Bronşektazili çocuklarda ev programı olarak verilen iki farklı fizyoterapi tekniğinin etkinliğinin araştırılması
Assessment of efficacy of two different home physiotherapy programmes in children with bronchiectasis
- Tez No: 99337
- Danışmanlar: PROF.DR. NİLGÜN GÜRSES
- Tez Türü: Yüksek Lisans
- Konular: Kardiyoloji, Cardiology
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2000
- Dil: Türkçe
- Üniversite: İstanbul Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Kardiyoloji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: Belirtilmemiş.
Özet
SUMMARY This study was carried out for setermining the effectivity of postural drainage and the flutter device - which is in daily practice recently - on secretion drainage in children with bronchiectasis. We also aimed to determine the effects of these methods on symptoms respiratory functions and functional capacity. Patients followed up at the out patient clinic of M.Ü. Pedaitric Pulmonary Division with the diagnosis of bronchiectasis were recruited into the study. Patient were evaluated in two groups. Flutter Group (14 FG) Postural drainage Group (1 6 PDG) All of the patients were clinically assesed in terms of the severity of disease before recruting into the study. Both of the groups were trained in respect to home orientation programme. During the initial measurements, the height, weight, VYA and FVC values of Group F was found to be higher than the PD group. Apart from these the two groups were similar in all terms. Reassesing the two groups at the end of our study the following is viewed;. Paettern of respiration at PD Group is improved (p these children use updominal type of respiration spontaneously.. These improvements are not observed in Group F, moreover there has been reduction in the respiratory depth (p. In terms of night symptoms and night coughs, there has been some improvement (p at PDG, p=0.05 at FG) at both groups.. In terms of day symptoms, while secretion drainage (p found to be better at group PD, cough, secretion drainage oscultation score and wheez scores were better at Group F. (p=0.05) Quantity of secretion at both groups were reduced (p the color 68of secretion at Group PD was improved. (p the examination of the chest periphery measurements of the patients the only considerable improvement was in PD Group, statistically. Also the FEV-ı, PEF and FEF 25-75 values were considerably improved in group PD (p=0.05, p<0,001,p <0.001) These improvements are not observed in Group F. Daily variation of PEF measurements were improved in both groups. (PD p p the physical therapy session in the hospital, the measurements of FEV1 in PD Group (p PEF values in F group were found to be increased. (p the 6-minutes-walking test, walking distances and durations were increased however statistically no difference was found. At Borg and Face scale at Group PD a considerable improvement was noticed (p=0.05, p the end of the walking test, S02 value has increased in both groups (PDG p p=0.05). The KH difference at group F increased (p PE difference at Group PD increased. (p conclusion, especially the children with bronchiectasis and having problems to drain secretion had benefit from home programs, including flutter techniques and postural drainage (together with percusion and vibration) in addition to the classical chest physical therapy. 69
Özet (Çeviri)
SUMMARY This study was carried out for setermining the effectivity of postural drainage and the flutter device - which is in daily practice recently - on secretion drainage in children with bronchiectasis. We also aimed to determine the effects of these methods on symptoms respiratory functions and functional capacity. Patients followed up at the out patient clinic of M.Ü. Pedaitric Pulmonary Division with the diagnosis of bronchiectasis were recruited into the study. Patient were evaluated in two groups. Flutter Group (14 FG) Postural drainage Group (1 6 PDG) All of the patients were clinically assesed in terms of the severity of disease before recruting into the study. Both of the groups were trained in respect to home orientation programme. During the initial measurements, the height, weight, VYA and FVC values of Group F was found to be higher than the PD group. Apart from these the two groups were similar in all terms. Reassesing the two groups at the end of our study the following is viewed;. Paettern of respiration at PD Group is improved (p<0.001) and these children use updominal type of respiration spontaneously.. These improvements are not observed in Group F, moreover there has been reduction in the respiratory depth (p<0.05). In terms of night symptoms and night coughs, there has been some improvement (p<0.01 at PDG, p=0.05 at FG) at both groups.. In terms of day symptoms, while secretion drainage (p<0.01) was found to be better at group PD, cough, secretion drainage oscultation score and wheez scores were better at Group F. (p=0.05) Quantity of secretion at both groups were reduced (p<0.05). Additionally the color 68of secretion at Group PD was improved. (p<0.001) In the examination of the chest periphery measurements of the patients the only considerable improvement was in PD Group, statistically. Also the FEV-ı, PEF and FEF 25-75 values were considerably improved in group PD (p=0.05, p<0.001, p<0.001). These improvements are not observed in Group F. Daily variation of PEF measurements were improved in both groups. (PD p<0.001, FG p<0.01) Following the physical therapy session in the hospital, the measurements of FEV1 in PD Group (p<0.01) and PEF values in F group were found to be increased. (p<0.05) In the 6-minutes-walking test, walking distances and durations were increased however statistically no difference was found. At Borg and Face scale at Group PD a considerable improvement was noticed (p=0.05, p<0.01) At the end of the walking test, S02 value has increased in both groups (PDG p<0.05, FG p=0.05). The KH difference at group F increased (p<0.001) The PE difference at Group PD increased. (p<0.05) In conclusion, especially the children with bronchiectasis and having problems to drain secretion had benefit from home programs, including flutter techniques and postural drainage (together with percusion and vibration) in addition to the classical chest physical therapy. 69
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