Abstract:
Introduction: COPD means chronic obstructive pulmonary diseases. Many manual
procedures have long been involved in the management of chronic obstructive
pulmonary disease (COPD). Few literatures evaluated the COPD responses to
individual or multiple manipulative techniques, so effects are unclear and poorly
understood. Objective: To determine the effectiveness of diaphragmatic manipulation
along with conventional physiotherapy on respiratory parameters for patients with
chronic obstructive pulmonary disease. Methodology: 30 participants (age range: 40
to 70 years) from National Institute of Diseases of Chest and Hospital (NIDCH) from
Mohakhali, Dhaka with chronic obstructive pulmonary diseases (COPD) were
included in the study. Diaphragmatic manipulation was applied to experimental
group. The conventional treatment was given for 6 sessions/two week including 3
repetitions in one session in 3 session a day of no less than 30 minutes duration for
consecutive 2 weeks. Experimental research design measured by using mean, standard
daviation, paired t test, independent –t test were taken. Result: Significant difference
between Pre and Post values of all components of respiratory assessment
questionnaires showing the effectiveness of diaphragmatic manipulation in reducing
pulse rate and improving pulse rate and oxygen saturation rate in 6 minute walk test.
Moreover within group comparison in experimental and control group it was found
that all the respiratory parameters were significant through diaphragmatic
manipulation along with conventional physiotherapy and conventional physiotherapy
but only oxygen saturation rate in control group it was not significant. Conclusion:
Diaphragmatic manipulation along with conventional physiotherapy yields
statistically as well as clinically significant improvements in both pulse rate and six
minute walk test in patient with COPD between the ages of 40 and 70 years.
Key words: Diaphragmatic manipulation, Chronic Obstructive Pulmonary Disease
Description:
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy 2017, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh:
