scholarly journals The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia

2019 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Agista Delima Permadani ◽  
Mardiyono Mardiyono ◽  
Aris Santjaka

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma-induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma-induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14  (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma.  Keywords: Alkaline Water, Asthma Gymnastics, Peak Expiratory Flow Rate, Asthma.

2020 ◽  
Vol 10 (2) ◽  
pp. 33-35
Author(s):  
Preetu Gurung

Background: Cigarette smoking has remained a popular habit since ages. Most people are well aware of the deleterious effects of cigarette smoking yet continue to give a blind eye which dete­riorates overall public health. The purpose of the present study was to assess Peak Expiratory Flow Rate among smoking and nonsmoking staffs who work in Kathmandu Medical College. Methods: In this comparative cross-sectional study Peak Expiratory Flow Rate was obtained using Mini Wright’s Peak Flow Meter of 108 smokers and 108 nonsmokers in the age group ranging from 25-45 years. Those who never smoked or who have quit smoking for the past 2 years were grouped as nonsmokers and the smokers with history of smoking at least five or more cigarettes per day for at least two years were included in the study for measuring their Peak Expiratory Flow Rate. Data was collected, compiled and analyzed by using Statistical Package of Social Science (SPSS) software version16. Student ‘t’ test was used for group comparison. Results: The Peak Expiratory Flow Rate value was significantly reduced in the smokers (p value< 0.05). Mean Peak Expiratory Flow Rate was reduced with increasing age of the smokers. However, no significant difference was observed in Peak Expiratory Flow Rate with increase in the number of cigarettes smoked (p value> 0.05). Conclusions: In the study Peak Expiratory Flow Rate among smokers (367.13 ± 74.182) was lower than nonsmokers (471.39±60.842), which was statistically significant proving that cigarette smok­ing reduced peak expiratory flow rate.


2017 ◽  
Vol 6 (2) ◽  
pp. 9-18 ◽  
Author(s):  
V. Patil Priyanka ◽  
R. K. Kamble

Street sweepers play an important role in maintaining health and hygiene in cities. They are exposed to road dust and other contaminants while cleaning streets. Exposure of this dust and contaminants irritates respiratory symptoms and airway obstruction. Twenty workers were selected as sample size (10 male and 10 female) and 10 individual as control (5 male and 5 female) for analysis of occupational health hazards in street sweepers of Chandrapur city. The study was carried out from November 2015 to January 2016. Peak Expiratory Flow Rate analysis which was carried out through Breath-o meter and other occupational health hazards through interview schedule specially designed and developed for this study. The results of the study showed that, Peak Expiratory Flow Rate values were lower in exposed workers (sample population) as compared with control group. These workers were exposed to number of environmental and occupational hazards leading to musculoskeletal disorders (100%), respiratory problems (95%), dermatological problems (90%), headache (75%) and gastrointestinal problems (15%) during work. It was further observed that theses workers were suffering from allergies (100%), cough and cold (75%), asthma and bronchitis lungs (65%), hearing disorder (50%), malaria and typhoid (25%), fever (15%) and vomiting (10%) after completion of work. To reduce occupational health hazards in sweepers, they must be made alert and aware of potential health risk arising from their work. Reduction in exposure and use of personal protective equipments should be encouraged.INTERNATIONAL JOURNAL OF ENVIRONMENTVolume-6, Issue-2, Mar-May 2017, Page: 9-18


2015 ◽  
Vol 2 (1) ◽  
Author(s):  
P. Sunarno

Penyakit asma diderita sekitar 300 juta penduduk dunia, dan 4% warga Indonesia. Kambuh asma ialah episode sesak nafas penyempitan saluran bronkus, kesulitan ekspirasi, ukuran peak expiratory flow dapat merepresentasi kondisi asma. Olahraga dan aktifitas fisik bermanfaat menurunkan stres, meningkatkan daya tahan tubuh, rasa percaya diri, kapasitas pernafasan. Latihan otot pernapasan dan otot dada meningkatan kapasitas dan volume paru, termasuk kemampuan ekspirasi. Namun bagi penderita asma bisa memicu kambuh, sebagai Exercise Induce Bronchosconstriction (EIB). Senam asma adalah aktifitas fisik terukur terkendali untuk penderita asma, dirancang berbeda-beda dalam hal waktu, pengulangan dan durasi perlakuan. Observasi awal mendapatkan senam asma 58 menit 1 kali seminggu, selama 6-8 minggu, sebagian penderita tidak mampu mengikuti sepenuh waktu. Diperlukan masukan aktifitas fisik yang aman dan efektif bagi penderita asma, sekaligus menepis persepsi EIB. Rancangan senam yang utamanya melatih otot-otot pernafasan dan dada, terukur dan terkendali, bertujuan mengetahui pengaruhnya terhadap peningkatan peak expiratory flow rate dan penurunan frekuensi kambuh. Senam 30 menit 1 dan 2 kali seminggu selama 6 minggu, untuk dianalisis pengaruhnya terhadap peak expiratory flow rate dan frekuensi kambuh penderita asma. Pre test post test control group design pada accidental random sampling 2 kelompok masing-masing 10 responden Klub Asma RS Persahabatan Jakarta, tanggal 13 Juni sampai dengan 6 Oktober 2010. Kelompok 1 mendapatkan perlakuan senam 30 menit sekali seminggu selama 6 minggu, sedang kelompok 2 mendapat perlakuan senam yang sama 2 kali seminggu. Data peak expiratory flow rate dan frekuensi kambuh dianalisis dengan SPSS. Uji komparabilitas peak expiratory flow rate dan frekuensi kambuh sebelum dan sesudah senam dengan significant level (α=5%), baik kelompok 1 dan 2 didapatkan p<0,05 (p1=0,000; p2=0,023; p3=0,000; p4=0,004), menunjukkan peningkatan peak expiratory flow rate (5-10) % pada kelompok I dan (15-20) % kelompok 2. Frekuensi kambuh menurun dari rerata 4-6 kali per bulan menjadi 2 – 4 kali per bulan kelompok 1, pada kelompok 2 dari rerata 4-6 kali per bulan menjadi 1-2 kali per bulan. Uji beda kenaikan peak expiratory flow rate dan penurunan frekuensi kambuh antara kelompok 1 dan 2 dengan didapatkan seluruh p<0,05 (p1=-0,002; p2=-0,001), menunjukkan perbedaan.Senam asma 30 menit 1 kali seminggu selama 6 minggu berpengaruh meningkatkan peak expiratory flow rate sebesar 5-10% (p<0,05); dan menurunkan frekuensi kambuh 40% , dari rerata 4-6 kali per bulan menjadi 2 – 4 kali per bulan. Senam yang sama 2 kali seminggu meningkatkan peak expiratory flow rate sebesar 15-20% (p<0,05) ; menurunkan frekuensi kambuh 89% (p<0,05) dari rerata 4-6 kali per bulan menjadi 1-2 kali per bulan. Senam asma 2 kali seminggu tersebut meningkatkan peak expiratory flow rate 10% dan menurunkan frekuensi kambuh 59% lebih besar dari senam yang sama 1 kali seminggu (p<0,05). Perlu penelitian lanjut untuk mengetahui dosis senam asma yang optimal sesuai dengan tingkat status asma, yang bertujuan meningkatkan kebugaran dan kualitas hidup harian penderita asma bronkial.Kata kunci : senam asma, peak expiratory flow rate, frekuensi kambuh.


Author(s):  
Sanjay Bansal ◽  
VK Tiwari ◽  
Sahil Sood ◽  
Rajan Shukla

ABSTRACT Peak expiratory flow rate (PEFR) is a simple, reliable, and easily reproducible and measurable lung function test. It has not been formally assessed whether the PEFR values measured with peak flow meter are in close correlation with the values measured by digital spirometer. The present study is carried out to determine whether there is a significant difference between the PEFR values derived from digital spirometer and peak flow meter in patients with respiratory symptoms. How to cite this article Tiwari VK, Bansal S, Sood S, Kumar A, Shukla R. Comparative Evaluation of Peak Expiratory Flow Rate between Computerized Spirometry and Peak Flow Meter. Int J Adv Integ Med Sci 2016;1(3):93-94.


2019 ◽  
Vol 18 (1) ◽  
pp. 18-22
Author(s):  
AKM Zafarullah ◽  
Md Badrul Alam ◽  
Moinuddin Ahmed ◽  
Ashutosh Das ◽  
Md Shah Alam

Background: Asthma remain the most common chronic inflammatory lung disease in childhood. Asthma management needs lung function assessment. Peak Expiratory Flow Rate (PEFR) is one of the lung function test. PEFR has been used as measure of ventilatory capacity for long mainly because of a simple, less tiring procedure than other lung function test. It is easy to use, inexpensive, portable, reliable can be used by patients, parents, home & clinic. There is no national nomogram on PEFR in Bangladesh. We always use the nomogram of other countries for diagnosis, management of Asthma. This study was taken to establish what is the normal pattern of PEFR in Bangladeshi children of rural and urban area and to construct nomogram of PEFR in healthy Bangladeshi children. Materials and methods : It is a cross sectional study conducted in different 6 schools (Urban & rural) in Chattogram District of both sexes (5-15 yrs old) in equal proportion of child. Study period was from April 2009 to November 2009 under supervision of Pediatrics Department of Chattogram Medical College. Sample was selected by non-probability technique. Data were collected by pretested questionnaire including exclusion criteria. Results: A total of 1424 healthy school children (Age 5-15 yrs) of equal sexes of both rural and urban school were included during study. The best of three PEFR of boys ranged from 90 to 750 I/min (Mean 291 I/min, SD 143) and in case of girls ranged from 80 to 540 (L/min (mean 236 L/min, SD 94.38). The positive correlation of PEFR with various anthrometric parameters specially height and observed difference with boys and girls. The most significant correlation was observed PEFR with height and also found different value of PEFR between rural and urban children. Conclusion : This study concluded that there is significant difference of PEFR between Bangladeshi boys and girls (5-15 yrs). Height is the best predictor of PEFR value than any other anthrometric parameters PEFR value of Bangladeshi Girls is lower than that of Boys and significant difference between PEFR values among urban & rural Bangladeshi children. Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 18-22


Author(s):  
Pratiksha Milind Kale ◽  
Vaishali R Mohite ◽  
Mahesh Bhupal Chendake ◽  
Manisha C Gholap

Introduction : Pulmonary complications have a significant impact on morbidity and mortality after major abdominal surgery. One of the major causes of pulmonary dysfunction after such surgery is restricted breathing due to pain and diaphragmatic dysfunction.Methodology :  this study investigated the effects of pre operative breathing exercises training on the vital capacity and peak expiratory flow rate of upper abdominal surgery patients. The patient were divided into 2 groups, control and experimental. Patient in experimental group were given three supervised session of diaphragmatic deep breathing exercise daily. Spirometric and peak flow meter values of vital capacity and peak expiratory flow rate were obtained one day before and 1st , 3rd , 5th, and 7th day after surgery.Result and conclusion : The data obtained were analyzed in terms of descriptive(frequency, percentage, mean and standard deviation) and inferential statistics by using soft ware SPSS – 16.1 version. The analysis showed a significant difference in the pre and post training vital capacity and peak expiratory flow rate for experimental group compared to control group. So, diaphragmatic deep breathing exercise improves the pulmonary functions after the abdominal surgery. 


2021 ◽  
Vol 11 (6) ◽  
pp. 47-51
Author(s):  
Pooja Bharat Mistry ◽  
Anagha Palkar ◽  
Ajay Kumar

Background: Carpenters are exposed to wood dust during work. This leads to various health problems such as respiratory conditions and decrease in lung functions. Carpenters due to prolong exposure to wood dust causes a decrease in the peak expiratory flow rate. Buteyko breathing exercise is usually given the patients suffering from bronchial asthma this exercise helps to increase peak expiratory flow rate in asthma patients and is very useful. Objective: The aim of the study is to find the effect of buteyko breathing exercise on peak expiratory flow rate in carpenters. Methodology: An experimental study on a total of 30 carpenters among the age group of 35 to 45 years was included in the study. Peak expiratory flow rate of the carpenters were taken before giving Buteyko breathing exercise for 4 week, 2 session pre week. The difference of pre and post peak expiratory flow rate was then calculated. The data was statistically analysed using paired t-test. Results: Buteyko breathing exercise improved the peak expiratory flow rate in carpenters after 4 weeks. (p<0.0001*) Conclusion: Buteyko breathing exercise helps to improve peak expiratory flow rate in carpenters. Key words: carpenters, peak expiratory flow rate, wood dust, Buteyko breathing exercise.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Julvainda Eka Priya Utama

Introduction: The Peak Expiratory Flow Rate (PEFR) is a person maximum expiratory airflow measurement. The active cycle breathing technique is a breathing exercise focus on release the abnormal lung secretion by increase the expiration power. The aim of this study was to analyze the effectiveness of the active cycle breathing technique on the PEFR in asthma patient. Methods: Design of this study was quasi-experimental with single pre-post test group. Study was conducted in the Kedungkandang Primary Health Care, Malang City, East Java Province, Indonesia. In total 25 asthma patients recruited into a single group. The participant asked to practice the breathing exercise for three times a week and being evaluated after one month. The PEFR was measured by Peak Flow Meter. Results: The Wilcoxon test showed p grade < 0.05, which means there is a significant effect of the active cycle breathing technique on the PEFR grade. The increase of PEFR grade in asthma patients start to appear at the week third to the end of week fourth. Continuous treatment may increase the PEFR grade, however it was influenced by several factors such as age (years) and educational background. Conclusion: The active cycle breathing technique increase PEFR in asthma patients. The PEFR expected to be evaluated simultaneously, to assess the stages of improvement for asthma patient.  


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