Chest Physiotherapy Steps

Patients And Methods

A total of 20 clinically stable children between the ages 5-13 were included in the study. The subjects had been diagnosed with cystic fibrosis in Hacettepe University Medical Faculty Department of Child Pulmonary Diseases by clinical findings consistent with cystic fibrosis and a sweat chloride value above 60 mEq/L on two measurements or cystic fibrosis-relevant mutations on both alleles of the CFTR gene, an age of >= 13, a forced expiratory volume in 1s (FEV1) of >= 35%, and the ability to perform physical activity. These criteria were met for inclusion: Clinically stable; no medical contraindications regarding exercise testing or participation in an exercise-training program. The duration of the study did not change for home medications (oral or inhaled anti-inflammatory drugs, bronchodilators/pancreatic enzyme supplements and vitamins). Cysticfibrosis and non-cysticfibrosis-related chronic disease were not exempted. All children involved in the study, as well their families, were informed about the scope and purpose of the research and given written consent. All processes were compliant with the Helsinki Declaration. There were no other exclusion criteria.

All assessment were made by a single qualified pediatric pulmonologist. Exercise training and chest physiotherapy was done by another qualified physiotherapist.

For cystic fibrosis patients, the Schwachman score [ ] was used. While the Chrispin radiological scoring system and Norman radiological scoring systems were used to assess radiological changes in cases of the illness, the severity of disease and course was determined. For evaluation of thoracic mobility, the chest circumference was measured at 3 different locations.

A modified Bruce protocol was used for the multilevel progressive treadmill test. This incremental protocol is designed to measure cardiovascular endurance in children with cystic []. The test was conducted on the Enraf Nonius treadmill (Netherlands). Modified Bruce Test stage 1 and 2 respectively run at 1.7 mph (0%) and 1.5 mph (5%), while stage 3 is similar to Stage 1. Standard Bruce Test protocol continues at 1.7mph (10% grade), 2.5 mph (12%) grade, and 3.4 mph (135 grade). Per stage takes 3 minutes.

To test the endurance and dynamic strength of abdominal muscles, the sit-up test [ ]. For power testing, the long standing jump was performed [ ]. Patients with cystic fibrillis were tested for flexibility using the sit, reach, trunk lateral, trunk hyperextension, trunk rotate, forward bending, and trunk hyperextension tests. With a chronometer, the running time of the subject was measured. The 10-step stair climbing task required them to climb 10 steps without stopping. Standardized as 15 cm, the height of each step.

Three times per week, the patients received training for six weeks. Patients were trained on active breathing techniques, and aerobic exercises using the treadmill at each visit. On the treadmill for 30-minutes, exercise was performed at 75-80% of their maximum heart beat. Each individual was assessed for their heart rate and blood pressure. The three-time repetition of each pulmonary segment’s active cycle was done for every breathing technique. In order to make the program home-friendly, posture exercises were added along with the breathing technique. There was no exacerbation during the study.

The data was expressed as mean +- standard deviation, The Wilcoxon test was used to compare the values before and after the physiotherapy program [ ]. The significance level was accepted as p < 0.05.

What Are The Essentials of Chest Physiotherapy Practices?

You should have your chest lower than your hips. This can be achieved by either lying down on a flat surface, or propping your hips with pillows. This position helps to drain your frontal lobes.

Which Technique Is The Most Effective For Chest Physiotherapy?

Thus, chest physiotherapy is prescribed routinely twice per day, with an increased frequency during exacerbations of bronchitis. The most widely prescribed method is percussion and postural drainage.

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