Ventilatory response to neurophysiological facilitation and body positioning in brain injury patients

Roopa, B and Maiya, Arun G and Chakravarthy, Kalyana (2010) Ventilatory response to neurophysiological facilitation and body positioning in brain injury patients. Physiotherapy - The Journal of Indian Association of Physiotherapists. pp. 19-24. ISSN 0973-6549

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Abstract

Background: There is increased risk of pulmonary complications in patients with traumatic brain injury and post brain surgery. Neurophysiologic facilitation techniques were found to be effective in the management of neurological patients for correcting the breathing pattern. However there are few studies on effect of these techniques and there is dearth in literature comparing the effects of neurophysiological facilitation in different therapeutic positions. Methods: Thirty brain injury patients with the mean age of 40.70±11.42 (18 years to 60 years) years were recruited in the study and randomly allocated to two groups. In Group A, the baseline measurements were taken in supine lying and then abdominal co contraction was performed. In Group B patients, the baseline measurements were taken in 300 elevation of head end of the bed from supine lying and abdominal co-contraction was given. Respiratory rate, epigastric excursion, SpO2 was measured and data analysis was done by repeated measures ANOVA. Results: There was a significant fall noted in the respiratory rate and significant increase in the chest expansion and spo2 after applying abdominal co-contraction. Conclusion: The neurophysiological techniques improve the epigastric excursion, respiratory rate and spo2 in TBI and post brain surgery patients.

Item Type: Article
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: KMC Library
Date Deposited: 29 Sep 2015 11:59
Last Modified: 29 Sep 2015 11:59
URI: http://eprints.manipal.edu/id/eprint/144214

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