Abstract:
Purpose: The purpose of the study was to explore the effectiveness of spirometry
exercise along with active cycle of breathing technique to improve the lung volume
(Inspiratory volume) of tetraplegic SCI patients attended at CRP. Objectives: To
measure the lung volume before and after intervention and to compare the differences
of lung volume before and after study of both groups. Methodology: The study was
double-blinded Randomized Control Trail. At the beginning of the study, 16 complete
tetraplegic SCI patients were selected from SCI unit of CRP (Savar). Among them 14
were randomly assigned for the study. Then again, 7 patients were randomly assigned
to experimental group (use spirometry exercise along with active cycle of breathing
technique and rest of the 7 patients to the control group (use only spirometry exercise)
for this RCTs study. During the study, the participants practice active cycle breathing
technique 4-5 repetitions and spirometry exercise 5 repetitions at a time with 30 sec
interval for experimental group. Parametric independent“t” test was used to compare
the results between two groups and paired “t” test was used within the group. Results:
In experimental group there was a significant improvement in the lung volume. The
mean improvement of lung volume in experimental group was 1085 ml and control
group was 914 ml. Independent “t” test of lung volume scores between two groups
showed value of 2.110 and p value is 0.5 (p<0.05), which indicates that the mean
difference between two groups were not significant. Conclusion: This experimental
study shows that spirometry exercise along with active cycle of breathing technique is
no more effective than spirometry exercise alone for the improvement of lung volume
in tetraplegic SCI patients between the two groups but it is effective within the
experimental group.
Key words: SCI, Tetraplegia, ACBT, Incentive Spirometer, Spirometry exercise,
Lung volume.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
