Effectiveness of glossopharyngeal breathing Along with conventional physiotherapy in Patients with tetraplegic spinal cord injury.

Abstract

Purpose: Spinal Cord Injury is described as one of the most devastating neurological impairment. It has profound effects on spinal injured person and their activity. SCI patient with cervical injury has respiratory problem. The present study was conducted to analyze and identify the therapeutic effectiveness of Glossopharyngeal Breathing along with Conventional Physiotherapy for the treatment of tetraplegic patient with SCI. This study has made the comparison, in order to discover the most effective treatment to alleviate the symptoms of the condition. Objectives: The objectives of the study is to investigate the effectiveness of Glossopharyngeal Breathing along with Conventional Physiotherapy in case of Chest Expansibility, Peak Expiratory Flow, Force Expiratory Volume in one second and Inspiratory Capacity among the tetraplegic patient in CRP. Methodology: The study was randomized control trial design. Total 20 samples were selected conveniently and then randomly assigned to either groups for pretest and posttest this study from inpatient treatment service of Spinal Cord Injury Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka. Initially all the subjects were assessed by SCI Assessment Form at the clinical settings using and then the data were collected by questionnaires, structured questionnaire was used to assess the socio-demographic and other informations of the patients. Pre-test was performed before beginning the treatment. The same procedure was performed to take post-test at the end of 2 weeks of treatment. Between and within group analysis was done in case of Chest expansibility, Peak expiratory flow, Forced expiratory flow in one second and Inspiratory capacity by using unrelated and related t test Result: The results were found to be significant in between group analysis, in case of chest expansibility, peak expiratory flow, force expiratory volume in one second (p value=0.002) except inspiratory capacity (p value=0.278). In within Group analysis (trial and control), in case of the above mentioned variables, the results were found to be significant (p value=0.002). Conclusion: The study concluded as the Glossopharyngeal Breathing along with Conventional Physiotherapy is significantly capable of producing beneficial effects on the improvement of their respiratory problems. Keywords: SCI, tetraplegic, respiratory complication, conventional physiotherapy, Glossopharyngeal breathing.