Skip to main content

Pulmonary Physiotherapy in Patients with Bronchial Asthma

  • Conference paper
  • First Online:
Book cover Respiratory Regulation - Clinical Advances

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 755))

Abstract

In the present study we investigated the effectiveness of a 3-month breathing exercise program in patients with mild-to-moderate asthma, as assessed from spirometric indices. The study group consisted of 28 asthma patients (mean age of 43 years). The physiotherapy program consisted of 45-min exercise sessions, performed twice a week for 3 months. We measured the flow-volume indices (FEV1, FVC, PEF, MEF50) before and after the exercise sessions at the beginning and end of the physiotherapy program. In addition, the patients measured their personal best peak expiratory flow (PEF). We found no significant changes in spirometric indices before and after an exercise session either at the beginning or end of the physiotherapy program, although there was a tendency for lower values after the exercise sessions at both beginning and end of the physiotherapy program. There was a significant decrease in PEF after an exercise session at the beginning of the physiotherapy program; this decrease lost significance after completion of the physiotherapy program. However, PEF values were greater both before and after the exercise sessions at the end of the physiotherapy program compared with the corresponding sessions before the program. We conclude that the breathing exercise program employed in the study failed to appreciably improve lung function in asthmatic patients. However, there was no asthma exacerbations observed during the conduction of breathing exercise program, which underscores the need for pulmonary rehabilitation in asthma treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Accordini, S., Bugiani, M., Arossa, W., Gerzeli, S., Marinoni, A., Olivieri, M., Pirina, P., Carrozzi, L., Dallari, R., De Togni, A., & de Marco, R. (2006). Poor control increases the economic cost of asthma. A multicenter population – Based study. International Archives of Allergy and Immunology, 141, 189–198.

    Article  PubMed  Google Scholar 

  • Bousquet, J., Van Cauwenberge, P., & Khaltaev, N. (2001). Allergic rhinitis and its impact on asthma. The Journal of Allergy and Clinical Immunology, 108, 147–334.

    Article  Google Scholar 

  • Burianova, K., Varekova, R., & Vareka, I. (2008). The effect of 8 week pulmonary rehabilitation programme on chest mobility and maximal inspiratory and expiratory mouth pressure in patients with bronchial asthma. Acta Universitatis Palackianae Olomucensis: Gymnica, 38, 55–60.

    Google Scholar 

  • Global Initiative for Asthma (GINA). (2002). Report NHLB/WHO 2002. National Institutes of Health, National Heart, Lung, and Blood Institute (Publication Number 02–3569). Bethesda.

    Google Scholar 

  • Global Initiative for Asthma (GINA). (2010). From the global strategy for asthma management and prevention. Available from: http://www.ginasthma.org. Accessed 15 Nov 2011.

  • Groneberg, D. A., Quarcoo, D., Frossard, N., & Fisher, A. (2004). Neurogenic mechanisms in bronchial inflammatory diseases. Allergy, 59, 1139–1152.

    Article  PubMed  CAS  Google Scholar 

  • Lindberg, M., Ahlner, J., Ekstrom, T., Jonsson, D., & Moller, M. (2002). Asthma nurse practice improves outcomes and reduces costs in primary health care. Scandinavian Journal of Caring Sciences, 16, 73–78.

    Article  PubMed  Google Scholar 

  • Menz, G., Kronenberger, H., Lecheler, J., & Schultz, K. (2007). Pulmonary rehabilitation in asthma bronchiale. Pneumologie, 61(11), 710–718.

    Article  PubMed  CAS  Google Scholar 

  • Petty, T. L. (2001). Simple office spirometry. Clinics in Chest Medicine, 22, 845–859.

    Article  PubMed  CAS  Google Scholar 

  • Rabe, K. F., Vermeire, P. A., Soriano, J. B., & Maier, W. C. (2000). Clinical management of asthma in 1999: The Asthma Insights and Reality in Europe (AIRE) study. European Respiratory Journal, 16, 802–807.

    Article  PubMed  CAS  Google Scholar 

  • Stanton, A. E., Vaughn, P., Carter, R., & Ucknall, C. E. (2008). An observational investigation of dysfunctional breathing and breathing control therapy in a problem asthma clinic. The Journal of Asthma, 45, 758–765.

    Article  PubMed  Google Scholar 

  • Vilsvik, J., Ankerst, J., Palmqvist, M., Persson, G., Schaanning, J., Schwabe, G., & Johannson, A. (2001). Protection against cold air and exercise-induced bronchoconstriction while on regular treatment with Oxis. Respiratory Medicine, 95, 769.

    Article  Google Scholar 

  • Yeatts, K., Johnston Davis, K., Peden, D., & Shy, C. (2003). Health consequences associated with frequent wheezing in adolescents without asthma diagnosis. European Respiratory Journal, 22, 781–786.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflicts of Interest: The authors declare no conflicts of interest in relation to this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michal Plewa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media Dordrecht

About this paper

Cite this paper

Osiadlo, G., Plewa, M., Zebrowska, A., Nowak, Z. (2013). Pulmonary Physiotherapy in Patients with Bronchial Asthma. In: Pokorski, M. (eds) Respiratory Regulation - Clinical Advances. Advances in Experimental Medicine and Biology, vol 755. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4546-9_15

Download citation

Publish with us

Policies and ethics