Effects Of Chest Wall Mobilization Exercises To Improve The Respiratory Functions In Severe Copd Patients

Authors

  • T.S. Muthukumar
  • Arunachalam Ramachandran
  • Anandh V
  • Girish Baldha
  • Anandan Duraisamy

Keywords:

COPD, GOLD, Chest wall expansion, Physiotherapy

Abstract

BACKGROUND:COPD is defined by persistent air-flow limitation that is progressive in nature. In most of the patients, the reduced elastic recoil of the lungs with expiratory flow limitation cause hyperinflation of the lungs beyond the resting functional residual capacity. Chest wall mobilization exercises are used to expand the chest during both phases of respiration. It is an active exercise performed by the patient himself. In this study we evaluated the effects of chest wall mobilization exercises to improve the respiratory functions in severe COPD patients.

MATERIALS AND METHODOLOGY:The study was performed at Department of Physiotherapy Revathi Institute of Physiotherapy Tirupur TamilNadu India. Forty male severe COPD patients of age group 55-65 were recruited for the study. Chest wall expansion was measured prior to the exercise program and the post test measurements were taken after 4 weeks of chest wall mobilization exercises. Statistical analysis was done using SPSS and the Wilcoxon Signed Rank  test was used to find out the difference within the subjects.

RESULTS:The current study was designed to find out the effects of chest wall mobilization exercises to improve the respiratory function in severe COPD patients. The results showed that there was significant improvement in chest wall expansion in post treatment sessions as compared to pre treatment sessions. Previous studies proved that chest function declined when the disease progresses.

CONCLUSION:In summary the chest wall mobilization exercises found to produce significant changes in respiratory functions in severe COPD patients

Downloads

Download data is not yet available.

References

Carla Malaguti et.al Reliability of Chest Wall Mobility and Its Correlation With Pulmonary Function in Patients With Chronic Obstructive Pulmonary Disease Respiratory Dec 2009 VOL 54 NO 12

2. Duranti R, Misuri G, Gorini M, Goti P, Gigliotti F, Scano G. Mechanical loading and control of breathing in patients with severe chronic obstructive pulmonary disease. Thorax 1995;50(2): 127-133.

2. Jubran A, Tobin MJ. The effect of hyperinflation on rib cage-abdominal motion. Am Rev Respir Dis 1992;146(6):1378-1382.

3. Putt MT, Watson M, Seale H, Paratz JD. Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil 2008; 89(6):1103-1107.

4. Kakizaki F, Shibuya M, Yamazaki T, Yamada M, Suzuki H, Homma I. Preliminary report on the effects of respiratory muscle stretch gymnastics on chest wall mobility in patients with chronic obstructive pulmonary disease. Respir Care 1999;44(4):409-414.

5. Minoguchi H, Shibuya M, Miyagawa T, Kokubu F, Yamada M, Tanaka H, et al. Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training. Intern Med 2002; 41(10):805-812.

6. Bockenhauer SE, Julliard KN, Lo KS, Huang E, Sheth AM. Quantifiable effects of osteopathic manipulative techniques on patients with chronic asthma. J Am Osteopath Assoc 2002;102(7):371-375.

7. Potter H. Musculoskeletal dysfunction in respiratory disease. In: Pryor JA, Prasas SA, editors. Physiotherapy for respiratory and cardiac problems, 3rd edition. London: Churchill Livingstone; 2002:161- 170.

8. Smith K, Cook D, Guyatt GH, Madhavan J, Oxman AD. Respiratory muscle training in chronic airflow limitation: a meta-analysis. Am Rev Respir Dis 1992;145(3):533-539.

9. Delgado HR, Braun SR, Skatrud JB, Reddan WG, Pegelow DF. Chest wall and abdominal motion during exercise in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1982; 126(2):200-205.

10. Brancatisano T, Engel L. Chest wall mechanics during exercise in patients with severe chronic air-flow obstruction. Am Rev Respir Dis

1984;129(1):33-38.

11. Cohn MA, Rao AS, Broudy M, Birch S, Watson H, Atkins N, et al. The respiratory inductive plethysmograph: a new non-invasive monitor of respiration. Bull Eur Physiopathol Respir 1982;18(4):643- 658.

12. Fitting JW, Grassino A. [Technics for the functional evaluation of the thoracic cage]. Rev Mal Respir 1986;3(4):173-186. Article in French.

13. Chadha TS, Watson H, Birch S, Jenouri GA, Schneider AW, Cohn MA, et al. Validation of respiratory inductive plethysmography using different calibration procedures. Am Rev Respir Dis 1982;125(6): 644-649.

14. Fernandes M, Cukier A, Ambrosino N, Leite JJ, Feltrim MI. Respiratory pattern, thoracoabdominal motion and ventilation in chronic airway obstruction. Monaldi Arch Chest Dis 2007;67(4): 209-216..

Downloads

Published

2025-07-17

How to Cite

1.
Muthukumar T, Ramachandran A, V A, Baldha G, Duraisamy A. Effects Of Chest Wall Mobilization Exercises To Improve The Respiratory Functions In Severe Copd Patients. J Neonatal Surg [Internet]. 2025Jul.17 [cited 2025Nov.1];14(13S):1336-40. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8333