90/90桥配合球囊运动对慢性阻塞性肺疾病患者肺容量和生活质量的影响

Y. Narayana, Kiran Prakash Pappala, P. Thulasi
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摘要

背景:慢性阻塞性肺疾病是世界上第四大死因,估计到2020年将成为第三大死因。膈肌功能障碍是慢性阻塞性肺疾病患者的主要临床表现之一,它改变了患者的呼吸功能和生活质量。因此,目的是研究90/90桥球和球囊运动对慢性阻塞性肺疾病患者肺容量和生活质量的影响。方法:选取38例患者,其中30例符合标准,采用随机抽样方法分为两组,实验组15例为90/90桥球球囊运动组,对照组15例为膈呼吸组。实验组有1例中途退学。干预为期6周,每周5天,每天1次,即30分钟。本研究在干预前后分别测量1秒用力呼气量和St. George呼吸问卷值。结果:实验组和对照组在两项指标上均有统计学上的显著改善。统计学上实验组显著高于对照组。结论:90/90桥配合球囊运动能有效改善慢性阻塞性肺疾病患者的肺容量,从而改善患者的生活质量。
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Effects of 90/90 Bridge with Ball and Balloon Exercise on Lung Volumes and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world and itis estimated to be the 3rd leading cause of death by 2020. Diaphragmatic dysfunction is one of the majorclinical finding in chronic obstructive pulmonary disease patients which alters the respiratory function andquality of life. Therefore, the objective is to investigate the impact of 90/90 bridge with ball and balloonexercise on lung volumes and quality of life in patients with chronic obstructive pulmonary disease.Method: A total 38 patients were taken, 30 of them met criteria and were divided into two groups usingrandomized sampling technique, 15 in experimental group i.e., 90/90 bridge with ball and balloon exerciseand 15 in control group i.e., diaphragmatic breathing. There was a single dropout in experimental group. Theintervention given for 6 weeks, 5 days in a week, one session for a day i.e., 30 minutes. Both outcomes i.e.,Forced expiratory volume in 1second and St. George Respiratory Questionnaire values were taken beforeand after intervention in this study.Results: The findings suggest that both experimental and control group showed statistically significantimprovement in both outcome measures. Statistically experimental group showed more significant thancontrol group.Conclusion: The study showed that 90/90 bridge with ball and balloon exercise is effective in improvingthe lung volumes in patients with chronic obstructive pulmonary disease, which leads to improvement inquality of life.
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