9. SHORT-TERM EFFECTS OF CHEST PHYSIOTHERAPY IN ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Rabia Basri1, Muhmmad Tahir2, Maryam Naseem3

1Department of Physiotherapy, Fauji Foundation Hospital Peshawar - Pakistan
2Department of Medicine, Cat-D Hospital, Lal Qilla Maidan, Dir (L) - Pakistan
3Department of Zoology, University of Peshawar - Pakistan

Abstract

Objective: To find out the short-term effects of chest physiotherapy in acute exacerbation of Chronic Obstructive Pulmonary
Disease (COPD)
Material and Methods: The total 60 patients suffering from Chronic obstructive Pulmonary disease were randomly
allocated into two groups, experimental group (n=30) treated with active chest physiotherapy techniques along with
medical treatment and control group (n=30) treated with only medical treatment. Both groups were assessed using
visual analogue scale (VAS) for breathlessness, Peak Expiratory Flow Rates (PEFR) and Oxygen saturation level (SaO2)
before and after 2 weeks treatment program.
Results: Patients in both the groups reported significant improvement after 2 weeks of treatment program compared
to baseline on all outcome measures except PEFR that was not significantly improved in control group. Compared
to control group, experimental group showed more improvement on PEFR (P<0.05), SaO2 (P>0.05) and on VAS for
breathlessness (P<0.05). It was about three times better results over the control group.
Conclusion: Active chest physiotherapy technique along with medical treatment is more effective in acute exacerbation
of COPD than medical treatment alone

Keywords: Active Chest Physiotherapy, Acute Exacerbation of COPD, Active Cycle of Breathing Technique, Visual Analogue Scale for breathlessness

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