scholarly journals The Effect of Pursed Lips Breathing Technique on Increasing Peak Expiratory Flow Rate (PEFR) in Medium Classification of Chronic Obstructive Pulmonary Disease Patients

2019 ◽  
Vol 1179 ◽  
pp. 012148
Author(s):  
MJW Endrian ◽  
Elis Noviati ◽  
Yayu Trisnawati ◽  
Jajuk Kusumawaty ◽  
Rudi Kurniawan ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow

scholarly journals Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with respiratory muscle weakness

Thorax ◽  
2001 ◽  
Vol 56 (6) ◽  
pp. 438-444
Author(s):  
P Sivasothy ◽  
L Brown ◽  
I E Smith ◽  
J M Shneerson
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Respiratory Muscle ◽  
Normal Subjects ◽  
Chronic Obstructive ◽  
Respiratory Muscle Weakness ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow

BACKGROUNDIt has been suggested that cough effectiveness can be improved by assisted techniques. The effects of manually assisted cough and mechanical insufflation on cough flow physiology are reported in this study.METHODSThe physiological actions and patient self-assessment of manually assisted cough and mechanical insufflation were investigated in 29 subjects (nine normal subjects, eight patients with chronic obstructive pulmonary disease (COPD), four subjects with respiratory muscle weakness (RMW) with scoliosis, and eight subjects with RMW without scoliosis).RESULTSThe peak cough expiratory flow rate and cough expiratory volume were not improved by manually assisted cough and mechanical insufflation alone or in combination in normal subjects. The median increase in peak cough expiratory flow in subjects with RMW without scoliosis with manually assisted cough alone or in combination with mechanical insufflation of 84 l/min (95% confidence interval (CI) 19 to 122) and 144 l/min (95% CI 14 to 195), respectively, reflects improvement in the expulsive phase of coughing by these techniques. Manually assisted cough and mechanical insufflation in combination raised peak expiratory flow rate more than either technique alone in this group. The abnormal chest shape in scoliotic subjects and the fixed inspiratory pressure used made effective manually assisted cough and mechanical insufflation difficult in this group and no improvements were found. In patients with COPD manually assisted cough alone and in combination with mechanical insufflation decreased peak expiratory flow rate by 144 l/min (95% CI 25 to 259) and 135 l/min (95% CI 30 to 312), respectively.CONCLUSIONSManually assisted cough and mechanical insufflation should be considered to assist expectoration of secretions in patients with RMW without scoliosis but not in those with scoliosis.

scholarly journals Immediate effect of Chest Proprioceptive Neuromuscular Facilitation on Respiratory Rate, Chest Expansion and Peak Expiratory Flow Rate in patients with Chronic Obstructive Pulmonary Disease

2021 ◽  
Vol 9 (1) ◽  
pp. 3724-3729
Author(s):  
Hetal M Mistry ◽  
◽  
Rutuja V Kamble ◽  
Keyword(s):  
Respiratory Rate ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Respiratory Muscles ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Chest Expansion ◽  
Copd Patients ◽  
Expiratory Flow

Background: In Chronic Obstructive Pulmonary Disease (COPD), as result of dynamic hyperinflation, primary respiratory muscles go into weakness and length tension relationship of muscles is altered. This leads to decreased ability of primary respiratory muscles to generate muscle tension. COPD patients mostly use accessory muscle for breathing and there is lack of facilitation of intercostal muscle and weakness of diaphragm. Few studies are conducted to assess the immediate effect of Chest Proprioceptive Neuromuscular Facilitation (PNF) i.e. intercostal stretch among COPD patients. Therefore, there is need to find out immediate effect of chest PNF- intercostal stretch on respiratory rate (RR), chest expansion, peak expiratory flow rate (PEFR) among patient with COPD. Objective: To find out immediate effect chest PNF on respiratory rate, chest expansion and peak expiratory flow rate. Methodology: Ethical clearance and participant consent was taken. Study design was Qausi experimental study. The 65 subjects were taken by convenient sampling. Intercostal stretch was applied over 2nd and 3rd rib bilaterally for 10 breaths with 1 minute rest with a 10 repetitions and Outcome measures were assessed before and immediately after giving chest PNF. SPSS 16 software was used to analyse the data. The normality of the data was assessed using parametric paired t test. Significance level was set at 0.05 and 95% Confidence Interval. Outcome Measures: Respiratory rate, Chest expansion, Peak expiratory flow rate. Result: Immediate effect of chest PNF showed that there was statistically significant increase in PEFR and chest expansion at three level (P=0.000) and there was statistically significant decrease in RR (P=0.000). Conclusion: There is immediate effect of Chest PNF- intercostal stretch on, Respiratory rate, Chest expansion at three level that is axillary, nipple and xiphisternal and Peak expiratory flow rate. It is an easy to use, less time consuming, easy to understand and cost effective technique. KEY WORDS: Chest PNF, intercostal stretch, COPD.

scholarly journals GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK)

2019 ◽  
Vol 6 (1) ◽  
pp. 38-45
Author(s):  
Emdat Suprayitno ◽  
Azizah Khoiriyati ◽  
Titiek Hidayati
Keyword(s):  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Self Efficacy ◽  
Peak Expiratory Flow Rate ◽  
Univariate Analysis ◽  
Public Health Problem ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow

Background: Chronic obstructive pulmonary disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease. Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed condition and problems of lung function and the narrowing or blockage of the airway. Objective: Identify conditions and problems on self efficacy and Peak expiratory flow rate of COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Data analysis was performed with a univariate analysis. Results: Self efficacy was in low category with score less than 99 (86.7%) and peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of COPD self efficacy in Asy-Syaafi Hospital Pamekasan were in not good category and peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways. Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate

Sign in / Sign up

Export Citation Format

Share Document