Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Accessory Inspiratory Muscles Energy Technique effect on Pulmonary Function in COPD Subjects


Affiliations
1 Ram Pyari Orthopaedic Hospital, Ranchi, JHA
2 Pulmonary Medicine, HIHT University, Dehradun, India
     

   Subscribe/Renew Journal


Aim & Objectives: Chronic Obstructive Pulmonary Disease (COPD) accounts 17 million lives in India, which will rise to 22 million by 2016 & it kills 250 people every hour. Global initiative for Obstructive Lung Disease (GOLD) portrayed skeletal muscle dysfunction as a significant contributor to severity in these patients resulting in reduced exercise capacity and impaired Quality of life. Muscle Energy technique (MET) had been a well known treatment in musculoskeletal disorders, yet literature supporting its use in chronic respiratory disorders is limited. So the present research is design to study the effects of MET on pulmonary function in COPD subjects and describes its impact on Conventional chest Physiotherapy.

Method: 30 Moderate & Severe staged COPD patients in 40-60 years age group were allocated into two groups: Conventional Chest Physiotherapy (CPT) and Conventional Chest Physiotherapy with MET(CPT + MET) group. Chest expansion, Dyspnea, Exercise tolerance, Respiratory rate, Heart rate, Oxygen saturation and Quality of life were the variables that recorded prior and after the intervention for three days.

Results: Significant improvement was seen in both groups on all 3 days with greater improvements in CPT with MET group in form of increased chest expansion, reduced Dyspnea, increased exercise tolerance, regulation of autonomic dysfunction and improved Quality of life.

Discussion: Study reveals the potential benefits of MET on pulmonary function and its efficacy in upgrading the Conventional chest Physiotherapy in COPD subjects. It also recognizes the importance of management of Accessory Inspiratory muscle dysfunction in providing a better Quality of life in COPD patients.

Conclusion: MET proved to be a highly magnificent technique in improving pulmonary function and must be thus incorporated as a basic part of pulmonary rehabilitation in COPD subjects.


Keywords

COPD, Chronic Obstructive Pulmonary Disease, MET- Muscle Energy Technique, Accessory Inspiratory Muscle Dysfunction, CPT- Conventional Chest Physiotherapy
Subscription Login to verify subscription
User
Notifications
Font Size


  • Global initiative for Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, prevention and management of COPD. 2010; pp: 225-229.

  • Campbell EJM. The role of Scalene and SCM muscles in breathing in normal subjects. An EMG study. J Anat 1955; 89: 378-386.

  • Porth CM. Respiratory function. In: Pathophysiology: concepts of altered health states. 6th edition. London: Lippincott Williams & Wilkins, 2002; pp:585-589

  • Gosselink R. Controlled breathing and Dyspnea in patients with COPD. JRRD 2003. DOI: 10.1682.

  • Dantzker DR, MacIntyre NR, Bakow ED. Pathophysiological principles in COPD. In: Comprehensive respiratory care. Saunders WB 1995; pp: 694.

  • Putt MT, Watson M, Seale H, Paratz JD. Muscle stretching technique increases vital capacity and Range of motion in patients with COPD. Arch Phys Med Rehab. 2008; 89: 1103-7.

  • Gosselink R, Troosters T, Decramer M. Exercise testing in COPD patients: the basic questions. Review. Eur. Respir. J. 1997; 10: 2884-2891.

  • Lenehan KL, Fryer G, Mc Laughlin P. The effect of muscle energy technique on gross trunk Range of motion. Journal of Osteopathic medicine 2003; 6(1): 13-18.

  • Leelarungrabyub D, Pothongsunum P, Yankai A et al. Acute clinical benefits of chest wall stretching exercise on expired tidal volume, dyspnea and chest expansion in a patient with COPD: a single case study. J Bodywork Mov Ther Oct’2009; 13(4): 338-343.

  • Nitz J, Burke B. A study of the facilitation of respiration in Myotonic dystrophy. Physiotherapy Research International 2002; 7(4): 228-238.

  • Voss, Ionta and Meyers et al. Effect of a muscle stretching program using the Global postural Reeducation method on respiratory muscle strength and thoraco-abdominal mobility of sedentary young males. J Bras Pneumol 2007; 33(6): 679-686.

  • Lam Pui LS et al. Exercise testing in COPD patients. Hong Kong Resp. medicine updated August’2010; 23(13).

  • Chan D, Chan G, Cheung C et al. Physiotherapy Practice guidelines for COPD. PTCOC March 2000.

  • Gail Dubinsky et al. Effects of respiratory muscle stretch gymnastics in COPD patients. Showa Univ J Med Sci. 1996; 8: 63-71.

  • Hosking SW. The effect of Osteopathic manipulative techniques on diaphragm movement and respiratory function in asymptomatic subjects. Unitec Institute of technology 2009.

  • Minoguchi H, Shibuya M, Miyagawa T et al. Cross-over comparison between Respiratory muscle stretch gymnastics and Inspiratory muscle training. Internal medicine 2002; 41: 805-812.


Abstract Views: 1528

PDF Views: 1




  • Accessory Inspiratory Muscles Energy Technique effect on Pulmonary Function in COPD Subjects

Abstract Views: 1528  |  PDF Views: 1

Authors

Akanksha Anand
Ram Pyari Orthopaedic Hospital, Ranchi, JHA
Ravinder Narwal
Pulmonary Medicine, HIHT University, Dehradun, India
Girish Sindhwani
Pulmonary Medicine, HIHT University, Dehradun, India

Abstract


Aim & Objectives: Chronic Obstructive Pulmonary Disease (COPD) accounts 17 million lives in India, which will rise to 22 million by 2016 & it kills 250 people every hour. Global initiative for Obstructive Lung Disease (GOLD) portrayed skeletal muscle dysfunction as a significant contributor to severity in these patients resulting in reduced exercise capacity and impaired Quality of life. Muscle Energy technique (MET) had been a well known treatment in musculoskeletal disorders, yet literature supporting its use in chronic respiratory disorders is limited. So the present research is design to study the effects of MET on pulmonary function in COPD subjects and describes its impact on Conventional chest Physiotherapy.

Method: 30 Moderate & Severe staged COPD patients in 40-60 years age group were allocated into two groups: Conventional Chest Physiotherapy (CPT) and Conventional Chest Physiotherapy with MET(CPT + MET) group. Chest expansion, Dyspnea, Exercise tolerance, Respiratory rate, Heart rate, Oxygen saturation and Quality of life were the variables that recorded prior and after the intervention for three days.

Results: Significant improvement was seen in both groups on all 3 days with greater improvements in CPT with MET group in form of increased chest expansion, reduced Dyspnea, increased exercise tolerance, regulation of autonomic dysfunction and improved Quality of life.

Discussion: Study reveals the potential benefits of MET on pulmonary function and its efficacy in upgrading the Conventional chest Physiotherapy in COPD subjects. It also recognizes the importance of management of Accessory Inspiratory muscle dysfunction in providing a better Quality of life in COPD patients.

Conclusion: MET proved to be a highly magnificent technique in improving pulmonary function and must be thus incorporated as a basic part of pulmonary rehabilitation in COPD subjects.


Keywords


COPD, Chronic Obstructive Pulmonary Disease, MET- Muscle Energy Technique, Accessory Inspiratory Muscle Dysfunction, CPT- Conventional Chest Physiotherapy

References