Effectiveness of Chest Physical Therapy in Improving Quality of Life and Reducing Patient Hospital Stay in Chronic Obstructive Pulmonary Disease
Keywords:
Chronic obstructive pulmonary disease, chest physical therapy, Quality of lifeAbstract
Objective: To find out the effectiveness of chest physical therapy along with standard medical treatment versus standard medical treatment alone in improving quality of life and reducing patient's hospital stay in Chronic Obstructive Pulmonary Disease (COPD) patients.
Methods: A randomized controlled trial was conducted in a tertiary care hospital of Peshawar, from September 2016 to February 2017. Thirty COPD patients were included in the study. All patients were randomized into control group and experimental group. The experimental group received chest physical therapy along with standard medical treatment while control group received standard medical treatment alone.
Results: The mean age of the participants was 54.2±7.2 years. Both groups were similar with respect to age (p-value 0.432) and gender distribution (p-value 0.464). At baseline mean Saint George's respiratory questionnaire (SGRQ) score was 38.1±7.3 for control group while 37.9±9.2 for experimental group (p- value 0.947). The post-treatment mean SGRQ score was 34.6±6.5 for control group while 28.1±8.7 for experimental group with p-value 0.028. The mean hospital stay of control group was 9.26±1.43 days while mean hospital stay of experimental group was 8.20±1.47 days (p-value 0.055).
Conclusion: Chest physical therapy combined with standard medical treatment has considerable effect on improving functional status and quality of life of COPD patients. Yet the effect of chest physical therapy in reducing hospital stay in COPD patients is insignificant.
Downloads
References
World Health Organization. The world health report 2000: health systems: improving performance. World Health Organization; 2000.
Adeloye D, Chua S, Lee C, Basquill C, Papana A, Theodoratou E, et al. Global and regional estimates of COPD prevalence: Systematic review and meta–analysis. J glob health 2015; 5: 0415.
O'reilly J, Jones MM, Parnham J, Lovibond K, Rudolf M. Management of stable chronic obstructive pulmonary disease in primary and secondary care: summary of updated NICE guidance. BMJ 2010; 340:3134.
Mannino DM, Higuchi K, Yu TC, Zhou H, Li Y, Tian H, et al. Economic burden of COPD in the presence of comorbidities. Chest 2015; 148:138-50.
McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease Cochrane Databse Syst Rev 2015; 215: 23. CD003793.
Tang CY, Taylor NF, Blackstock FC. Chest physiotherapy for patients admitted to hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD): a systematic review. Physiotherapy 2010; 96:1-13.
Puhan MA, Schünemann HJ, Frey M, Scharplatz M, Bachmann LM. How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax 2005; 60:367-75.
Casaburi R, ZuWallack R. Pulmonary rehabilitation for management of chronic obstructive pulmonary disease. N Engl J Med 2009; 360:1329-35.
Vestbo J, Hurd SS, Agustí AG, Jones PW, Vogelmeier
C, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 2013; 187:347-65.
Han MK, Agusti A, Calverley PM, Celli BR, Criner G,
Curtis JL, et al. Chronic obstructive pulmonary disease phenotypes: the future of COPD. Am J Respir Crit Care Med 2010; 182:598-604.
Qaseem A, Wilt TJ, Weinberger SE, Hanania NA,
Criner G, van der Molen T, et al. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med 2011; 155:179-91.
McKenzie DK, Frith PA. The COPDX Plan: Australian and New Zealand guidelines for the management of chronic obstructive pulmonary disease 2003. Med J Aust 2003; 178:1.
Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005; 171:972-7.
Jones PW, Quirk F, Baveystock C. The St George's respiratory questionnaire. Respir Med 1991; 85:25- 31.
Yang PH, Wang CS, Wang YC, Yang CJ, Hung JY, Hwang JJ, et al. Outcome of physical therapy intervention on ventilator weaning and functional status. Kaohsiung J Med Sci. 2010; 26:366-72.
Morano MT, Araújo AS, Nascimento FB, da Silva GF, Mesquita R, Pinto JS, et al. Preoperative pulmonary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection: a pilot randomized controlled trial. Arch Phys Med Rehab 2013; 94:53-8.
Troosters T, Casaburi R, Gosselink R, Decramer M. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005; 172:19-38.
Pehlivan E, Turna A, Gurses A, Gurses HN. The effects of preoperative short-term intense physical therapy in lung cancer patients: a randomized controlled trial. Ann thorac Cardiovasc Surg 2011; 17:461-8.
Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013; 188:e13-64.
Holland AE, Hill C, Jones A, McDonald C. Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2012; 10.
Tang ST, Li CY, Liao YC. Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliat Med 2007; 21:249-57.
Soler-Cataluna J, Martínez-García MÁ, Sánchez PR, Salcedo E, Navarro M, Ochando R. Severe acute exacerbations and mortality in patients with chronic obstructive pulmonary disease. Thorax 2005; 60:925-
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Waleed Khan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Articles published in the Journal of Dow University of Health Sciences are distributed under the terms of the Creative Commons Attribution Non-Commercial License https://creativecommons.org/ licenses/by-nc/4.0/. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. 
