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慢性阻塞性肺病2018:目前COPD的管理挑战和机遇在资源有限的环境的印度次大陆

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慢性阻塞性肺疾病(COPD)可能是一个主要的解释残疾,住院在澳大利亚和过早死亡。估计的个人影响略高于1000000。虽然运动能力可能预后指标在慢性阻塞性肺病,锻炼的第一来源限制是呼吸困难,胸闷一起确定上升的原因。手动疗法(MT)增加流动性的肌肉骨骼结构和有潜力改变胸闷。两个试点试验,结合锻炼的太大改善运动能力在收到MT和锻炼的那组相比,运动。Th表示将充足的电力的计划和进展报告随机对照试验设计研究MT和运动的影响轻微的慢性阻塞性肺病患者。方法资格参与在这个审判是连接在一个个体被称为呼吸专业公关单位在萨瑟兰医院,一个中型的公立医院在悉尼,澳大利亚。入选标准包括年龄在55和70年入学的时候,诊断慢性阻塞性肺病,没有fda太包括骨密度T分数‰§一ˆ’2€¢5和Z分数‰§一ˆ’1,是一个不吸烟的人至少前12个月和技巧完成6分钟步行试验(6 mwt),这是用作衡量运动能力。总共45参与者为这项研究计划。这是支持个人提到这个设施的数量每年公关,并设置在前三分之一的典型2 yearsa€™总数。 This was a practical decision that factored within the workload of the hospital. Allocation to an intervention group was randomized and concealed from both participants and researchers. Each participant randomly selected 1 of 45 sealed, opaque envelopes with one among the three group numbers written inside and was assigned to a gaggle consistent with that number. Block randomization wasn't used. Group 1 (PR) received the quality pulmonary program prescribed at Sutherland Hospital; group 2 (ST+PR) received soft tissue therapy described below, plus an equivalent PR program; and group 3 (ST+SM+PR) received an equivalent soft tissue therapy plus spinal manipulation described below, plus an equivalent PR program. Pulmonary rehabilitation consisted of a 24-week program made from intervention and non-intervention phases. The intervention phase consisted of two stages: an 8-week ‘Introductory’ stage, where participants were assessed for exercise capacity and introduced to health education and exercise training, followed by an 8-week ‘Maintenance’ stage, where exercise intensity was gradually increased to A level that was considered suitable for that participant. The non-intervention phase followed completion of the ‘Maintenance’ stage and involved an 8-week period of no PR intervention. Participants were directed to continue exercising at their own discretion during this era. there have been four assessment points during the 24 weeks: an initial assessment (week 0), at the top of the ‘Introductory’ stage (week 8), at the top of the ‘Maintenance’ stage (week 16) and at the top of the non-intervention phase (week 24). Results: Preliminary analysis of results from the primary group of participants show a trend towards greater increases in exercise capacity and lung function within the MT plus Ex group compared to Ex alone. Discussion: Combining MT with exercise enhances exercise performance in people with mild COPD. If the rise in exercise capacity is sustained it appears to possess a beneficial effect on lung function. Deepak Yaduvanshi

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