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Physiotherapy Management of Dyspneic Patients with the History of Asthma: A Case Series

Shivani S. Bhatt** , Dipali P. Rana* , Shivani S. Bhatt**

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Physiotherapy and Occupational Therapy Journal 9(4):p 159-163, October - December 2016. | DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.9416.5

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Abstract

 Resolving the symptom and improving quality of life is the prime goal of pulmonary rehabilitation. The present study aims to determine the effect of Nebulization with NaCl, Active Cycle of Breathing Technique (ACBT) and Chest Mobility Exercise (CME) in Asthma. The two subjects included in the study were apparently healthy, young, dyspneic asthmatic female with the complaint of dyspnea on walking for more than 10 minutes at normal pace. The commonly used outcome measureswere selected for the assessment; 6 Minute Walk Test (6MWT), Peak Expiratory Flow Rate (PEFR) and Chest expansion (CE). All parameters showed improvement by the end of intervention program. Considering Minimum Clinically Important Difference (MCID) and normative values, high variability was noted between the subjects, however, clinically, both subjects demonstrated improved values on all three outcome measures. Paired t-test was used for data analysis. Because of low sample size, none of outcome measures showed statistical significant difference in pre and post intervention score. Extended study with larger sample size would assist in drawing conclusion which can be generalized to large population.

Keywords: ACBT; Asthma; PEFR; 6MWT; Chest Mobility; Nebulization.


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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.9416.5

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