000			03037cam a2200349 a 4500
003			EG-GiCUC
005			20250223032830.0
008			211017s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.21.02.M.Sc.2021.To.E
100	0		_aToqa Emad Abutaleb Elnaggar
245	1	0	_aEffect of inspiratory muscle training on diaphragmatic thickness in mechanically ventilated patients / _cToqa Emad Abutaleb Elnaggar ; Supervised Hany Ezzat Obaya , Azza Fekry Ismail , Rashida Elsaid Azzam
246	1	5	_aتأثير تمارين العضلات التنفسية على سمك الحجاب الحاجز فى مرضى التنفس الاصطناعى
260			_aCairo : _bToqa Emad Abutaleb Elnaggar , _c2021
300			_a147 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics Disorder
520			_aBackground: 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)
530			_aIssued also as CD
653		4	_aDiaphragmatic dysfunction
653		4	_aInspiratory muscle training
653		4	_aMechanical ventilation
700	0		_aAzza Fekry Ismail , _eSupervisor
700	0		_aHany Ezzat Obaya , _eSupervisor
700	0		_aRashida Elsaid Azzam , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c82630 _d82630