A comparison of autogenic drainage and the active cycle of breathing techniques in patients with acute exacerbation of chronic obstructive pulmonary disease Moiz Jamal Ali, Post-graduate student, Kishore Kamal, Head physiotherapist, Belsare D.R., Incharge Rehabilitation Centre 1Cardiopulmonary Physical Therapy, Hamdard University, New Delhi. 2Department of Physiotherapy, Escorts Hospital and Research Centre, Faridabad. 3Majeedia Hospital, New Delhi. *Reprint request: Department of Cardiopulmonary Physical Therapy, Hamdard University, New Delhi. E-mail: jamoig_pt@yahoo.com Tel: 09868629209
Abstract Purpose The effect of a short term treatment of autogenic drainage (AD) and active cycle of breathing techniques (ACBT) were evaluated in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) Methods Thirty male COPD patients with acute exacerbation were trained and randomly assigned into two groups and they performed each technique on successive days in a within subject randomized two day cross over design. The experiment was conducted in ward/IMCU in Escorts hospital, Faridabad. Following dependent variables were measured before treatment, during treatment, immediately after treatment and 30 minutes after treatment, sputum volume, SpO2, heart rate, PEFR, respiratory rate, VAS and patients preference. Results Data was analyzed using SPSS 11.5 for window version. Between the treatment means analyzed for difference using paired ttest. General linear model repeated measure of variance (ANOVA) was used to examine the changes in dependent variables; level of significance was set at p <0.05. There was statistically significant difference SpO2, HR, and VAS between the treatments however none of these changes was clinically significant. Within treatment analysis showed both the treatments were equally effective in removing secretion, improving oxygenation and thereby decreasing dyspnea. Conclusion The results of this study indicates that AD is as effective as the ACBT in acutely clearing secretions and improving oxygen saturation without causing any undesirable effects on heart rate respiratory rate and breathlessness in patient with acute exacerbation of COPD. These techniques can be used in COPD exacerbations according to patients’ and the physiotherapists’ preferences. Top Key words Autogenic drainage, active cycle of breathing techniques, acute exacerbation of COPD, airway clearance techniques. Top |