AIM:
The Aim of this study is to compare the Efficacy of Active Cycle of Breathing Technique and Postural Drainage in Patients with Bronchiectasis.
OBJECTIVES:
1. To have in-depth knowledge in bronchiectasis patients.
2. To improve the quality of life in patients with bronchiectasis.
3. To find out the effectiveness of ACBT in improving the airway clearance in patients with bronchiectasis.
4. To find out the effectiveness of Postural drainage in improving the airway clearance in patients with bronchiectasis.
5. To compare the effectiveness of ACBT and Postural drainage in improving the airway clearance in patients with bronchiectasis.
MATERIALS AND METHODOLOGY:
A Quasi Experimental study design consisting of reviews of charts of Bronchiectasis patients. Thirty patients were included, (60%) were males, (40%) were females ; the average age was 56 years. All the patients are presented with unilateral lung involvement. Pre- and Post-Treatment scores of FVC, FEV1, PEFR and SPO2 are assessed to know their breathing capacity by Pulmonary Function test and Pulse Oxymetry.
INCLUSION CRITERIA:
• Both genders.
• Age group between 30-60 years.
• Sufficient hearing and vision.
• Cases of isolated bronchiectasis.
• Unilateral lung invovlvement.
EXCLUSION CRITERIA:
The exclusion Criteria were conditions with symptoms of raised intra cranial pressure, Head and neck injury until stabilized, Active haemorrhage with hemodynamic
instability, Recent spinal surgery (e.g., Laminectomy) or acute spinal injury, active haemoptysis, Empyema, Broncho pleural fistula, Pulmonary oedema associated with
congestive heart failure, Large pleural effusions, pulmonary embolism, Aged, confused, or anxious patients who do not tolerate position changes, Rib fracture, with or without flail chest, Tumours, Active cases of tuberculosis.
RESULTS:
The pre and post test values were assessed by PFT and Pulse Oxymetry in Group A and Group B. The mean difference value of FVC is 83 and 77, FEV1 is 81 and 77, PEFR is 209 and 197 and SPO2 is 98 and 94 respectively. The standard deviation of FVC is 1.26 and 1.06, FEV1 is 2.93 and 1.69, PEFR is 3.51 and 3.13 and SPO2 is 1.41 and 1.00 respectively. The paired “t” test value of FVC is 250.31 and 175.20, FEV1 is 103.75 and 102.30, PEFR is
226.26 and 196.85 and SPO2 is 263.30 and 246.50 respectively. The paired “t” test value is more than table value 2.15 for 5% level of significance at 14 degrees of freedom.
The calculated “t” values by unpaired “t” test of FVC is 36.45, FEV1 is 10.71, PEFR is 10.92 and SPO2 is 8.88 respectively. The calculated “t” values were more than the table value 2.05 for 5% level of significance at 28 degrees of freedom.
CONCLUSION:
The paired “t” test values have shown that ACBT was more effective than Postural Drainage in improving airway clearance in patients with Bronchiectasis. The unpaired “t” test values have shown that there was significant difference between two groups in showing improvement in their quality of life in patients with Bronchiectasis
