Active Cycle Of Breathing Research Articles

Active Cycle Breathing Technique on Airway Clearance in Pulmonary TB Patients

Abstract Introduction: Gorontalo City has 643 cases of tuberculosis in 2022, with the problem of ineffective airway clearance which causes airway obstruction which is often characterized by symptoms of ineffective cough, excess sputum, wheezing and rhonchi. Objective: To determine the effect of active cycle breathing technique on airway clearance in pulmonary TB patients. Method: The type of research used is quantitative. The research design uses a Quasi Experiment One Group Pre test- Post test design, namely a research design that only uses one group of subjects and takes measurements before and after giving treatment to the subjects being studied. The sampling technique was carried out using the Accidental Sampling technique with a sample size of 10 respondents. Data analysis uses univariate and bivariate analysis and the instrument used is a questionnaire. Results: The results of the study showed that the patient's clinical results from ineffective airway clearance problems, after being given the active cycle breathing technique, resulted in effective airway clearance. The statistical test results obtained p-Value = 0.004, which means less than (α = 0.05), indicating that there is an influence of active cycle breathing technique on airway clearance in pulmonary TB patients. Conclusion: The active cycle breathing technique can be a recommended nursing intervention in overcoming the problem of airway clearance in pulmonary TB patients.

Effect of Active Cycle Breathing Technique on Airway Clearance among Patients Underwent Cardiac Surgery

Effect of Active Cycle Breathing Technique on Airway Clearance among Patients Underwent Cardiac Surgery

Teknik Pernapasan terhadap Dispnea pada Pasien PPOK

This study aims to determine breathing techniques that can be used to reduce dyspnea in COPD patients. The method used is to search articles on several electronic databases, namely Proquest, ScienceDirect, PubMed, Embase, and EBSCOHost, using the keywords Breathing Technique, Dyspnea, and COPD. Inclusion criteria were COPD patients, articles with RCT or clinical trial research designs published in the last ten years, and interventions that included breathing techniques. The results showed that several breathing techniques could reduce dyspnea in COPD patients, including pursed lip breathing, active cycle breathing, breathing control, deep breathing, and yoga. In conclusion, these breathing techniques can be used in COPD patients. Breathing techniques can reduce dyspnea and improve quality of life, sputum discharge, lung capacity, and anxiety.
 
 Keywords: Breathing Technique, COPD, Dyspnea

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

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.

ACTIVE CYCLE OF BREATHING TECHNIQUES IMPROVES POST-OPERATIVE PULMONARY COMPLICATIONS IN CORONARY ARTERY BYPASS GRAFT SURGERY PATIENTS

Objectives: To determine effects of active cycle breathing technique (ACBT) on pulmonary function of post coronary artery bypass Graft surgery (CABG) patients. Methodology: A randomized control trial was conducted with a sample size of 40 post CABG patients from September 2018 to January 2020. Vitally stable both male and female post CABG Consecutive patients of age bracket 30-65 years were included in study. Two groups were made by randomization through sealed envelope method. Patients in ACBT group (n=20) did ACBT whereas control group (n=20) performed deep breathing exercises along with conventional treatment. Lung volumes & capacities, vitals (heart rate, respiratory rate, oxygen saturation and blood pressure) and chest expansion were assessed at baseline and on fifth post-operative day. Data was analyzed using SPSS version 21. Results: Out of all the 40 patients 26 (65%) were males and 14 (35%) were females with the mean age of 53±7.9 years in conventional and 56±5.9 years in group performing ACBTs. There was significant improvement in Forced Expiratory Volume (FEV1) and chest expansion (p≤0.05) of ACBT group. However, within group analysis revealed significant improvement in all parameters of both groups (p<0.01). Conclusion: Active cycle breathing technique has beneficial effects in improving FEV1 and chest expansion as compared to traditional physical therapy in post CABG patients during phase I of cardiac rehabilitation.

Comparison of Airway Clearance Therapies for Cystic Fibrosis: A Cochrane Review Summary With Commentary.

Several methods exist for airway clearance therapy in people with cystic fibrosis including both devices and techniques. Some of the common modalities include conventional chest physical therapy (CPT), active cycle of breathing, autogenic drainage, positive expiratory pressure (PEP) therapy, high-

Application of Active Cycle of Breathing Technique for Patient with Corona Virus at Respiratory Isolation Unit: An Interventional Study

Background: Active Cycle Breathing Techniques is a technique of breathing exercises that contributes as a rehabilitative lung therapy, and helps to improve readings of body physiological variables such as oxygen saturation rate, heart rate, respiratory rate and Burke scale. Aims: The current study aims to assess the effect of the active course of breathing techniques on patients with coronavirus in the respiratory isolation unit, evaluate the educational program of the active course of breathing techniques on patients with coronavirus in the respiratory isolation unit, in addition to finding the relationship between the effect of active courses of breathing technology on patients with coronavirus. And their social demographic characteristics represented by age, gender, educational level, marital status, occupational status, and area of residence. Methodology: The design of one group pre-test and post-test, the study was conducted on a non-probability-objective sample consisting of forty patients infected with Corona virus in Yousef Hospital for Isolation in Al-Muthanna Governorate. The statistical methods that were applied using the statistical package for social sciences were adopted, Version 26.0. Results: The results indicated that the ACBTs achieved a significant improvement in the patients' parameters, and the educational program significantly improved the knowledge and practices of ACBTs at (0.05˂P) after 5 days of the intervention. Conclusion: Active breathing exercise is effective in improving respiratory parameters, especially the effect on oxygen saturation (spo2), heart rate, respiratory rate, and Borg scale (measurement of dyspnea) among coronavirus patients. It helps mobilize the secretions and helps re-expand lung tissue. On the other hand, the research contributed to providing an educational program that strengthened and enriched the knowledge and practices of patients in benefiting from this technology at the level of health care and in their daily lives. Recommendations: It is recommended to use the active cycle of breathing techniques at least once or more, depending on the patient’s condition, with an emphasis on the use of this technique in addition to other physiotherapy techniques. To teach patients about the active course of breathing techniques to improve their knowledge and practice. Key words: active cycle of breathing techniques(ACBTs) ,COVID-19 patients, respiratory isolation unit, interventional study.

Penerapan Active Cycle of Breathing Technique untuk Mengatasi Masalah Bersihan Jalan Nafas pada Pasien Tuberkulosis Paru dengan Bronkiektasis: Studi Kasus

This study aims to identify the effectiveness of the Active Cycle Breathing technique (ACT) nursing intervention in overcoming the problem of an ineffective airway through a series of respiratory control, deep breathing and sputum expulsion techniques. The method used is a single case study. Respondents of this study were patients with active pulmonary tuberculosis with broad lesions with bronchiectasis. The results showed that after being given ACT intervention for seven days, there was an increase in oxygenation status, a decrease in sputum, and shortness of breath. In conclusion, ACT intervention is effective in reducing airway clearance problems.
 Keywords: TB Bronchiectasis, Cycle Breathing Technique, Breathing Exercises, Wide Lesion TB, Pulmonary TB

Role of active cycle of breathing technique for patients with chronic obstructive pulmonary disease: A pragmatic, randomized clinical trial

BackgroundWhile active cycle of breathing technique for chronic obstructive pulmonary disease patients with more sputum can improve clinic outcomes, less is known about sputum viscosity and sputum production of the intervention. ObjectiveThe purpose of our study was to explore the effect of active cycle of breathing technique on sputum viscosity and production among patients with chronic obstructive pulmonary disease. DesignThis was a two-arms, parallel, randomized clinical trial. SettingStudy enrollment, randomization and implementation were conducted in the department of respiratory medicine inpatient at the Medical Center in Changchun, China. ParticipantsHospitalized patients due to chronic obstructive pulmonary disease who met additional eligibility criteria were randomized to active cycle of breathing technique (n = 50) or usual care group (n = 50). MethodsPatients in the intervention group received a week-long intervention from an experienced physical therapist. Patients in the usual care group received usual care as well as information and advice in the light of their health plan from respiratory medicine. The primary outcome was the changes on sputum viscosity and production. ResultsAmong one hundred patients who were randomized (mean [SD] age, 54.89 [12.06] years; females, 58%), ninety-six participants completed the study. No significant differences were found between two groups on the changes of sputum viscosity (t = 0.277, P = 0.782). And there were insignificant differences between groups in the average amount of sputum among 1 h (Z=-1.848, P = 0.065) and significant differences in the average amount of sputum among 24 h (Z=-2.236, P = 0.025). From admission to one week recovery, the changes in ratio of forced expiratory volume in 1 s to forced vital capacity (Z=-4.511, P<0.0001) and arterial oxygen saturation (Z=-2.997, P = 0.003) were better in active cycle breathing technique group. Total Chronic Obstructive Pulmonary Disease Assessment Test scale were similar among two groups (Z=-1.818, P = 0.069). No adverse events occurred during the study. ConclusionFor patients with chronic obstructive pulmonary disease, active cycle of breathing technique can significantly result in sputum production and respiratory function, especially those of Global Initiative for Chronic Obstructive Lung Disease classification level 3, but did not result in the short-term improvement of sputum viscosity, quality of life and cost effectiveness.Registration number: ChiCTR2000033068.

Active Cycle of Breathing to Respiratory Rate in Patients with Lung Tuberculosis

Active Cycle of Breathing to Respiratory Rate in Patients with Lung Tuberculosis

Active Cycle Breathing Technique on Pulmonary Complications After Coronary Artery Bypass Graft

The most widely recognized postoperative complexities are watched and overseen after abdominal or cardiothoracic surgery are pulmonary complications and it is continue to contribute to patient morbidity and mortality. Hence, this study was conducted with the aim to determine the effectiveness of active cycle of breathing technique on pulmonary complications after coronary artery bypass surgery. Pre-experimental research design was adopted to conduct the study with 20 samples who met the inclusion criteria. Demographic variables were collected by using structured questionnaire and assessed the physiological parameters such as oxygen saturation, respiratory rate, and heart rate, systolic and diastolic blood pressure. Followed by active cycle of breathing technique was administered to the participants twice a day for 3 days from the first post-operative day onwards. Pre and post assessment was done each day before and after the intervention and post-test value was taken for analysis. Post-operative complications were assessed at the end of 3rd day of intervention by using the checklist contains the pulmonary complications due to surgery. Data were analyzed using SPSS statistical package. There was a significant improvement was observed in oxygen saturation, respiratory and heart rate at the level of p&lt;0.05 and the percentage of complications also very minimal. The findings of the study concluded that active cycle breathing technique is effective in pulmonary function thereby prevent the pulmonary complications after coronary artery bypass graft.

BASELINE CLINICAL CHARACTERISTICS OF ADULT NON-CYSTIC FIBROSIS BRONCHIECTASIS PATIENTS ON HIGH FREQUENCY CHEST WALL OSCILLATION AND OTHER AIRWAY CLEARANCE THERAPIES: ANALYSIS FROM THE UNITED STATES BRONCHIECTASIS RESEARCH REGISTRY

SESSION TITLE: Obstructive Lung Disease Posters SESSION TYPE: Original Investigation Posters PRESENTED ON: October 18-21, 2020 PURPOSE: Non-Cystic Fibrosis Bronchiectasis (NCFBE) is characterized by permanent dilatation of the airways and a vicious cycle of inflammation, leading to impaired mucous clearance, recurrent infection, and progressive airway damage. Use of Airway Clearance Therapies (ACTs) is part of clinical practice. In this study, we aimed to evaluate the characteristics of adults with NCFBE receiving High Frequency Chest Wall Oscillation (HFCWO) therapy and other ACTs, utilizing the U.S. Bronchiectasis Research Registry. METHODS: A retrospective cohort study was conducted. Adult patients seen clinically between 2008-2019 with NCFBE who were using ACTs were grouped into two mutually exclusive cohorts; HFCWO and other ACTs (positive expiratory pressure devices, chest percussion, postural drainage, directed cough, active cycle breathing, or others). Descriptive statistics of demographics and clinical characteristics were assessed in the 24-months prior to enrollment. RESULTS: A total of 992 patients met inclusion criteria. The mean age was 63.2 years (SD=14). Seventy-nine percent were female. The average BMI was 22.9 (SD=4). Of the total cohort, 266 (27%) were using HFCWO, while 726 (73%) were using other ACTs. Disease severity was based on the modified bronchiectasis severity index (BSI). Eighteen percent of patients using HFCWO had mild disease, vs. 26% in the other ACTs cohort. Thirty-six percent of patients in the HFCWO group had moderate disease, vs. 48% in the other ACTs group. Forty-six percent of patients using HFCWO had severe disease, vs. 25% in the other ACTs group. Eighty-four percent of patients in the HFCWO group had at least one exacerbation within the past two years, compared to 66% in the other ACTs group. In the HFCWO group, 29% of patients had one exacerbation, and 25% had more than three exacerbations in the prior two years. In the other ACTs group, 33% had one exacerbation, and 22% had more than three exacerbations. In the HFCWO group, 33% reported having at least one hospital admission within the past two years, vs. 19% in the other ACTs group. Fifty-eight percent of patients in the HFCWO group had one hospitalization, and 10% had more than three hospitalizations. In the other ACTs group, 64% had one hospitalization, while 4% had more than three hospitalizations. There was a statistically significant difference between the HFCWO and other ACT groups in severity of disease (p<.0001), incidence of acute exacerbations (p<.0001), and rate of hospitalizations (p<.0001). CONCLUSIONS: Patients with bronchiectasis using HFCWO had more severe disease than those using other ACTs, as characterized by higher BSI scores and a greater number of exacerbations and hospitalizations. Further analysis to control for potential confounders and to explore longitudinal trends is recommended. CLINICAL IMPLICATIONS: HFCWO therapy is more commonly used in bronchiectasis patients with moderate to severe disease. DISCLOSURES: No relevant relationships by Timothy Aksamit, source=Web Response Advisory Board relationship with Insmed Please note: $1001 - $5000 by Ashwin Basavaraj, source=Web Response, value=Honoraria Consultant relationship with Hill-Rom Please note: $1001 - $5000 by Ashwin Basavaraj, source=Web Response, value=Consulting fee Employee relationship with Hill-Rom Company Inc. Please note: >$100000 Added 06/01/2020 by Brian Becker, source=Web Response, value=Salary Stock Ownership relationship with Hill-Rom Company Inc. Please note: $20001 - $100000 Added 06/01/2020 by Brian Becker, source=Web Response, value=Stock Ownership No relevant relationships by Radmila Choate, source=Web Response Employee relationship with Hill-Rom Inc Please note: >$100000 Added 05/31/2020 by Missy Wanjala, source=Web Response, value=Salary

Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to tripod position in increase oxygen saturation in patients with COPD, West Sumatera

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by obstruction or obstruction of airflow in a reversible or partial nonreversible airway. Dyspnea is a common symptom in COPD sufferers; this can cause problems with oxygen saturation, or the oxygen saturation value is below normal. Non-pharmacological actions given in the form of breathing exercises can be done by a nurse to help reduce shortness of breath in COPD patients. The exercise is given by adjusting the resting position that is comfortable and comfortable so that the extra breath muscles can work well. The position that can do the position of the tripod with Active Cycle of Breathing and Pursed lips are breathing so that shortness of breath is reduced and SaO2 can have increased so that more oxygen has obtained in Lung Hospital, West Sumatra. This research is quantitative research, with quasi-experimental research methods. They used two pre-test-posttest design groups. The sample in this study amounted to 30 people with quota sampling technique. In this study showed that there was a difference in the increase in oxygen saturation of COPD patients which was effective in the tripod position group with Active Cycle Breathing Technique (ACBT) with a p-value of 0.00 while in the tripod position group with the Active Respiratory and Lip Cycle there was a difference of p-value 0.023. It has concluded that the tripod position with ACT and PBLT could increase oxygen saturation and nasal breathlessness reduced, but the tripod position with ACT is more effective in COP patients because with chronic respiratory patients who are short of breath due to sputum buildup, then with ACT will clean the airway and the flow of the road effective breathing so that shortness of breath have reduced and oxygen saturation increases. Furthermore, it has recommended that in hospitals, especially nurses, in dealing with COPD patients in addition to the correct position of breathing exercises with ACT to help patients.

Effectiveness of The Active Cycle Breathing Technique on The Peak Expiratory Flow Rate (PEFR) in Asthma Patient

Introduction: The Peak Expiratory Flow Rate (PEFR) is a person maximum expiratory airflow measurement. The active cycle breathing technique is a breathing exercise focus on release the abnormal lung secretion by increase the expiration power. The aim of this study was to analyze the effectiveness of the active cycle breathing technique on the PEFR in asthma patient.&#x0D; Methods: Design of this study was quasi-experimental with single pre-post test group. Study was conducted in the Kedungkandang Primary Health Care, Malang City, East Java Province, Indonesia. In total 25 asthma patients recruited into a single group. The participant asked to practice the breathing exercise for three times a week and being evaluated after one month. The PEFR was measured by Peak Flow Meter.&#x0D; Results: The Wilcoxon test showed p grade &lt; 0.05, which means there is a significant effect of the active cycle breathing technique on the PEFR grade. The increase of PEFR grade in asthma patients start to appear at the week third to the end of week fourth. Continuous treatment may increase the PEFR grade, however it was influenced by several factors such as age (years) and educational background.&#x0D; Conclusion: The active cycle breathing technique increase PEFR in asthma patients. The PEFR expected to be evaluated simultaneously, to assess the stages of improvement for asthma patient.&#x0D;

Active Cycle Breathing Exercise on Post Tuberculosis Bronchiectasis

Introduction: Tuberculosis (TB) has remained as a major global health issue in Indonesia. Bronchiectasisfrequently occurs in healing process, followed by excessive phlegm and low physical activity.Methods: A case presentation of 49 years old female diagnosed as bronchiectasis post tuberculosis,difficulty to clear the phlegm, and inactive. Patient has undergone pulmonary rehabilitation by activecycle breathing exercise, 5 days a week, 30 minute/session, for 2 weeks.Results: There was no dyspnea, patient easily remove phlegm, and can be more active, after cyclebreathing exercise program.Conclusion: Active cycle breathing exercise effective to relieve dyspnea, improving patient ability toclearance the phlegm, and increase physical activity.Keywords: Bronchiectasis, active cycle breathing exercise, phlegm clearance, physical activity

Active Cycle Breathing Exercise on Post Tuberculosis Bronchiectasis

Introduction: Tuberculosis (TB) has remained as a major global health issue in Indonesia. Bronchiectasis frequently occurs in healing process, followed by excessive phlegm and low physical activity. Methods: A case presentation of 49 years old female diagnosed as bronchiectasis post tuberculosis, difficulty to clear the phlegm, and inactive. Patient has undergone pulmonary rehabilitation by active cycle breathing exercise, 5 days a week, 30 minute/session, for 2 weeks. Results: There was no dyspnea, patient easily remove phlegm, and can be more active, after cycle breathing exercise program. Conclusion: Active cycle breathing exercise effective to relieve dyspnea, improving patient ability to clearance the phlegm, and increase physical activity.

Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may has several health problem after surgery berupa sesak napas, batuk yang tidak efektif. Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung due to aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation were breathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), active cycle breathing technique (ACBT), postural correction exercise (PC) for three weeks. Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m), and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation, there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3. Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increased cough capacity and CE.

Fisioterapia no pós-operatório de Tetralogia de Fallot

A Tetralogia de Fallot é uma cardiopatia congênita cianótica que cursa com prejuízo da oxigenação do sangue, em virtude de alterações anatômicas no coração e/ou grandes vasos. Clinicamente pode apresentar-se com quatro alterações anatômicas importantes: estenose da artéria pulmonar, comunicação interventricular, dextroposição da aorta e hipertrofia do ventrículo direito. O Brasil acompanha a prevalência mundial de cardiopatias congênitas no período neonatal que gira em torno de 0,5% a 1%, numa proporcionalidade oscilando de 8 a 10 para cada 1000 nascidos vivos, sem contar com os casos não diagnosticados por falta de triagem neonatal precoce. O tratamento da Tetralogia de Fallot é cirúrgico, para que haja o restabelecido da homeostasia anatomofisiológica do coração. Mas apesar da modernização das técnicas cirúrgicas atuais, as complicações pós-operatórias ainda apresentam morbidade elevada na população pediátrica e neonatal. As complicações, principalmente, pulmonares resultam em inúmeras intervenções fisioterapêuticas visando promover a higiene brônquica, maior sincronismo toracoabdominal, melhora da oxigenação e ventilação pulmonar, vias aéreas pérvias, melhora dos volumes e capacidades pulmonares. O objetivo do presente estudo é realizar uma revisão de literatura para fazer um levantamento das complicações mais frequentes e técnicas de assistência fisioterapêutica no pós-operatório de cirurgia cardíaca pediátrica de Tetralogia de Fallot. Para isso, foi realizada uma pesquisa bibliográfica em artigos publicados nos últimos dez anos em bases de dados como Scientific Electronic Library Online (SciELO), Literatura Latina Americana em Ciência de Saúde (LILACS), Google Acadêmico, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Physiotherapy Evidence Database (PEDro), e PubMed, utilizando as palavras-chave de acordo com a classificação dos Descritores em Ciências da Saúde (DCS): ‘Fisioterapia’; ‘Tetralogia de Fallot’; ‘Cirurgia Cardíaca’; e ‘Criança’. As complicações pulmonares mais evidentes no pós-operatório da Tetralogia de Fallot foram pneumonia e atelectasia. Sendo a intervenção fisioterapêutica a melhor estratégia para otimizar a função pulmonar e minimizar estas complicações, através da assistência como suporte ventilatório invasivo protetor, desmame precoce, oxigenioterapia, mobilização precoce, posicionamento no leito, posição prona, AFE, hiperinsuflação manual, aspiração de vias aéreas, estímulo à tosse, ciclo ativo da respiração, técnica de expiração forçada, incentivadores inspiratórios, entre outras.

Improvement of the Functional Parameter in Patient with Chronic Obstructive Pulmonary Disease after Pulmonary Rehabilitation

Background: Functional parameter in Chronic Obstructive Pulmonary Disease (COPD) can be evaluated withPeak Cough Flow (PCF), as an effective tool to measure cough ability. Patients with COPD can not do cougheffectively, that leads to sputum retention and finally functional capacity. The aimed of the study to foundimprovement of cough ability (PCF) and COPD symptom.Methods:This was a retrospective cohort study. The researcher did the measurement for PCF, COPD assesmenttool (CATTM ) score and the sixt minute walking test (6MWT) on COPD patients, after rehabilitation programthree times a week, for four weeks. The program consisted of infrared diathermy, breathing exercise, chestmobility exercise, the active cycle breathing technique and static cycle or treadmill exercise program betweenJanuary-June 2018.Results: Subjects are ten COPD patients, the mean of age was 70 years old. The data of PCF, CATTM, anddistance of 6MWT before intervention were 246± 57.19 L/ minute, 13.1± 6.36, and 296.4± 79.30. Thereforethe PCF, CATTM, and distance in 6MWT after four weeks intervention were 269 ± 70.78 (p&lt; 0.05), 15.2 ± 8.56(p&gt; 0.05), and 339.3 ± 62.55 (p&gt; 0.05).Conclusion: Rehabilitation program on COPD patient along four weeks improve the PCF, however did notimprove the CATTM score and the distance of 6MWT.Keywords: 6 Minute Walk Test (6MWT), Chronic Obstructive Pulmonary Disease (COPD), COPD Assesment Test(CAT) Score, Functional Parameter, Peak Cough Flow (PCF).

Physiotherapy Interventions for a Traumatic Brain Injury Patient: A Case Study

Background: Traumatic brain injury (TBI) is one of the main reasons of death and disabilities globally, mainly in kids and adolescence and is still being considered as an enduring issue in ICUs. There are no definite rehabilitation methods for traumatic brain injury patients. The frequent techniques administered by physiotherapists in ICU are positioning, mobilization, manual hyperinflation technique (MHT), percussion, vibrations, suction, cough, and breathing exercises.Case Summary: This study was done in the Medical ICU at Liaquat National Hospital and Medical College, Karachi, Pakistan. The chief complaints of the patient was gunshot injury to the right temporal region. The patient was diagnosed with right front parietal contusion with a fracture of the right temporal bone, subarachnoid edema, and midline shift. The physiotherapy interventions given to the patient were Chest Physical Therapy (CPT) with Zero-pressure Manual Hyperinflation and percussions. Once the ICP issues were controlled, manual hyperinflation with 30 cm of H2O, modified postural drainage, minimal–handling saline suctioning were applied. After extubation, CPT included Active Cycle ofBreathing Techniques (ACBTs), volume oriented incentive spirometry, motor relearning program, and mobilization. The outcome measures were secretion status, modified rancho los amigos level of cognitive functioning scale, and arterial blood gas analysis.Results: The patient’s secretions status improved from P1 to M1, FiO2 was improved from 40% to 21%, chest wall volume was increased from 200 cc/sec to 600 cc/sec, and RLA level increased from I to VIII.Conclusion: The case study presents that physiotherapy interventions used in intensive care units may prevent pulmonary complications in sufferers with traumatic brain injuries. It also suggests that early mobilization should be done to improve cognitive functioning and behavior. This study may also indicate that the earlier the patient is started with mobilizations and rehabilitation, the less costly it will be for the patient.