Abstract

American lung association report,there were 1.8 million emergency department visits and 3,816 deaths per year attributable to asthma [1]. according to (GINA2012) the role of complementary and alternative medicine in adult asthma treatment are limited because these approaches have been insufficiently researched and their effect are largely unproven [2]. the parasympathetic nervous system are the primary regulators of pulmonary smooth muscle tone. Postganglionic parasympathetic nerves mediate both cholinergic contractions and inhibitory non-adrenergic non-cholinergic (iNANC) relaxations. It is the close balance between these two that ultimately determines airway caliber. These relaxation and contraction responses are through anatomical and physiological distinct vagus nerve pathways [3].

Highlights

  • American lung association report,there were 1.8 million emergency department visits and 3,816 deaths per year attributable to asthma [1]. according to (GINA2012) the role of complementary and alternative medicine in adult asthma treatment are limited because these approaches have been insufficiently researched and their effect are largely unproven [2].The parasympathetic nervous system are the primary regulators of pulmonary smooth muscle tone

  • Materials and methods Peak flow meter,pulse oxymeter and Visual analogue scale of dyspnea (0:10) were used for pre and post treatment evaluation.treatment with vagal nerve stimulation was given with trans-cutaneous electrical nerve stimulation (TENS) device and adhesive electrodes over the carotid sheath bilateral with intensity below the muscle contraction level for 10 minutes

  • Vagus nerve stimulation (VNS) can be used to reduce broncho constriction associated with asthma

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Summary

Introduction

Postganglionic parasympathetic nerves mediate both cholinergic contractions and inhibitory non-adrenergic non-cholinergic (iNANC) relaxations. It is the close balance between these two that determines airway caliber. Aim of the work In this presentation I want to report a new physical therapy intervention to treat acute asthma symptoms and explain the importance of team work research in asthma. Case description A 67 y/o Egyptian female with a history of asthma, presents to the ER with tachypnea, and acute shortness of breath with audible wheezing. Patient has taken her prescribed medications of Cromolyn Sodium and Ventolin at home with no relief of symptoms prior to coming to the ER. Faculty of physical therapy cairo university pulmonary and geriatric rehabilitation Giza Egypt

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