To check the effect of Upper Limb PNF and Neurophysiological Facilitation of Respiration on RPE,Functional capacity and Haemodynamic parameters in the AECOPD patients
Description
Alternate Hypothesis: Upper Limb PNF and Neurophysiological Facilitation of Respiration will be significantly effective to improve RPE, Functional Capacity and Hemodynamics parameters among individuals with AECOPD. Null Hypothesis: Upper Limb PNF and Neurophysiological Facilitation of respiration will not be effective to improve RPE, Functional capacity and Hemodynamics parameters among individuals with AECOPD. The data was analyzed using Statistical Package for the Social Science (SPSS) 16 version software. Normality of the data was established by Shapiro- Wilk test (N<50). As the demographic data is normally distributed, the descriptive characteristics of demographic data was expressed in mean and standard deviation. Parametric, Independent t-test in between the groups and Paired t-test within the group was used to find out the significant different as the outcome variables was normally distributed. Non-parametric, Mann Whitney U-test in between group was used to find out the significant different as outcome variables was not normally distributed. The Upper Limb PNF and Neurophysiological Facilitation of Respiration is effective to improve RPE, Functional capacity and Haemodynamic parameters (Systolic pressure).
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The study was pretest posttest Feasibility trail design. Individuals with AECOPD (Both male and female) with age groups 45-65yr was recruited by simple random sampling method and equal participants was recruited in both the group equally (1:1). The written consent form was taken in Hindi or English from the recruited individuals for their voluntary participation. Body weight and height was recorded by the weighing machine and fixed measuring tape respectively, during weight patients wearing light weighted dress and were bare foot. 2 minute walk test was used to assess the functional capacity of the individuals with acute exacerbation of AECOPD. In this test individuals walk without assistance for two minutes and distance is measured. Starting time when the individuals is instructed to go” and stop time at 2 minutes. Modified Borg dyspnea scale was used for the assessment of rate of perceived exertion in individuals to diagnosis of breathlessness and dyspnea with acute exacerbation of AECOPD. This is 0 to 10 rated scale, 0 means no dyspnea and 10 means maximum dyspnea. Blood pressure were recorded prior and after the intervention, patients was in sitting comfortable position by the use of aneroid sphygmomanometer. Oxyhaemoglobin saturation were recorded in comfortable sitting position with the help of pulse oximeter. Pulse Rate were recorded by the physiological palpatory method. Respiratory rate were recorded in supine position by observing both inspiratory and expiratory phases of breathing in 1 minute. The intervention of 6 days was given to both the group of individuals, experimental group (Group A) was receive neurophysiological facilitation of respiration and upper limb PNF and control group (Group B) was receive conventional chest physiotherapy. Each group receive 6 session in 6 days. Data analysis was done after 6 days for both pre and post-intervention by using statistical analysis software.