What is COPD?
COPD or chronic obstructive pulmonary disease, is a progressive disease, it is hard to breathe. COPD can wheezing, shortness of breath, tightness in the chest, and other symptoms cause cough that produces large quantities of mucus (a slimy substance). Smoking is the most common cause of COPD. Most people who have COPD smoking or used to smoke. Long-term exposure to other lung irritants, such as air pollution, chemical fumes, dust, can contribute also to the COPD. COPD is chronic bronchitis and emphysema.
Physiotherapy treatment of COPD
Objectives of COPD therapy
Remove excess bronchial secretion and reduce the Obstruktion.Herstellen to promote the coordinated pattern of breathing relaxation and improve PostureTo improve the mobility of the thorax, shoulder girdle and NeckTo increase in the exercise of ToleranceTo support one full and active lifestyle.
The COPD treatment
1. Posturalen Drainage(P.D) is necessary for all patients. Chronic bronchitis should erection regular POSTURAL drainage are placed. PD can be required in the case of acute emphysema, postural drainage is not necessary, but in an infectious episode where sputum can be present. The optimum position must be made erection drainage at home with single and advice for BWS.
Clapping and shaking are effective on the affected lung segments, and help to relax and the secretions in Central Airways during expiration. Then remove the secretions from questions of patients to 2-3 cough. If the patient unable to delete the secretions, which collect in the lungs is, then increased ventilation and humidifying of IPPB conjoint provided with p.d.. This is very effective for patients. But it is in the presence of emphysematous bullae, risk of pneumothorax cause contra specified.
Vigerously physical therapy must be given in the case of acute exacerbation of chronic bronchitis. IPPB has great importance in this case. Improving the ventilation is given with mask. It is important to observe the chest wall movement and level of consciousness. The patients should be monitored for signs of drowsiness after taking the treatment. Assisted ventilation with strong breast shacking and postural drainage are more effective. A ventilatory mask controlled oxygen therapy is usually required.
2. Breathing exercises in correct way in treatment of COPD are given. The focus is given to the diaphragmatic breathing with relaxing end. The diaphragmatic with reduced upper chest movements and relaxed shoulder girdle is preferred. Extension basal lung segments will air in these areas taught.
Pursed lip breathing at the longer end is given especially in the presence of emphysematous bullae.
3. Attitude correction patient maximum relaxation the to reach upper chest as well as movements of the lower chest should be taught. The focus is on relaxed and controlled diaphragmatic breathing. For the maintenance of the stance, the patient with forward should be kept head and rounded shoulders.
4. Thoracic mobility exercises are given together with shoulder girdle movements. Free active exercises for the entire spine, kyphosis and fixed inspiration to prevent.
Important Copd exercise in sitting is swing in rotation for relaxation trunk rotate with loose arm. Also Emphesise BWS erection consciousness, that the patient shoulder girdle retraction and lateral rotation of the arm practices.
(5) These patients should be as mobile and active as possible. Their exercise tolerance can gradually increase the distance both on the flat and on the floor or hang in the practice breathing control was increased to. A graded exercise programme can also patients are given to them during the later part of their stay should be continued at the hospital and at home.
6. In the daily lifestyle, patients should avoid, smoking and encouraged, to keep fit and to eat. Helps for the extraction of relaxation, swimming very much. Fast and jerky movements should be avoided.
