{"title":"肺康复和呼吸肌训练对急性呼吸窘迫患者的影响","authors":"Sasmitha R, Rekha. K, Saravan Kumar. J, Preethi G","doi":"10.37506/c1vpvx23","DOIUrl":null,"url":null,"abstract":"Background: Acute Respiratory Distress Syndrome (ARDS) arises from accumulation of fluid in the tiny, flexible airsacs of the lungs. Individuals with ARDS may experience muscle weakness, due to a condition known as intensivecare unit acquired weakness, resulting in impaired physical function. To mitigate potential complications namelymuscle weakness and joint contractures, and to assist with weaning from mechanical breathing and enhance theoverall quality of life for individuals with ARDS, early rehabilitation is strongly advised.Purpose: To compare the effectiveness of pulmonary rehabilitation and respiratory muscle training againstconventional care among individuals with ARDS.Materials and Methods: 30 subjects diagnosed with ARDS were randomly selected from the intensive care unit orpatient ward of Saveetha Hospital following certain inclusion and exclusion criteria. The subjects were allocatedinto pulmonary rehabilitation with respiratory muscle training group (n=15) and conventional care group (n=15).The effectiveness of the treatments was assessed at the end of 4 weeks using a 30 seconds sit-to-stand test and St.George’s Respiratory Questionnaire.Results: Descriptive and inferential statistics were used to examine the data collected. All parameters underwentanalysis employing mean and standard deviation. To analyze significant differences, pre-test and post-testmeasures, a paired t-test was performed. P values < 0.0001 were deemed statistically significant.Conclusion: The combination of pulmonary rehabilitation and respiratory muscle training offered an adjunctivetreatment option for patients with ARDS, providing quality of life, and improving strength of the muscle activitiescompared to conventional care alone.","PeriodicalId":516273,"journal":{"name":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","volume":"2 12","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Pulmonary Rehabilitation and Respiratory Muscle Training in Individuals with Acute Respiratory Distress\",\"authors\":\"Sasmitha R, Rekha. K, Saravan Kumar. J, Preethi G\",\"doi\":\"10.37506/c1vpvx23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Acute Respiratory Distress Syndrome (ARDS) arises from accumulation of fluid in the tiny, flexible airsacs of the lungs. Individuals with ARDS may experience muscle weakness, due to a condition known as intensivecare unit acquired weakness, resulting in impaired physical function. To mitigate potential complications namelymuscle weakness and joint contractures, and to assist with weaning from mechanical breathing and enhance theoverall quality of life for individuals with ARDS, early rehabilitation is strongly advised.Purpose: To compare the effectiveness of pulmonary rehabilitation and respiratory muscle training againstconventional care among individuals with ARDS.Materials and Methods: 30 subjects diagnosed with ARDS were randomly selected from the intensive care unit orpatient ward of Saveetha Hospital following certain inclusion and exclusion criteria. The subjects were allocatedinto pulmonary rehabilitation with respiratory muscle training group (n=15) and conventional care group (n=15).The effectiveness of the treatments was assessed at the end of 4 weeks using a 30 seconds sit-to-stand test and St.George’s Respiratory Questionnaire.Results: Descriptive and inferential statistics were used to examine the data collected. All parameters underwentanalysis employing mean and standard deviation. To analyze significant differences, pre-test and post-testmeasures, a paired t-test was performed. P values < 0.0001 were deemed statistically significant.Conclusion: The combination of pulmonary rehabilitation and respiratory muscle training offered an adjunctivetreatment option for patients with ARDS, providing quality of life, and improving strength of the muscle activitiescompared to conventional care alone.\",\"PeriodicalId\":516273,\"journal\":{\"name\":\"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal\",\"volume\":\"2 12\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37506/c1vpvx23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Physiotherapy & Occupational Therapy - An International Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37506/c1vpvx23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Effects of Pulmonary Rehabilitation and Respiratory Muscle Training in Individuals with Acute Respiratory Distress
Background: Acute Respiratory Distress Syndrome (ARDS) arises from accumulation of fluid in the tiny, flexible airsacs of the lungs. Individuals with ARDS may experience muscle weakness, due to a condition known as intensivecare unit acquired weakness, resulting in impaired physical function. To mitigate potential complications namelymuscle weakness and joint contractures, and to assist with weaning from mechanical breathing and enhance theoverall quality of life for individuals with ARDS, early rehabilitation is strongly advised.Purpose: To compare the effectiveness of pulmonary rehabilitation and respiratory muscle training againstconventional care among individuals with ARDS.Materials and Methods: 30 subjects diagnosed with ARDS were randomly selected from the intensive care unit orpatient ward of Saveetha Hospital following certain inclusion and exclusion criteria. The subjects were allocatedinto pulmonary rehabilitation with respiratory muscle training group (n=15) and conventional care group (n=15).The effectiveness of the treatments was assessed at the end of 4 weeks using a 30 seconds sit-to-stand test and St.George’s Respiratory Questionnaire.Results: Descriptive and inferential statistics were used to examine the data collected. All parameters underwentanalysis employing mean and standard deviation. To analyze significant differences, pre-test and post-testmeasures, a paired t-test was performed. P values < 0.0001 were deemed statistically significant.Conclusion: The combination of pulmonary rehabilitation and respiratory muscle training offered an adjunctivetreatment option for patients with ARDS, providing quality of life, and improving strength of the muscle activitiescompared to conventional care alone.