Review Article
Year: 2020 | Month: March | Volume: 10 | Issue: 3 | Pages: 103-108
An Evidence-Based Study: Effect of Physiotherapy Treatment on Exercise Capacity in Patients with COPD
Perry Y. Patel1, Dinesh Sorani2
1First Year M.P.T. Student, Department of Physiotherapy, Government Physiotherapy College, Jamnagar, Gujarat, India
2I/C Principal, Department of Physiotherapy, Government Physiotherapy College, Jamnagar, Gujarat, India
Corresponding Author: Perry Y. Patel
ABSTRACT
Background: Chronic obstructive pulmonary disease (COPD) is a respiratory disorder, associated with an ongoing limitation of airflow. COPD negatively having effects on patients’ functional capacity.
Introduction: COPD having negative effects on patients’ physical, occupational, and social functioning due to limited functional capacity and experience of frequent dyspnoea and fatigue during activities. To determine effective physiotherapy treatment on exercise capacity(6-MWT) in patients with COPD.
Design: The articles were searched in Google scholar, PubMed, Elsevier, Cochrane library by using keywords Chronic obstructive pulmonary disease (COPD), 6-Minute Walk Test(6-MWT).Articles which were done during the year 2012 - 2019 were only selected. Articles were selected only if they were Systematic review and meta-analysis, randomized controlled trial(RCT), includes subject with COPD, Exercise capacity(6-Minute Walk Test)were used as one of the outcome measure and physiotherapy intervention was given as a treatment.
Results:80 to 85 articles were searched from different database out of them 10articles were selected for the study, 5 systematic review and 5 RCTs. Data were extracted by one reviewer that includes the intervention description, inclusion/exclusion criteria, baseline data, values for all outcomes at baseline, post-intervention and follow-up.
Conclusion: Findings indicate that physiotherapy treatment, Inspiratory Muscle Techniques (IMT), Cycle Ergometer Training, Resistance Training, Manual Diaphragmatic Release Technique, Muscle Energy Techniques(MET), Yoga with Breathing Control, Diaphragmatic Breathing Training, Aerobic Exercise, Upper Limb Resistance Exercise and Breathing Exercises are effective to improve exercise capacity (6-MWT).Resistance Training, Muscle Energy Techniques, Aerobic Exercise, Yoga with Breathing Control- these are the techniques which having 1A level of evidence. So, these are highly recommended to improve exercise capacity in patient with COPD.
Key words: COPD, 6-Minute Walk Test (6- MWT), Physiotherapy treatment, Inspiratory Muscle Training (IMT), Diaphragmatic Breathing Training