Volume 3, Issue 2, June 2018, Page: 33-37
Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques
Nina Stepenovna Ayrapetova, Department of Pulmonology, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Miсhael Anatolievich Eremushkin, Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Igor Vyacheslavovich Antonovich, Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Alexey Egorovich Samorukov, Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Larisa Yurievna Tarasova, Department of Functional Diagnostics Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Received: May 24, 2018;       Accepted: Jun. 14, 2018;       Published: Jul. 10, 2018
DOI: 10.11648/j.rs.20180302.12      View  661      Downloads  24
Abstract
This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.
Keywords
Pulmonary Disease, Medical Rehabilitation, Classical Massage, Manual Therapy
To cite this article
Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova, Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques, Rehabilitation Science. Vol. 3, No. 2, 2018, pp. 33-37. doi: 10.11648/j.rs.20180302.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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