scholarly journals Effects of core-postural stabilisation on fluoroscopy diaphragmatic measurement and dyspnea in chronic obstructive pulmonary disease: A randomized single-blinded clinical trial

2021 ◽  
pp. 1-8
Author(s):  
Gihoon Jung ◽  
Chanhee Park ◽  
Jongseok Hwang ◽  
Joshua (Sung) H. You ◽  
Chunghwi Yi ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Function ◽  
Pulmonary Disease ◽  
Medical Research Council ◽  
Pulmonary Function Tests ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Before And After ◽  
Abdominal Breathing ◽  
Diaphragmatic Movement

BACKGROUND: While respiratory and core-postural stabilisation has recently gained a widespread acceptance to improve pulmonary function and dyspena, the therapeutic effects of and rationale underlying the use of respiratory and core-postural stabilisation in the management of patients with chronic obstructive pulmonary disease have not been investigated. OBJECTIVE: This study aimed to compare the effects of abdominal breathing and respiratory and core-postural stabilisation on diaphragmatic movement and pulmonary function. METHODS: Fourteen patients with moderate chronic obstructive pulmonary disease were randomly assigned to either the respiratory and core-postural stabilisation or abdominal breathing group. All patients underwent fluoroscopy-guided chest X-ray imaging and pulmonary function tests before and after the interventions; the modified Medical Research Council questionnaire was also administered before and after the interventions. Six sessions of either intervention were consistently provided. The obtained data were assessed using independent t-tests and Wilcoxon signed-rank test with a significance threshold of P< 0.05. RESULTS: Respiratory and core-postural stabilisation was more effective in increasing diaphragmatic movements than abdominal breathing (P< 0.05). Pulmonary function tests revealed more significant differences in the forced vital capacity (FVC(%)predicted) only after respiratory and core-postural stabilisation (P= 0.004). The Medical Research Council questionnaire score was significantly different within the Respiratory and core-postural stabilisation group (P= 0.014). CONCLUSIONS: Our novel results suggest that the effects of respiratory and core-postural stabilisation breathing on diaphragmatic movement and pulmonary function were superior to those of abdominal breathing in patients with chronic obstructive pulmonary disease.

scholarly journals Multi detector computed tomography evaluation in chronic obstructive pulmonary disease and correlation with severity of disease

2019 ◽  
Vol 7 (8) ◽  
pp. 3116
Author(s):  
Ajay Kumar ◽  
Ankita Rohira ◽  
Ashish Vijay ◽  
Abhay Sharma
Keyword(s):  
Computed Tomography ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Function ◽  
Pulmonary Disease ◽  
Pulmonary Function Tests ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Function Tests ◽  
Invaluable Tool ◽  
Multi Detector Computed Tomography

Background: Multi Detector computed tomography (MDCT) may effectively characterize and quantify the extent of emphysema and the air trapping related to the small airway’s disease. Here we highlight the computed-tomography findings of Chronic Obstructive Pulmonary Disease (COPD) and correlation with the Spirometrics values.Methods: The study group included the total of 100 adult patients of either sex with a clinical suspicion of COPD and those who undergone MDCT of thorax. Lung function of the patients with the COPD stages mild to very severe was evaluated by both the MDCT and Spirometrics Pulmonary Function Tests (PFTs). The scanning was done at maximum end inspiration and maximum end expiration.Results: There was a preponderance of male patients with highly significant correlation between values of mean lung density and low attenuation values (p<0.000I). MDCT correlated well with those obtained from spirometric Pulmonary Function Tests in the patients with COPD and that the correlation at expiration was superior to that at inspiration.Conclusions: The study concludes that Multi-detector computed tomography is the invaluable tool in defining and quantifying COPD and the characterization of emphysematous changes.

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