Respiratory muscle training by using incentive spirometer increases the respiratory muscle strength among the post tracheostomy patients after decannulation - A Prospective Study
Chandana N
, Simi Simon , Rajendra Kachhwaha
Background of the study: The diaphragm is the strongest inspiration muscle, the dysfunction of diaphragm is generally observed in tracheostomy patient due to altered Breathing pattern and limited use of respiratory muscle due to Prolonged bed rest. There is also some evidence to suggest that mechanical ventilation may adversely affect diaphragmatic structure and function. These alterations, known as ventilator-induced diaphragmatic dysfunction, involve changes in myofibril length and rapid.The incentive spirometer a device that measures the volume of the air inhaled into the lung’s during inspiration is known to have following benefits like improved lung volumes and reduced pulmonary complications. These techniques help in enhanced lung ventilation by increasing the expansion of chest wall, helping maintain or increase appropriate lung volumes and capacities, and eventually reduce the incidence of pulmonary function loss and its eventual complications. Therefore, it aids in the preservation of airway patency by increasing muscle activity through respiratory muscle training techniques. Inspiratory muscle training can generate the inspiratory pressure, which increases the resistance to muscle fatigue, respiratory function, lung volumes and capacities and redistribution of the blood flow to the muscles. Objectives: To improve strength of diaphragm in post tracheostomy patients To evaluate effect of inspiratory muscle training on diaphragmatic strength in post tracheostomy patients To evaluate effect of inspiratory muscle training on endurance of post tracheostomy patients To evaluate the MMT of diaphragm pre and post spirometry in post tracheostomy patients Methodology:133 patients will be randomly selected from post tracheostomy patients admitted in wards. They will be taught incentive spirometry exercises pre discharge and told to follow up from home and will be prescribed incentive spirometry 3 times per day for 15 minutes for 2 months. The MMT of diaphragm will be calculated pre and post spirometry in these patients Results: Strengthening exercises to diaphragm will improve efficiency of breathing through increased recruitment of diaphragmatic fibres. Post tracheostomy patients have weak respiratory muscles due to disuse. Incorporating diaphragm strengthening in this patients on a OPD basis will help achieve a better outcome with regards to chest expansion, airway clearance, breathing patterns due to increased diaphragmatic recruitment. Conclusion The study concludes that home exercise program using incentive spirometry has improved the diaphragm strength in post tracheostomy patients.
"Respiratory muscle training by using incentive spirometer increases the respiratory muscle strength among the post tracheostomy patients after decannulation - A Prospective Study", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 3, page no.911 - 916, March-2024, Available :https://ijsdr.org/papers/IJSDR2403127.pdf
Volume 9
Issue 3,
March-2024
Pages : 911 - 916
Paper Reg. ID: IJSDR_210592
Published Paper Id: IJSDR2403127
Downloads: 000347076
Research Area: Medical Science
Country: -, -, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
