E-ISSN 0976-2779 | ISSN 0975-8453
 

Review Article 


The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd.

Abstract
Interstitial lung diseases (ILDs) are regarded as crucial chronic lung diseases which are associated with progressive reduction in lung volume, limitations in gas exchange, and dysfunction of skeletal muscle which results in an increased perception of dyspnea, decreased of exercise capacity and impaired health-related quality of life (HRQoL). Pulmonary rehabilitation (PR) in ILD patients remained extremely unidentified with limited studies concerned with this problem. Objective: to evaluate the efficacy of PR program combined with threshold inspiratory muscle training and upper extremities exercises on exercise capacity, pulmonary function test (PFT), dyspnea and HRQoL in ILD patients. Patients and Methods: 60 participants diagnosed with ILD were enrolled between 2016 and 2019. The participants were arranged into two groups equal in number (each 30 participants); study group (A) who received PR accompanied with inspiratory muscle training (IMT) exercises using threshold device and upper extremities exercises in addition to medical treatment, whereas control group (B) received only PR and medical treatment. The program lasted for 8 weeks, three times per week. The outcome criteria included: 6-min walk test (6MWT), PFT, dyspnea (VAS), while HRQoL was measured via the short form 36 (SF-36) questionnaire, moreover, oxygen saturation, all these criteria were evaluated before and after program application (eight weeks apart).Results: There was significant increase in the mean 6MWT distance, PFT, dyspnea and HRQoL after PR compared to baseline criteria within each group, moreover there was significant increase among the study group versus the control group. CONCLUSION: PR accompanied with threshold IMT and upper extremity exercises significantly improved exercise capacity, ventilatory functions, dyspnea and HRQoL in patients with ILD.

Key words: 6-min Walk Test, Interstitial Lung Diseases, Healthcare-Related Quality of Life, Pulmonary Rehabilitation, Threshold Inspiratory Training Device.


 
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Pubmed Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. SRP. 2021; 12(3): 527-533. doi:10.31838/srp.2021.3.77


Web Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. http://www.sysrevpharm.org/?mno=56509 [Access: February 25, 2021]. doi:10.31838/srp.2021.3.77


AMA (American Medical Association) Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. SRP. 2021; 12(3): 527-533. doi:10.31838/srp.2021.3.77



Vancouver/ICMJE Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. SRP. (2021), [cited February 25, 2021]; 12(3): 527-533. doi:10.31838/srp.2021.3.77



Harvard Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd (2021) The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. SRP, 12 (3), 527-533. doi:10.31838/srp.2021.3.77



Turabian Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. 2021. The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. Systematic Reviews in Pharmacy, 12 (3), 527-533. doi:10.31838/srp.2021.3.77



Chicago Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. "The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases." Systematic Reviews in Pharmacy 12 (2021), 527-533. doi:10.31838/srp.2021.3.77



MLA (The Modern Language Association) Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd. "The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases." Systematic Reviews in Pharmacy 12.3 (2021), 527-533. Print. doi:10.31838/srp.2021.3.77



APA (American Psychological Association) Style

Salwa Abdullah Nasrat, BMPT, MSc., Azza A. Abd El-Hady, Hamed Abdel Hafiz, Mariam ElSayed Mohamed Abd Alaal, Yasmine H El-Hinnawy, Fatma Aboelmagd (2021) The Efficacy Of Pulmonary Rehabilitation Combined With Threshold Inspiratory Muscle Training And Upper Extremities Exercises In Patients With Interstitial Lung Diseases. Systematic Reviews in Pharmacy, 12 (3), 527-533. doi:10.31838/srp.2021.3.77





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