Background: Pleural effusion is one of the commonly seen respiratory conditions in India with approximately 1 million people being diagnosed each year. Twenty to forty percent of hospitalized patients with bacterial pneumonia develop pleural effusion. In India unlike western countries, tuberculosis pleura effusion is common. The pleural cavity is involved in approximately 5% of all patients with tuberculosis. Since there was no literature regarding the effectiveness chest mobility exercise with staked breathing or chest mobility exercises with incentive spirometery in pleural effusion. There was a need to find out as to which approach are the best ones to implement. Objective: To compare the efficacy of chest mobility exercise with stacked breathing versus chest mobility exercise with incentive spirometery on chest expansion in patients with pleural effusion. Materials and Method: 20 patients with pleural effusion were selected by easy sampling and randomly assigned into two groups (10 patients each groups). Group A received chest mobility exercises and intensive spirometery and group B received chest mobility exercises and stacked breathing. Both groups were instructed to perform the intervention 3 time per day, 8 to 10 time per session for one week. Chest expansion was measured by thoracic flow cytometry before and after one week of intervention. Result: In group A chest expansion increase from 2.68 to 2.87 which was statistically significant (P value < 0.0023). In Group B the chest expansion increases from 2.94 to 3.09 which was not statistically significant (P value < 0.216). Conclusion: It was concluded from the result that both chest mobility exercises with intensive spirometery and chest mobility exercise with stacked breathing are equally effective in improving the chest expansion in subject with pleural effusion. KEY WORDS: Pleural effusion, Chest mobility exercises, Incentive Spirometry, Stacked breathing, Thoracic flow cytometry.
mulligan mobilization with movement is more effective then maitland mobilization in case of OA of hip.
This case study presents the comprehensive post-laminectomy physiotherapy management of Saroj Devi, a 47-year-old female patient diagnosed with cervical canal stenosis. Following a laminectomy procedure to alleviate spinal cord and nerve root compression, Saroj experienced persistent neck pain, reduced mobility, upper limb weakness, and sensory deficits. The aim of this case study was to describe the assessment findings, goal setting, treatment interventions, and outcomes of Saroj's physiotherapy intervention. The treatment approach included pain management techniques, range of motion exercises, strengthening exercises, sensory re-education, endurance training, and patient education. Over the course of several weeks, Saroj demonstrated remarkable improvements in pain reduction, neck mobility, upper limb strength, sensory function, and endurance. This case study emphasizes the importance of physiotherapy in post-operative management of cervical canal stenosis, highlighting its role in enhancing functional recovery and improving the quality of life for patients like Saroj Devi.
To study the effectiveness of OPD management versus home management in low back ache patients. Material and Method: Participants aged between 27 to 55 years suffering from low back pain for more than 3 months were inducted in the study. They were divided into two groups, one which was provided intervention at home and the other which was given physiotherapy in OPD setting. Interventions: A pre and post assessment was done at 4 months based on Oswestry low back pain disability questionnaire. Analysis was done by application of Independent sample t test. P value less than 0.04 was taken as significant. Results: A total of 10 participants were equally divided for OPD and home management. Oswestry low back pain disability questionnaire was administered pre and post intervention and Independent T test was applied to find the difference between the mean pre test and post test scores for OPD and home managed patients which were taken 4 months apart. A significant difference was observed as p value was < 0.00. Conclusions: The study concluded that OPD management for chronic low back ache not only reduce the pain but also reduces chance of disability. But patient satisfaction was higher in home manage group in comparison to OPD in personal care.
Background: Breathing exercise such as purse-lop breathing and diaphragmatic breathing play a role in some individual with Emphysema and might be considered for those patients who are unable to exercise. However, in this study is report of some adverse effect of diaphragmatic breathing in patient with Emphysema disease. Thus the purpose of the study was to assess the effect of diaphragmatic breathing and diaphragmatic breathing combined with purse-lip breathing on chest wall kinematics, breathlessness, and chest wall asynchrony in subject with obstructive disease, and also assess the whether the combination of both exercise reduce the adverse effect of diaphragmatic breathing while maintaining its benefits. Methods: Fifteen Subjects with pulmonary obstructive disease, mean 60 to 65 year age group, with a history of smoking and clinical stability without hospitalization or symptoms of exacerbation in the past 4 week, were evaluated. On day 1, participant"s characteristics were collected, and they learnt diaphragmatic breathing. On day 2, the participants were evaluated by spirometery with the participants in the seated position while performing breathing exercise. Results: Diaphragmatic breathing and diaphragmatic breathing plus pursed-lip breathing promoted a significant increase in chest wall tidal volume of the chest wall. A significant increase in inspiratoryexpiratory phase ratio was observed during diaphragmatic breathing and diaphragmatic breathing plus purse-lip breathing compared with quiet breathing, with no difference observed between the exercises. Conclusion: Despite the increase the inspiratory-expiratory phase volume, both breathing exercise were able to improve chest wall volume without affecting Dyspnea. The combination of exercises maintains the benefit but did not reduce the adverse effect of diaphragmatic breathing.
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