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Nr 165, 6/2006 |
| Jan Szczegielniak1(A,D), Jacek Łuniewski2(B,C), Katarzyna Bogacz1(E,F), Zbigniew Śliwiński3(C,E) 1 Katedra Klinicznych Podstaw Fizjoterapii, Wydział Wychowania Fizycznego i Fizjoterapii, Politechnika Opolska, Opole 2 Zakład Fizjoterapii SP Zespołu Szpitali Pulmonologiczno-Reumatologicznych w Kup 3 Ośrodek Rehabilitacji SP ZOZ, Zgorzelec EFEKTY KOMPLEKSOWEJ FIZJOTERAPII ODDECHOWEJ U CHORYCH W ZAOSTRZENIACH POCHP THE EFFECTS OF COMPLEX RESPIRATION PHYSIOTHERAPY IN PATIENTS WITH ACUTE STAGES OF COPD Słowa kluczowe: POChP, czynność wentylacyjna płuc, test 6-minutowego marszu Key words: COPD, pulmonary ventilation activity, 6-minute walk test Summary Background. The aim of the research was to assess the influence of complex respiration physiotherapy on pulmonary ventilation activity and physical efficiency in patients during an acute stage of COPD. Material and methods. The research material included 50 patients divided into two groups: group I - test group - included patients during the acute stage of COPD; group II - control group - consisted of patients during the stable stage of COPD. A selection of pulmonary ventilation activity indexes such as FVC, FEV1, PEF, energy expenditure, measured in MET, based on the 6-minute walk test, subjective perception of dyspnea measured on Borg scale both before and after complex physiotherapy were analysed in the course of research. Results. The FVC and PEF indexes analysis within group I pointed out statistically significant improvement (p<0.05). The increase in FEV1 was not of statistic significance. Within group II statistically significant improvement in all parameters was observed (p<0.05). The analysis of 6-minute-walk test showed a bigger increase in the distance covered by patients with acute stages of COPD. A statistically significant decrease in both static and effort dyspnea (p<0.05) was observed in both groups. Conclusions. A significant discrepancy in the physiotherapy results was observed between group I and group II. The acute stage of COPD hinders the possibility of achieving the improvement in tested indexes, possible in the group of patients during a stable stage of COPD. The increase in both the 6-minute walk test distance and energy expenditure measured in the tests clearly proves the complex physiotherapy effective. |
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