03037cam a2200349 a 4500 EG-GiCUC 20250223032830.0 211017s2021 ua dh f m 000 0 eng d EG-GiCUC eng EG-GiCUC eng Deposite M.Sc Cai01.21.02.M.Sc.2021.To.E Toqa Emad Abutaleb Elnaggar Effect of inspiratory muscle training on diaphragmatic thickness in mechanically ventilated patients / Toqa Emad Abutaleb Elnaggar ; Supervised Hany Ezzat Obaya , Azza Fekry Ismail , Rashida Elsaid Azzam تأثير تمارين العضلات التنفسية على سمك الحجاب الحاجز فى مرضى التنفس الاصطناعى Cairo : Toqa Emad Abutaleb Elnaggar , 2021 147 P. : charts , facsimiles ; 25cm Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics Disorder Background: Unloading the diaphragm by mechanical ventilation results in damage, thinning and atrophy of the diaphragm; a condition that is recognized as ventilator-induced diaphragmatic dysfunction (VIDD). This consequently leads to prolonged ventilation, extubation failure and higher risk of mortality.The purpose of the study: was to investigate the effect of inspiratory muscle training protocol that includes titrated loads on the diaphragm in order to prevent or reverse diaphragmatic atrophy as a part of an early rehabilitation programme. Subject and Methods: Fifty-five patients of both genders, aged between 30 and 45 years, intubated and mechanically ventilated as a result of with type (I) hypoxic respiratory failure due to COVID-19 were randomly collected from ICU units of Kasr El-Ainy and Imbaba Fever Hospitals. The patients were assigned into study (14 females and 18 males) and control (9 females and 14 males) groups, the first group received inspiratory muscle training in addition to the routine chest physiotherapy, while the second group received routine chest physiotherapy only. Diaphragmatic thickness of both groups was measured using ultrasonography on the 1st and 3rd day of mechanical ventilation.Then, intra-group and inter-group comparisons were performed. Results: The diaphragmatic thickness at the end of inspiration and expiration significantly increased in the study group that received inspiratory muscle training (p<0.05) while there was a non-significant increase in diaphragmatic thickness fraction for this group (p>0.05) Issued also as CD Diaphragmatic dysfunction Inspiratory muscle training Mechanical ventilation Azza Fekry Ismail , Supervisor Hany Ezzat Obaya , Supervisor Rashida Elsaid Azzam , Supervisor http://172.23.153.220/th.pdf Nazla Revisor Shimaa Cataloger ddc TH 82630 82630 ddc 0 CUCL cl210 2024-02-11 Cai01.21.02.M.Sc.2021.To.E 01010110084447000 2023-09-22 00:00:00 TH ddc 0 CUCL cl2u8 2024-02-11 Cai01.21.02.M.Sc.2021.To.E 01020110084447000 2023-09-22 00:00:00 84447.CD CD