Effects of Physical Therapy Program on Vital Capacity of Patients with Muscular Dystrophy

Adams, Marjorie A.; Chandler, Lynette S.

doi:10.1093/ptj/54.5.494

Cited by 28 publications

(9 citation statements)

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“…Aquatic therapy may be very useful in the management of patients with neuromuscular impairment of the respiratory system, such as is seen in spinal cord injury and muscular dystrophy [88‐91]. A lengthy study of swimming training on cardiorespiratory fitness in individuals with spinal cord injuries was done in the late 1970s in Poland.…”

Section: Applications In Respiratory and Athletic Rehabilitationmentioning

confidence: 99%

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Becker

2009

PM&R

444

390

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The aquatic environment has broad rehabilitative potential, extending from the treatment of acute injuries through health maintenance in the face of chronic diseases, yet it remains an underused modality. There is an extensive research base supporting aquatic therapy, both within the basic science literature and clinical literature. This article describes the many physiologic changes that occur during immersion as applied to a range of common rehabilitative issues and problems. Because of its wide margin of therapeutic safety and clinical adaptability, aquatic therapy is a very useful tool in the rehabilitative toolbox. Through a better understanding of the applied physiology, the practitioner may structure appropriate therapeutic programs for a diverse patient population.

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Section: Applications In Respiratory and Athletic Rehabilitationmentioning

confidence: 99%

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Becker

2009

PM&R

444

390

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“…General physiotherapy is of great value in children with neuromuscular disease for maintaining posture and preventing contractures, as well as for building morale 1…”

Section: Treatment Optionsmentioning

confidence: 99%

“…A program of deep‐breathing exercises, assisted coughing, and forced expiratory maneuvers can improve symptoms and perhaps temporarily preserve VC in children with muscular dystrophy, but documentation of this latter benefit awaits systematic assessment 1…”

Section: Treatment Optionsmentioning

confidence: 99%

Pulmonary complications of chronic neuromuscular diseases and their management

et al. 2003

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Chronic neuromuscular diseases may affect all major respiratory muscles groups including inspiratory, expiratory, and bulbar, and respiratory complications are the major cause of morbidity and mortality. Untreated, many of these diseases lead inexorably to hypercapnic respiratory failure, precipitated in some cases by chronic aspiration and secretion retention or pneumonia, related to impairment of cough and swallowing mechanisms. Many measures are helpful including inhibition of salivation, cough-assist techniques, devices to enhance communication, and physical therapy. In addition, ventilatory assistance is an important part of disease management for patients with advanced neuromuscular disease. Because of its comfort, convenience, and portability advantages, noninvasive positive pressure ventilation (NPPV) has become the modality of first choice for most patients. Patients to receive NPPV should be selected using consensus guidelines, and initiation should be gradual to maximize the chances for success. Attention should be paid to individual preferences for interfaces and early identification of cough impairment that necessitates the use of cough-assist devices. For patients considered unsuitable for noninvasive ventilation, invasive mechanical ventilation should be considered, but only after a frank but compassionate discussion between the patient, family, physician, and other caregivers.

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“…Quando comparados os grupos em solo e no meio líquido, os indivíduos DMD apresentam CVF significativamente menor que os indivíduos do GC. Em crianças com distrofia muscular pseudohipertróficas, ocorre uma redução da CVF que varia de 57 a 70 por cento do normal previsto 15 . Sabe-se também que a capacidade vital aumenta concomitantemente com o crescimento físico até o início da juventude, entretanto, nos pacientes com DMD esse valor começa a diminuir precocemente, por volta da idade em que a deambulação é perdida 16,17 .…”

Section: Discussionunclassified

Efeitos da Imersão nos Parâmetros Ventilatórios de Indivíduos com Distrofia Muscular de Duchenne

Nicolini¹,

Braga²,

Pires

et al. 2001

Rev Neurocienc

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Rev Neurocienc 2012;20(1):34-41 original 34 RESUMO Objetivo. Analisar os efeitos da imersão nos parâmetros ventilatórios de pacientes não deambuladores com Distrofia Muscular de Duchenne (DMD). Método. Estudo transversal, com casuística de 21 indivíduos, 8 com DMD e 13 formando o grupo controle (GC). Foram avaliados em solo e durante a imersão os seguintes parâmetros: saturação de oxigênio (SatO2), frequência cardíaca (FC), pressão inspiratória (PImax) e expiratória máximas (PEmax), volume minuto (VM), frequência respiratória (Fr), volume corrente (VC), capacidade vital forçada (CVF) e pico de fluxo de tosse (PFT). Resultados. O grupo DMD diminuiu a CVF no meio líquido. O GC diminuiu o PFT, a Fr e aumentou o VC após a imersão. Os valores de CVF em solo e no meio líquido obtiveram uma correlação positiva no grupo DMD e no GC, assim como os valores de PFT no grupo DMD. Conclusão. Como a correlação entre CVF e PFT foi positiva, sugere-se uma fórmula para estimar estes parâmetros ventilatórios em meio líquido a partir dos resultados obtidos em solo. Sendo este um importante parâmetro a ser considerado na indicação de fisioterapia aquática para pacientes com DMD. Unitermos. Distrofia Muscular de Duchenne, Imersão, Capacidade Vital Forçada. ABSTRACTObjective. To analyze the effects of immersion on the ventilatory parameters of non-ambulant patients with Duchenne Muscular Dystrophy (DMD). Method. Transversal study, with casuistry of 21 individuals, 8 with DMD and 13 forming the control group (CG). They were evaluated in ground and during immersion at the following parameters: oxygen saturation (SatO2), heart rate (HR), maximal inspiratory (PImax) and maximal expiratory (PEmax) pressures, minute volume (MV), respiratory rate (RR), tidal volume (TV), forced vital capacity (FVC) and cough peak flow (CPF). Results. The DMD group reduced the FVC in the water. The CG decreased the CPF, the RR, and increased the TV after immersion. The values of FVC in ground and in the water had a positive correlation between both groups, as like the values of PFT in group DMD. Conclusion. The positive correlations of FVC and CPF suggests a way to estimate these ventilatory parameters in immersion from the results obtained in ground. This is an important parameter to be considered in the indication of aquatic therapy for patients with DMD.

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Effects of Physical Therapy Program on Vital Capacity of Patients with Muscular Dystrophy

Cited by 28 publications

References 0 publications

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Pulmonary complications of chronic neuromuscular diseases and their management

Efeitos da Imersão nos Parâmetros Ventilatórios de Indivíduos com Distrofia Muscular de Duchenne

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