Effects of Muscle Relaxation Therapy Using Specially Designed Plates in Patients with Pulmonary Emphysema.

Abstract

It has been suggested that respiratory muscle dysfunction plays a major role in the development of acute ventilatory failure in patients with chronic obstructive pulmonary disease (COPD). In this study, wedevised a respiratory muscle relaxation maneuverusing wedge-shapedwooden plates, with which pressure was exerted on the intercostal and accessory respiratory muscles by hand, or by tapping with a woodenhammer,for 15-20 minutes twice a day. The muscle relaxation maneuverwas performed in 5 moderate to severe pulmonary emphysemapatients for 4 weeks and in 7 emphysemapatients for 6 weeks, and the effects on pulmonary function were examined. After the therapy, inspiratory capacity (IC) and vital capacity (VC) in both the 4 weeks-and 6 weekstreated groups, and the forced expiratory volume in 1 second (FEVx 0) in the 6 weeks-treated group were significantly increased, and CO2retention had also improved. Daily peak expiratory flow (PEF) showed significant increases from 2 weeks after the initiation of the therapy. These results suggest that the respiratory muscle relaxation maneuveris effective for improvingthe pulmonary function of pulmonary emphysemapatients.

A influência da drenagem torácica intercostal fechada com selo d"™água na respiração e voz, em sujeitos hospitalizados com doenças pleuropulmonares

“…Autores como Azeredo [15], Gonçalves [21], Jamami et al [22] e Fujimoto et al [25] mencionaram que não é possível correlacionar dados de pacientes com as alterações pulmonares, em virtude da subjetividade de certos testes, como o da cirtometria torácica para a verificação da elasticidade do tórax superior, médio e basal e testes da Tabela II -Cruzamento entre as condições de tórax superior após a colocação do dreno e após a retirada do dreno, relacionadas à avaliação da palpação para a expansibilidade tóraco-pulmonar. Tabela III -Cruzamento entre as condições de tórax médio, após a colocação do dreno e após a retirada do dreno, relacionadas à avaliação da palpação para a expansibilidade tóraco-pulmonar.…”

Combined Standard Medication and Acupuncture for Copd: A Case Series

“…20 In patients with COPD, respiratory accessory muscle groups are mobilised during ventilation. 21 It is thought that increased oxygen consumption caused by a rise in ventilation during physical activity can infl uence these respiratory muscles, especially inspiratory muscles, and may cause muscular fatigue and tonicity in patients with COPD.…”