Effects of Active Cycle of Breathing Techniques on quality of life in patients with Chronic Bronchitis

Haroon Mansha, Sajida Rashid, M. U. Khalid, Rehan Ramzan Khan, Muhammad Hassan, Hayatullah Khalid
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Abstract

Background: In patients with a range of respiratory disorders such as chronic bronchitis, active cycle of breathing techniques which includes cycle of breathing control, thoracic expansion exercises and forced expiratory technique (FET), appears to have beneficial effects. Objectives: To determine the effectiveness of active cycle of breathing techniques with conventional medicine among chronic bronchitis patients. Methods: A quasi-interventional study was conducted in a physiotherapy department of 600 bedded Ibn-e-Siena Hospital of Multan, from August 2020 to July 2021 with 26 patients in the experimental group who followed the pharmacological and active cycle breathing techniques treatment while the 26 patients in control group patients received the basic routine pharmacological treatment only. Patients were assessed through the help of the Saint George Respiratory Questionnaire (SGRQ) from baseline to 3 months in both groups. Results: Baseline treatment showed mean SGRQ total score was 26.53±27.39 in the control group and 20.0±20.27 (p<0.33) in the experimental group. Assessment after 3 months showed mean SGRQ total score was 14.50±12.26 in control group and 8.11±10.32 (p<0.04) in experimental group. Conclusion: Active cycle of breathing techniques was more effective with conventional medicine among chronic bronchitis patients in comparison with patients with medicine alone. Significant differences was observed in symptoms, activity, impact, and total SGRQ scores of the experimental group.
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主动循环呼吸技术对慢性支气管炎患者生活质量的影响
背景:在慢性支气管炎等一系列呼吸系统疾病患者中,主动循环呼吸技术(包括呼吸控制循环、胸腔扩张练习和用力呼气技术(FET))似乎具有有益的效果。目的:探讨常规药物配合主动循环呼吸技术治疗慢性支气管炎的疗效。方法:于2020年8月至2021年7月在木尔坦市伊本-锡耶纳医院600个床位的物理治疗科进行准介入研究,实验组26例患者采用药物和主动循环呼吸技术治疗,对照组26例患者仅接受基本常规药物治疗。通过圣乔治呼吸问卷(SGRQ)对两组患者进行基线至3个月的评估。结果:基线治疗时,对照组SGRQ总分均值为26.53±27.39,实验组SGRQ总分均值为20.0±20.27 (p<0.33)。3个月后评定,对照组SGRQ总分平均值为14.50±12.26,实验组为8.11±10.32 (p<0.04)。结论:在慢性支气管炎患者中,常规药物配合主动循环呼吸技术治疗效果优于单用药物治疗。实验组在症状、活动、影响和SGRQ总分上观察到显著差异。
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