Sone, Kuriakose (2012) Comparative analysis of upper limb and lower limb exercise training along with conventional physiotherapy in improving FeV1 and vital capacity in COPD subjects. Masters thesis, RVS College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity, mortality, and health care use. Exercise intolerance is one of the most troubling manifestations of COPD. Chronic Obstructive Pulmonary Disease (COPD) is a chronic slowly progressive disorder characterized by airflow obstruction (reduced FEV1 and FEV1/VC ratio) that does not change markedly over several months. In India a median prevalence of 5 per cent in men and 2.7 per cent in women was calculated which accounted for a total burden of 8.15 million male and 4.21 million female patients in a population of 944.5 million in 1996. NEED OF STUDY 1. This study is aimed to find out effects of upper limb exercise training in improving FEV1 and vital capacity in COPD subjects. 2. This study is aimed to find out effects of lower limb exercise training in improving FEV1 and vital capacity in COPD subjects. 3. This study used to compare the upper limb and lower limb exercise training in improving FEV1 and vital capacity in COPD subjects. METHODOLOGY: Study Design: Pre test and post test Comparative study. Group A: lower limb exercise training group along with conventional physiotherapy. Group B:upper limb exercise training group along with conventional physiotherapy. Source of Data: MAGJ Hospital, Mookkannoor, Ernakulam. Kerala. Sample and Sampling Method: 20 subjects were selected and randomly assigned in to one of the two training groups. Inclusion criteria: COPD above 45 years-60 years, Both male and female, Patients with chronic bronchitis, Patient had air flow obstruction. (FEV, FEC is < 80%). Exclusion criteria: Patients with unstable cardiac disease, Acute rib fracture, Subject not able to do PFT. Patients with TB, Pneumonia, Carcinoma of lung, Psychiatric illness. RESULTS: The number of subjects for the study were 20 (n=20). The subjects were divided in to two groups. For one group A (10 subjects) upper limb exercise training was given and for other group B (10 subjects) lower limb exercise training was given. The subjects were given training for 2 months continuously. Before starting the training pretest value is measured. The measurement was repeated after the training (post test value). Reading pre and post test value of group A and B are given in table. Thus in both groups there was significant improvement scores of FEV1 and vital capacity. When analyzing the fev1values of group A, by paired ‘t’ test the calculated t value for is 94.88 and ‘t’ table value is 4.78 at 0.001 level. Since the calculated ‘t’ value is more than ‘t’ table value, it is concluded that there is significant difference in the pre and post test values of FEV1 following upper limb training among COPD subjects. CONCLUSION: Chronic obstructive pulmonary disease defined as a usually progressive with air flow limitation that is not fully reversible and that is associated with abnormal inflammatory response of the lungs to noxious particles or gases. Physical therapy combining breathing exercise, chest Physiotherapy, are used. This study projects that both upper limb and lower limb training are effective in the treatment options in COPD. When comparing the mean value of all the group, Group A which received upper limb training showed more difference than other two group which received lower limb training. Hence we can conclude that upper limb training are more effective than lower limb training in improving FeV1among COPD patients.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.27101915 |
| Uncontrolled Keywords: | upper limb and lower limb exercise training, conventional physiotherapy, FeV1 and vital capacity, COPD subjects. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Cardio-Respiratory |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Jan 2020 01:25 |
| Last Modified: | 11 Jan 2020 01:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11773 |
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