Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics DisorderCardiopulmonary and Geriatrics Disorder

Background: Chronic obstructive pulmonary disease (COPD) causes systemic changes such as systemic inflammation, skeletal muscle weakness and respiratory muscle dysfunction caused by changes in the composition of muscle fibers and muscle atrophy.The purpose: To identify the effect of inspiratory versus expiratory training on diaphragm in COPD patients. Subjects and methods: Forty patients (men) with chronic obstructive pulmonary disease were included in this study they were selected from Outpatient clinic of chest diseases Faculty of Medicine ,Cairo University. Their age ranged from 40 {u2013} 50 years; they had Body mass index (BMI) ranged from 18.5-29.9 (kg/m2). Patients were assigned randomly into two equal groups: Group (A) Expiratory muscle training (EMT) who received expiratory muscle training by positive expiratory pressure device (PEP) in addition to routine physiotherapy program according to department protocol in form of, percussion, vibration, shaking and postural drainage. Group (B) Inspiratory muscle training (IMT), who received inspiratory muscle training by inspiratory trainer device in addition to the same physical therapy program that applied in group (A). Both groups received treatment program 3 times \week for 12 weeks.The Outcome Measures: Diaphragmatic excursion, thickness fraction measured by Ultrasonography. Dyspnea, activity and fatigue were assessed by pulmonary function status and dyspnea questionnaire -Modified (PFSDQ-M) before and after treatment program in both groups

Issued also as CD