Assessment of the Effectiveness of Physical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease of Moderate Severity
Keywords:
chronic obstructive pulmonary disease, patients, physical rehabilitation, 6MWT, external respiration function, quality of lifeAbstract
The objective is to evaluate the effectiveness of the proposed technology of physical rehabilitation of patients with chronic obstructive pulmonary disease (COPD) of moderate severity. Material and Methods. 162 patients with COPD of moderate severity were examined. The number of the examined men was 84 (51,85 %), women – 78 (48,15 %) people, the average age was 56,34±0,97 years. Patients in the control group received treatment in accordance with the normative protocol of the Ministry of Health of Ukraine and rehabilitation according to the generally accepted method, and patients of the main group – treatment according to the same protocol and rehabilitation according to the proposed technology. Research results. The best effect of the proposed technology of physical rehabilitation on motor capabilities of patients is evidenced by the achieved dynamics with the 6 minute walk test (6MWT). The difference between values after and before rehabilitation in men in the main group was 132,7±12,83 m, which was significantly higher than in the control group – 50,18±5,15 m (p<0,001). This also applies to women with a difference of 97,45±13,0 m in the main group and 53,28±5,20 m in the control group (p<0,05). That means, the application of the proposed technology of physical rehabilitation has significantly increased the motor capacity of patients in comparison with the standard treatment: among men – in 2,6 times, among women – 1,8 times, in general – in 2,2 times. According to the results of physical rehabilitation in the main group there is statistically significant increase in the growth of the difference between the values after and before the rehabilitation of the forced vital capacity of lungs – by 8,00±1,03 % (with the standard treatment – by 3,16±1,24 %, p<0,05) and peak volume exhalation velocity – by 11,53±2,14 % (with standard treatment – by 5,33±1,12 %, p<0,01). In the case of physical rehabilitation using all spirographic indicators, it is possible to achieve dynamics, which in 1,4–2,5 times exceeds this in the standard treatment. After application of physical rehabilitation, the tension in the cardiopulmonary system decreases, which is expressed by better (good by the Skibinsky index) combined work of the respiratory and circulatory systems compared with standard treatment (satisfactory for the same index). At the end of the study, an increase in the overall quality of life and health of patients in the main group was registered due to an increase in indicators in problematic sub-sectors. Conclusions. The use of the standard treatment and physical rehabilitation in patients with COPD of moderate severity leads to a significant increase in physical abilities of patients, improvement of spirographic parameters and quality of life.
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