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IJPR.2017.130

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Type of Article:  Original Research

Volume 5; Issue 3 (May 2017)

Page No.: 2031-2034

DOI: https://dx.doi.org/10.16965/ijpr.2017.130

FACILITATING HUFF FOR AIRWAY CLEARANCE AND TO RELIEVE DYSPNEA IN SUBJECTS WITH COPD

Deepika Burman *1, Sneha Ghuman 2, Varoon Jaiswal 3, Snehal Ghodey 4.

*1 B.P.TH student, MAEER’s Physiotherapy College, Pune, Maharashtra, India.

2 Assistant Professor, MAEER’s Physiotherapy College, Pune, Maharashtra, India.

3 Associate Professor, MAEER’s Physiotherapy College, Pune, Maharashtra, India.

4 Principal, MAEER’s Physiotherapy College, Pune, Maharashtra, India.

Address for Correspondence:  Deepika Burman, NITI Merchant Society, Bunglow No 15, Besides Vedanta Academy, Station Road, Malavali-410405, Pune, Maharashtra, India. E-Mail: deepikaburman4@gmail.com

ABSTRACT:

Introduction: Chronic obstructive pulmonary disease (COPD), is a lung disease characterised by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. Secretions produced in the respiratory tract are cleared by muco-ciliary transport, cephalad airflow bias, and cough which then helps in relieving dyspnea. There is need to find an alternate cost effective, easy technique which can help clearing the secretions and relieve dyspnea. An intervention like huff training could help better in clearance of airways.  Removal of secretions will also facilitate in relieving dyspnea. Forced expiration against resistance has demonstrated better sputum production and reduced the level of dyspnea.

Procedure: Permission from the Institutional Ethical committee was taken before starting the study. Two groups were made, group A (Experimental group) and group B (Control group) comprising of 10 subjects each. All the subjects were explained about the study and a informed written consent was taken from them. Subjects were randomly allocated. 24 hours sputum expectoration was collected in the calibrated sputum mug & it was measured at the end of 24 hours .The level of dyspnea was measured by using VAS scale for breathlessness pre and post 24hours.

Results: Lung clearance was better with therapist made huffing device and amount of sputum was statistically significant (analysed using Mann Whitney’s Test) and there was improvement in dyspnea (Level of Dyspnoea was statistically analysed using Wilcoxin’s Matched Paired Test).

Conclusion: The study concludes that HUFF given through the therapist made device was more effective than the traditional HUFF in clearance of airway secretions as well as in relieving dyspnea in subjects with Acute Exacerbation of Chronic Obstructive Pulmonary Disease.

Key words: COPD, Therapist- made device, Amount of sputum, Level of Dyspnea , VAS scale for Breathlessness.

REFERENCES

  1. Chronic respiratory disease April 2006 3; 83-91. Falk P, Eriksen A-M, Kølliker K, Andersen J B. Relieving dyspnea with an inexpensive and simple method in patients with severe chronic airflow limitation; Eur J Respir Dis 1985;66:181-6.
  2. Advances in airway clearance technologies for COPD Medscape multispecialty 2013;7(6)673-685.
  3. Physiotherapy practice in management of patients with bronchiectasis and chronic obstructive pulmonary disease. Alfred Hospital, University of Melbourne, School of Physiotherapy.
  4. API Textbook of Medicine; Sidharth .N. Shaha.
  5. Hie T, Pas BG, Roth RD, Jensen WM. Huff coughing and airway patency Respir care 1979;24(8):710-713.
  6. Airway clearance techniques for bronchiectasis Annemarie L Lee1,2,3 Angela Burge Anne E Holland School of Physiotherapy, The University of Melbourne, Carlton, Australia.
  7. Chest physiotherapy in chronic obstructive pulmonary disease : forced expiratory technique combined with either postural drainage or positive expiratory pressure L Olseni, B Midgren, Y Hörnblad, P Wollmer – Respiratory medicine, 1994 – Elsevier
  8. Efficacy of physical therapy methods in airway clearance patients with chronic obstructive pulmonary disease Nowobilski1,2, Tomasz Włoch1,2, Maciej Płaszewski3, Andrzej Szczeklik1
  9. Pulmonary rehabilitation. American Thoracic Society. Am J RespirCrit Care Med.1999;159(5 Pt 1):1666-1682.
  10. Sleigh MA.Ciliary function in transport of mucus. Eur J Respir Dis 1983;128(Pt 1):287-292.
  11. Thompson B, Thompson HT, Forced expiratory exercises in asthma and their effect on FEV1,NZ J Physiotherapy 1963;3:19-21.
  12. Partridge C, Pryor J, Webber B. Characteristics of the forced expiratory technique Physiotherapy 1989;75:193-194.
  13. Van Weinden CM, Visser A, Hop W, Sterk P J, Beckers S, deJongste JC. Effects of flutter and PEP mask physiotherapy on symptoms and lung function in children with cystic fibrosis . EurRespir J 1998;12(1):143-147.
  14. Pontifex E Williams MT, Lunn R Parsons D. The effects of huffing and directed coughing on energy expenditure in young asymptomatic subjects Aust J Physiotherapy 2002;48(3):209-213.
  15. Holland AE, Button BM. Is there a role of airway clearance techniques in Chronic Obstructive Pulmonary Disease and Chron Respir Dis 2006;3(2):83-91.

Cite this article: Deepika Burman, Sneha Ghuman, Varoon Jaiswal, Snehal Ghodey. FACILITATING HUFF FOR AIRWAY CLEARANCE AND TO RELIEVE DYSPNEA IN SUBJECTS WITH COPD. Int J Physiother Res 2017;5(3):2031-2034. DOI: 10.16965/ijpr.2017.130
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