Introduction: Chronic Obstructive
Pulmonary Disease (COPD) is progressive disease and leading cause of morbidity
and mortality world, especially in India. The abnormal inflammatory response
develops an air flow limitation of the lungs which produces obstruction of
mechanical function and the gas exchanging capability of the lungs. Various
approaches like treadmill training, PNF techniques, rib cage mobilization have
been employed to reduce dyspnea, increase chest expansion and expiratory flow
rate.
Aim of the study: The
aim of the study is to find out the effectiveness of treadmill training with
chest Proprioceptive Neuromuscular facilitation versus treadmill training with
rib cage mobilization on respiratory parameters among COPD subjects.
Methodology: 30 subjects were
selected using convenient sampling method and randomly divided into two groups.
Group A (n=15) received treadmill training with chest Proprioceptive
Neuromuscular facilitation (PNF) and Group B (n=15) received treadmill training
with rib cage mobilization for 3 days in a week for 2 months. The pre and
post-test values were measured using Modified Borg’s scale for dyspnea, Inch
tape for Chest expansion, and Peak Flow Meter for Peak Expiratory Flow Rate
(PEFR).
Result: The intra group analysis
showed statistically significant improvement in decreasing dyspnea ( t =
22.91), improves the chest expansion at axillary level (t = 14.36 ), xiphiod
level ( t = 20.99) and peak expiratory flow rate ( t = 38.24) of treadmill
training with rib cage mobilization group B than the treadmill training with
chest Proprioceptive Neuromuscular facilitation group A at 5% level of
significance. The inter group comparisons showed statistically significant differences
in favour of group B.
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