klompas M, Balk R, Burns SM, Deutschman CS, Diekema D, et al. Developing a new, national approach to surveillance for ventilator-associated events*. Crit Care Med 2013;41(11):2467–2475. DOI: 10.1097/CCM.0b013e3182a262db.
  33. Paulus F, Binnekade JM, Vroom MB, Schultz MJ. Benefits and risks of manual hyperinflation in intubated and mechanically ventilated intensive care unit patients: a systematic review. Crit Care 2012;16(4):R145. DOI: 10.1186/cc11457.
  34. Kallet RH. Adjunct therapies during mechanical ventilation: airway clearance techniques, therapeutic aerosols, and gases. Respir Care 2013;58(6):1053–1073. DOI: 10.4187/respcare.02217.
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