Year: 2024 | Month: January | Volume: 14 | Issue: 1 | Pages: 72-81
DOI: https://doi.org/10.52403/ijhsr.20240110
To Compare the Effect of Anterior Basal Lift Versus Abdominal Co-Contraction Technique on Ventilatory Parameters in Mechanically Ventilated Patients - A Randomized Control Trial
Dr Nandni K Lal (PT)1, Dr Shreya Trivedi (PT)2, Dr Janvi P Bhatt (PT)3
1,3PG scholar, Cardio-respiratory & Intensive Care, KSPR, KPGU, Vadodara
2MPT, Cardiovascular and Respiratory physiotherapy Assistant professor, KSPR, KPGU, Vadodara.
Corresponding Author: Dr Nandni K Lal (PT)
ABSTRACT
BACKGROUND: Patients who are unable to maintain the level of ventilation necessary for maintaining gas exchange functions can benefit from mechanical ventilation for that Physiotherapy is key. Anterior Basal Lift (ABL) & Abdominal Co-Contraction (AC) are techniques of proprioceptive neuromuscular facilitation (PNF) that produce reflex-respiratory movement response & improve ventilatory parameters in mechanically ventilated patients.
NEED OF STUDY: There is dearth of literature on respiratory PNF technique in mechanically ventilated patients, so this study is aimed to determine effect of AC and ABL technique in mechanically ventilated patient.
OBJECTIVE: To compare effect of Abdominal Co-Contraction and Anterior Basal Lift technique on ventilatory parameters [Saturation of Peripheral Oxygen (SPO2), Respiratory Rate (RR), Lung compliance, Heart Rate (HR), Tidal Volume] in mechanically ventilated patients.
METHODOLOGY: 30 participants were included in study and divided into 2 groups: A (ABL) & B (AC). Patients were given intervention for 3 days and pre and post outcomes were observed. Data were taken at baseline & after 3 days of intervention.
RESULTS: Data were analyzed by SPSS21 & t-test was applied. Statistically significant improvements were observed in both groups but more pronounced in group A (P<0.05) [Tidal Volume (t= 3.24), RR (t=2.16), HR (t=2.06), Lung Compliance (t=7.38), SPO2 (t=2.50)].
CONCLUSION: Anterior Basal Lift is more effective in reduction of RR & HR and improving Tidal Volume, Lung Compliance & SPO2 over Abdominal Co-Contraction in mechanically ventilated patients.
CLINICAL IMPLICATIONS: Respiratory PNF is feasible, safe & effective. This can be used as early intervention in mechanically ventilated patients.
Key words: Anterior basal lift, Abdominal Co-Contraction, Mechanical Ventilator, Respiratory PNF