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Effects of ‘on-call out of hours’ physical therapy in acute exacerbations of chronic obstructive pulmonary disease: A randomized control trial.

Babu, Abraham S (2010) Effects of ‘on-call out of hours’ physical therapy in acute exacerbations of chronic obstructive pulmonary disease: A randomized control trial. Clinical Rehabilitation, 24. pp. 802-809.

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Abstract

Objective: To assess the effectiveness of an on-call physical therapy program in the management of acute exacerbations of chronic obstructive pulmonary diseases. Design: Randomised control trial Setting: Secondary care level, rural hospital Subjects: Thirty eight patients with acute exacerbations of chronic obstructive pulmonary disease Interventions: Regular physical therapy and on-call physical therapy was given to two groups of patients with 19 in each arm. On-call physical therapy included providing respiratory physical therapy as required by the patient. Main measures: Peak expiratory flow rate, sustained maximal inspiration, six minute walk test distance and rating of perceived exertion post six minute walk test. Results: In the group receiving on-call physical therapy, PEFR and 6MWT showed a significant increase when compared to the control group (p=0.011 and p=0.007 respectively). ΔPEFR was seen to be more in the on-call group. Improvements in SMI and Borg’s dyspnea grading were also observed (p<0.05). Conclusion: On-call physical therapy brings about a significant change in peak expiratory flow rate, sustained maximal inspiration and Borg’s rating of perceived of exertion along with changes in the six minute walk test.

Item Type: Article
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: Mr AS Babu
Date Deposited: 01 Aug 2012 09:48
Last Modified: 01 Aug 2012 09:48
URI: http://eprints.manipal.edu/id/eprint/76881

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