Effectiveness of Thoracic Cage Mobilization on Chronic Obstructive Pulmonary Disease Patients : Pilot Study / By Dalia Ashraf Mohamed Youssef; Under Supervisor of Prof. Dr. Haytham Mohamed El Hafez, Prof. Dr. Mohamed Said Ismail, Dr. Mariam Omran Grase.

Thesis (M.Sc.)-Cairo University, 2023.

Bibliography: pages 69-80.

Background: A significant contributor to chronic morbidity and mortality
worldwide is chronic obstructive pulmonary disease (COPD). As a result of
continued exposure to COPD risk factors and population ageing, the burden of
COPD is expected to rise globally in the next decades. The purpose of this study is
to determine if thoracic cage mobilizations are useful in treating COPD. Five
individuals with chronic obstructive pulmonary disease took part in the trial for this
study. They were received thoracic mobilization treatment and conventional
treatment. The training was continuing six sessions in ICU. Each patient received
mobilization interventions in addition to design the physical therapy programs.
Arterial Blood Gas (ABG), chest expansion, dyspnoea Index, computerized
tomography (CT scan) and the COPD Assessment test (CAT) questionnaire were
measured before and after the intervention. Results: there was significance
variance in chest expansion on the axillary and T10 level and there was a
significance difference on pH 7.436±0.028. There was a decrease in the percentage
of Partial pressure CO2 after the mobilization with mean value 67.12±3.12 mmHg
and there was an increase of Partial pressure O2 after the treatment 65.95±15.56
mmHg. The results showed that there was a decrease in the CAT questionnaire
after the treatment. This means that; the patient can go to their life without any
problems. The mean value of CAT questionnaire pre-treatment was 28.4±4.27 and
the mean value of CAT questionnaire post treatment was 16±6.63. Conclusion:
Adding the thoracic cage mobilization to conventional treatment showed the
difference in daily style of life of the patients.

شارك 5 شخصًا (تم استخدام علاجًا تقليديًا وتعبئة الصدر) الذين تزيد أعمارهم عن 35 عامًا في هذه الدراسة، عينة الدم ABG تم استخدامها لقياس الحموضة (pH) ومستويات الأكسجين وثاني أكسيد الكربون في الدم من الشريان. باستخدام قياس الشريط للقياسات في نهاية الشهيق العميق والانتهاء ، وقياس ضيق التنفس لتحديد مستويات الجهد ، وتم استخدام استبيان CAT ، وتم استخدام مؤشر ضيق التنفس لقياس ضيق التنفس لتحديد مستويات الجهد ، والتي قد تكون ملحوظة زيادة في المرضى الذين يعانون من ارتفاع ضغط الدم الرئوي لوحظ وجود تحسن ملحوظ في وظائف الرئه ومدى الاتساع الحركى لها بعد استخدام العلاج والعوده الي الحياه الطبيعيه لهم بعد الخروج من الرعايه دون الاعتماد علي الاكسجين او دواء موسع الشعب الهوائيه.

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Text in English and abstract in Arabic & English.