1,720,991 research outputs found
An integrative review on the positive expiratory pressure (PEP)-bottle therapy for patients with pulmonary diseases
No full textBackground and Purpose: Positive expiratory pressure (PEP)-bottle device delivers a PEP within a range of 10–20 cmH2O. PEP treatment is applied to different pathological conditions also in combination with other physiotherapeutic techniques. The primary aim of the present review was to investigate the effects of PEP-bottle therapy in patients with pulmonary diseases and, secondarily, to provide a physiological analysis of its use. Methods: The databases PubMed, Scopus, Web of Science, Cinahl, and Cochrane Library were searched for citations published from their inception until May 2019. Adult participants (>18 years) with pulmonary disease who underwent PEP-bottle treatment, with no restriction on gender, were included in the study. There were no restrictions about the therapeutic settings and the condition of the disease (either acute or chronic). Results: The literature review returned 97 citations. After duplicates removal, the remaining 77 articles have been screened: 66 have been assessed as not eligible at first because the abstract did not meet the inclusion criteria. Eleven articles were left after the first two steps of selection: four have been excluded after full-text reading. Conclusion: PEP-bottle therapy has been proved to improve lung volume, to reduce hyperinflation, and to remove secretions. The device delivers a pressure equal to the water column only if the inner diameter of the tubing and the width of the air escape orifice are equal or greater than 8 mm, and the length of tubing ranges between 20 and 80 cm. The cost of a PEP-bottle device is significantly lower if compared with other commercially available devices having the same therapeutic purposes
Combining thalassotherapy and exercise for people with respiratory diseases
No full textThalassotherapy embraces various therapeutic methods, such as climatotherapy, heliotherapy, balneotherapy, psammotherapy and peloid
therapy.Thalassotherapy can also be associated with physical exercise, embracing a broader view of physical fitness. Although the effects of thalassotherapy on the musculoskeletal system are well known, its use for the treatment of respiratory diseases is less established.
Mechanics of healing could be related to an increase in peripheral vasodilation, improving blood supply and transcapillary exchange, and reabsorption of exudates, resulting in reduced bronchial oedema.
Motor and respiratory exercises are a consolidated therapeutic approach for people with
respiratory diseases at different stages of the illness, and there is a large consensus regarding
their efficacy.
There are more opportunitiesn to combine thalassotherapy and physical and respiratory exercise, even for those with respiratory diseases, depending on the disease phase, as these are two symbiotic therapeutic modalities. In fact, the beneficial effects of mobilisation and respiratory exercise in acute respiratory conditions promote and expedite the therapeutic journey of patients, even in critical settings .
Exercise and specialised treatments in thalassotherapy environments could be
considered a viable option to promote new therapeutic pathways for patients with conditions that are not treated in respiratory settings and experience frequent exacerbations, such as those with chronic obstructive pulmonary disease, asthma, bronchiectasis or pulmonary fibrosis. Additional research should be carried out to identify which patients would most benefit from such approaches
Revolving door respiratory patients: A rehabilitative perspective
Full text linkRehabilitation is an integral component of care for patients affected by either acute or chronic pulmonary diseases. The key elements of rehabilitation treatment for critical respiratory patients are as follows: weaning from mechanical ventilation, respiratory therapy, physical reconditioning, and occupational therapy. It should be noted that patients affected by pulmonary diseases are prone to hospital re-admission due to frequent exacerbations, especially in cases with more severe stages of chronic obstructive pulmonary disease. A periodical worsening of clinical conditions is common in asthma, acute respiratory distress syndrome survivors, obstructive sleep apnea syndrome, and pulmonary fibrosis, as well as in patients with severe neuromuscular diseases. These patients are often identified as "revolving door patients". Pulmonary patients are typically forced to maintain bed rest, or at least spend most of their waking hours dealing with mobility limitations, due to various pathological conditions including dyspnea, fatigue, and poor tolerance of movements. Alterations in mood are common in pulmonary patients who experience a decreased quality of life and limited social interactions. These negative emotional and cognitive aspects can be a major limitation to the provision of care, because to enhance and facilitate a degree of autonomy, the patient must be cooperative and pro-active
Dyspnea and fatigue following video-assisted thoracic surgery for pulmonary lobectomy: Measuring scales to optimize the allocation of resources
No full textManual massage therapy for patients with COPD: A scoping review
Full text linkBackground and objectives: Manual massage therapy is a therapeutic option for the treatment of several pathological conditions affecting the musculoskeletal system. It has been pointed out that massage might be beneficial for chronic obstructive pulmonary disease (COPD) patients thanks to therapeutic effects primarily related to hyperemia (increased skin temperature and blood flow), and activation of the lymphatic system. The present study reports current evidence on the systemic effects of manual massage in patients with COPD. Materials and Methods: A scoping review was conducted on five major databases. The search went through all databases since their inception until December 2018. Results: Seventy-eight citations were retrieved; after the selection process was completed, seven articles were considered eligible. In patients receiving manual massage, improvements were observed in Forced Expiratory Volume in 1 s, dyspnea perception, and in the 6-min walking test. Conclusions: To date, the use of manual massage in patients with COPD is not supported by substantial evidence in the literature: indeed, it is proposed as a therapeutic option in association with other interventions such as physical exercise
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