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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.21.02.M.Sc.2020.He.E
100 0 _aHeba Tullah Emad Mohamed Afifi
245 1 0 _aEffect of inspiratory versus expiratory training on diaphragmatic excursion on patients with chronic obstructive pulmonary disease /
_cHeba Tullah Emad Mohamed Afifi ; Supervised Azza Abdelaziz Abdelhady , Yussif Mohamed Amin Soliman
246 1 5 _aتأثير تمرينات الشهيق مقابل تمرينات الزفير على ازاحة عضلة الحجاب الحاجز فى مرضى الانسداد الرئوى المزمن
260 _aCairo :
_bHeba Tullah Emad Mohamed Afifi ,
_c2020
300 _a96 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics DisorderCardiopulmonary and Geriatrics Disorder
520 _aBackground: 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
530 _aIssued also as CD
653 4 _aDiaphragmatic excursion
653 4 _aFraction Thickness
653 4 _aInspiratory training
700 0 _aAzza Abdelaziz Abdelhady ,
_eSupervisor
700 0 _aYussif Mohamed Amin Soliman ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c76624
_d76624