TY  - BOOK
AU  - Heba Gamal Ali Ali El Daous 
AU  - Nagwa Mohamed Hamed Bader
AU  - Marwa Elsayad Mohamed Elnaggar
AU  - Ali Mohamed Ali Ismail 
TI  - Response of Pulmonary Functions to Inspiratory Muscles Training  Versus Pneumatic Compression in Copd Patients
U1  - 615.82 
PY  - 2023///
KW  -  Internal Medicine and  Geriatrics
KW  - qrmak
KW  - Pulmonary Functions
KW  - Inspiratory Muscle Training
KW  - COPD
N1  - Thesis (M.Sc.) -Cairo University, 2023.; Bibliography: pages 87-104.; Issued also as CD
N2  - Back ground: Chronic obstructive pulmonary disease (COPD), which is a leading cause of 
mortality and morbidity worldwide, is the main cause of persistent obstruction of the airway 
leading to respiratory muscle weakness. 
Aim of this study: comparing the response of pulmonary functions to resisted inspiratory 
muscles training versus pneumatic compression in COPD patients. 
 Patients and Methods: randomized prospective clinical study included 40 male patients with 
moderate and sever COPD according to GOLD. They were recruited from outpatient clinic of 
chest disease, Benha University Hospitals. patients were randomly assigned into two equal 
groups, group A received inspiratory muscle training (30%of maximum inspiratory pressure) and 
group B received intermittent pneumatic compression with abdominal sleeve (30% of one-
repetition maximum). All patients trained 3 times per week for 12 weeks. Respiratory function 
tests (forced expiratory volume in first second (FEV1), forced vital capacity (FVC), FEV1/FVC, 
peak expiratory flow rate (PEFR), forced expiratory flow at 25%-75% (FEF 25-75%), Modified 
Borg Dyspnea Scale (MBS), six-minute walk test (6MWT), maximal oxygen consumption (VO2 
max), COPD assessment test (CAT) and hospital anxiety and depression scale (HADS) were 
compared before interventions and post 12 weeks. 
Results: Comparison between- group post- treatment values revealed a significant increase in 
FEV1% improvements (23.81% and 7.26%), FVC% improvements (23.74% and 7.73%), PEFR% 
improvements (35.78% and 8.22%), FEF25-75% (% improvements 32.23% and 12.11%) and 6 
MWT% improvements (56.35% and 24.11%) of group A compared with that of group B (p < 
0.05). There was a significant decrease in MBS% improvements (50% and 37.74%), CAT% 
improvements (21.11% and 29.06%), HADS-D% improvements (45.27 and 35.23) and HADS-
A% improvements (43.91% and 33.56%) of group A compared with that of group B (p < 0.05). 
There was no significant difference post intervention in FEV1/FVC and VO2 max between 
groups (p > 0.05). 
Conclusions: Inspiratory muscle training and intermittent pneumatic compression improve 
pulmonary functions. Intermittent pneumatic compression can be considered as an effective 
component for pulmonary rehabilitation in COPD patients; شارك 40 مريضًا وتم تقسيم المرضى إلى مجموعتين دراسيتين متساويتين في العدد، مجموعه أ  تلقت علاج باستخدام  جهاز مدرب عضلات الشهيق (30٪ من أقصى ضغط الشهيق) والمجموعة ب تلقت  جهاز الضغط الهوائي بواسطه حزام علي منطقه البطن  (30٪ من تكرار واحد كحد أقصى). تم تدريب جميع الحالات 3 مرات في الأسبوع لمدة 3 أشهر. تم تدريب جميع المرضى 3 مرات في الأسبوع لمدة 12 أسبوعًا. تم مقارنة وظائف الجهاز التنفسي (حجم الزفير القسري في ثانية واحدة (FEV1) ، السعة الحيوية القسرية(FVC) ، حجم الزفير القسري في ثانية واحدة/ السعة الحيوية القسرية ، ذروة معدل تدفق الزفير  ، تدفق الزفير القسري بنسبة 25٪ -75٪  ، تمت مقارنة مقياس البرج المعدل  ، واختبار المشي لمدة ست دقائق  ، والاستهلاك الاقصي للأكسجين ، واختبار تقييم مرض الانسداد الرئوي المزمن  ، ومقياس القلق والاكتئاب في المستشفى  قبل التدخلات وبعد 12 أسبوعًا يعمل جهازي تدريب العضلات الشهيق والضغط الهوائي على تحسين وظائف الرئة .يمكن اعتبار الضغط الهوائي مكونًا فعالًا لإعادة التأهيل الرئوي لمرضى مرض الانسداد الرئوي المزمن
ER  -