Prenidha, M Sangma (2016) Effectiveness of PNF Techniques to Improve Chest Mobility and Pulmonary Function in COPD. Masters thesis, Nandha College of Physiotherapy, Erode.
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Abstract
INTRODUCTION: COPD is characterized by airflow obstruction that is usually progressive not fully reversible and does not change markedly over several months COPD is now the preferred term for patient with airflow obstruction like chronic bronchitis, emphysema and bronchial asthma. The common characteristic of these diseases is obstruction to air flow out of the lungs causing poor gas exchange and lack of breath control. According to both the American Thoracic Society and the European Respiratory Society, it is a disorder that is characterized by reduced maximal expiratory flow and slow forced emptying of the lungs; this limitation in airflow is only minimally reversible with bronchodilators. COPD Ranks fourth among the leading cause of death in America accounting for 123,974 deaths annually and age adjusted death rate is 43.5 deaths per 100000 populations. NEED FOR STUDY: COPD is the most common pulmonary problem that affects the normal function of an individual; there is an intensive need for pulmonary rehabilitation of those individuals. Patients with COPD have increased resistance to airflow, air trapping and hyperinflation of the lung. This contributes to breathing difficulty and reduction in ventilation and increase in heart rate, pressure & respiratory rate. Here I have incorporated the PNF technique reducing the sympathetic hyper activity in COPD patient. AIM: To analyses effectiveness of PNF technique to improve chest mobility and pulmonary function in COPD patients. OBJECTIVES: To analyze the effectiveness of PNF to improve chest mobility and pulmonary function in COPD patients. MATERIALS AND METHODS: Pillow, Couch, Arm rest chair, Stethoscope, Inch tape, Cardio respira,tory assessment chart, Recording sheet. METHODOLOGY: Study Design: This study compares pretest and post test measures. 3.2 Study Group This group consists of 15 COPD patients who will receive PNF techniques Sample Design: Purposive sampling method to select who fulfill the criteria. Study Setting: Outpatient Department,Nandha college of physiotherapy, Erode and Government Head Quarters Hospital, Erode. Study Duration: 7 months. CRITERIA FOR SAMPLE SELECTION: Inclusion Criteria: COPD patients of age 40-50, Males and females, Voluntary participation of patients, Medically stable. Exclusion Criteria: Unstable cardiovascular conditions, Age below 40 and above 50, Neuromuscular weakness, Smokers, ctures and deformities, Unstable vital signs, Non cooperative patients. RESULTS: Calculated ‘t’ values are > table value 2.02 at 5% level of significance (p<0.05),rejection of Null Hypothesis and the Alternate Hypothesis is accepted. The result obtained from statistical analysis indicates that there was an improvement in pulmonary function in COPD patients. The increase in pulmonary function was seen in all subjects received ventilator exercises irrespective of the technique PNF. By analyzing the mean values, the result showed the subjects who received PNF are found to be more effective in improving the pulmonary function. DISCUSSION: The purpose of the study was to analyze treatment effectiveness of PNF in improving the pulmonary function in COPD patients. A total of 15 COPD patients with age group of 40-50 years were selected for the study. The pulmonary function was assessed by Dyspnea grading, was taken as the parameter to quantity the effective ness of the treatment. The reports provided were documented and then subjected to statistical analysis. The results of statistical analysis revealed that PNF is more effective and reliable in improving the pulmonary function in COPD patients. SUMMARY AND CONCLUSION: The aim of the study was to analyze the effective ness of the technique, PNF in COPD patients. PNF group consists of 15 subjects who were assigned by purposive sampling technique accordingly. The total study duration was 7 months. The mean values were used to compare pre Vs post treatment scores. Patients are benefited more in post treatment sessions. Based on the statistical analysis there was significant difference in the treatment efficacy in PNF. We here reject the null hypothesis and accepting the alternate hypothesis which states that ‘there was significant difference in effect obtained by the treatment technique PNF group’. So it was concluded that, PNF technique is effective in improving the pulmonary function in COPD patients.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Proprioceptive Neuromuscular Facilitation Techniques ; Chest Mobility ; Pulmonary Function ; COPD. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Cardio-Respiratory |
| Depositing User: | Kambaraman B |
| Date Deposited: | 08 Mar 2018 01:18 |
| Last Modified: | 08 Mar 2018 01:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6069 |
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