Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques

Nina Stepenovna Ayrapetova; Miсhael Anatolievich Eremushkin; Igor Vyacheslavovich Antonovich; Alexey Egorovich Samorukov; Larisa Yurievna Tarasova

doi:doi:10.11648/j.rs.20180302.12

Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques

Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova

Published in Rehabilitation Science (Volume 3, Issue 2)

Received: 24 May 2018 Accepted: 14 June 2018 Published: 10 July 2018

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Abstract

This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.

Published in	Rehabilitation Science (Volume 3, Issue 2)
DOI	10.11648/j.rs.20180302.12
Page(s)	33-37
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Pulmonary Disease, Medical Rehabilitation, Classical Massage, Manual Therapy

References

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[3]	The global strategy of diagnosis, treatment and prevention of chronic obstructive pulmonary disease (GOLD, 2013 revision). M.: atmosphere. 2014: 96.
[4]	Buist AS, McBurnie MA, Vollmer WM et al. International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet. 2007, 370: 741-750.
[5]	Shmelev E. I. Chronic obstructive pulmonary disease. Proc.: Chuchalin AG (Eds.) Pulmonology. National leadership. M.: GEOTAR Media; 2009: 303-447.
[6]	Ajrapetova N. S. Chronic obstructive pulmonary disease: treatment, rehabilitation, prevention. Physiotherapy, balneology and rehabilitation. 2009, 1: 46-54.
[7]	Rassulova M. A., Ajrapetova N. S. Influence naphthalan treatment on clinical and functional status of patients with chronic obstructive pulmonary disease. Issues. kurortol., fizioter. and physical therapy. – 2007, 1: 19-21.
[8]	Ajrapetova N. S., O. V. Nitchenko, OV Kulikova, Antonovich I. V., Ujanaeva M. A. On the question of whether to include common baths with biolong in rehabilitation complex patients with obstructive respiratory diseases. Problems of Balneology, Physiotherapy and Exercise Therapy. 2014. 4: 7-13.
[9]	Kuznecov O. F. The effectiveness of new methods of intensive massage and physiotherapy in the rehabilitation of patients with chronic non-specific lung diseases (chronic pneumonia, chronic bronchitis). Author. diss... Doc. honey. Sciences. - M. 1987: 43.
[10]	Ajrapetova N. S., Kuznecov O. F., Samorukov A. E. The use of different types of massage and manual actions in the rehabilitative treatment of patients with obstructive bronchitis. Agrokurort. 2000, 3: 40-5.
[11]	Gusmanov A. M., Vecherova S. A., Cyganova O. M., Babushkina G. V. Effect of manual therapy in the formation of zones of hypersensitivity Zakharyin-Ged. Proc.: Act. Restore problems. med., resort. and fiziot. Mater. international. Congress "health resort-2005". M; 2005: 76.
[12]	Trubnikov G. A., Orlov M. A., Polunina O. S., Orlova E. A., Ivanov A. A., Timoshin S. A., Murzamuratova N. I. The use of non-pharmacological methods (orthodox) and traditional medicine in the rehabilitation of patients with chronic obstructive pulmonary disease. Proc.: Baikal Readings-2. Ed. prof. AN Coconut. St. Petersburg; Special literature. 2005: 125-8.
[13]	Li I. L. Diagnosis and treatment of pain in the chest by manual therapy. Author. diss. MD... M. 2005: 21.
[14]	Samorukov A. E., Budylin S. P., Magomedov M. K., Ajrapetova N. S. Manual therapy in complex regenerative treatment with sodium chloride baths patients with chronic obstructive bronchitis. Manual therapy. – 2014, 2 (54): 63-70.

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Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova. (2018). Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabilitation Science, 3(2), 33-37. https://doi.org/10.11648/j.rs.20180302.12

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ACS Style

Nina Stepenovna Ayrapetova; Miсhael Anatolievich Eremushkin; Igor Vyacheslavovich Antonovich; Alexey Egorovich Samorukov; Larisa Yurievna Tarasova. Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabil. Sci. 2018, 3(2), 33-37. doi: 10.11648/j.rs.20180302.12

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AMA Style

Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova. Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabil Sci. 2018;3(2):33-37. doi: 10.11648/j.rs.20180302.12

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@article{10.11648/j.rs.20180302.12,
  author = {Nina Stepenovna Ayrapetova and Miсhael Anatolievich Eremushkin and Igor Vyacheslavovich Antonovich and Alexey Egorovich Samorukov and Larisa Yurievna Tarasova},
  title = {Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques},
  journal = {Rehabilitation Science},
  volume = {3},
  number = {2},
  pages = {33-37},
  doi = {10.11648/j.rs.20180302.12},
  url = {https://doi.org/10.11648/j.rs.20180302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20180302.12},
  abstract = {This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.},
 year = {2018}
}

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TY  - JOUR
T1  - Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques
AU  - Nina Stepenovna Ayrapetova
AU  - Miсhael Anatolievich Eremushkin
AU  - Igor Vyacheslavovich Antonovich
AU  - Alexey Egorovich Samorukov
AU  - Larisa Yurievna Tarasova
Y1  - 2018/07/10
PY  - 2018
N1  - https://doi.org/10.11648/j.rs.20180302.12
DO  - 10.11648/j.rs.20180302.12
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 33
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PB  - Science Publishing Group
SN  - 2637-594X
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AB  - This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.
VL  - 3
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Author Information

Nina Stepenovna Ayrapetova

Department of Pulmonology, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Miсhael Anatolievich Eremushkin

Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Igor Vyacheslavovich Antonovich

Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Alexey Egorovich Samorukov

Department of Clinical Biomechanics and Physiotherapy, Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation
Larisa Yurievna Tarasova

Department of Functional Diagnostics Rehabilitation and Spa Medicine National Medical Research Center Ministry of Health, Moscow, Russian Federation

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APA Style

Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova. (2018). Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabilitation Science, 3(2), 33-37. https://doi.org/10.11648/j.rs.20180302.12

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ACS Style

Nina Stepenovna Ayrapetova; Miсhael Anatolievich Eremushkin; Igor Vyacheslavovich Antonovich; Alexey Egorovich Samorukov; Larisa Yurievna Tarasova. Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabil. Sci. 2018, 3(2), 33-37. doi: 10.11648/j.rs.20180302.12

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AMA Style

Nina Stepenovna Ayrapetova, Miсhael Anatolievich Eremushkin, Igor Vyacheslavovich Antonovich, Alexey Egorovich Samorukov, Larisa Yurievna Tarasova. Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques. Rehabil Sci. 2018;3(2):33-37. doi: 10.11648/j.rs.20180302.12

Copy | Download

@article{10.11648/j.rs.20180302.12,
  author = {Nina Stepenovna Ayrapetova and Miсhael Anatolievich Eremushkin and Igor Vyacheslavovich Antonovich and Alexey Egorovich Samorukov and Larisa Yurievna Tarasova},
  title = {Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques},
  journal = {Rehabilitation Science},
  volume = {3},
  number = {2},
  pages = {33-37},
  doi = {10.11648/j.rs.20180302.12},
  url = {https://doi.org/10.11648/j.rs.20180302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20180302.12},
  abstract = {This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.},
 year = {2018}
}

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TY  - JOUR
T1  - Medical Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Using Manipulative Action Techniques
AU  - Nina Stepenovna Ayrapetova
AU  - Miсhael Anatolievich Eremushkin
AU  - Igor Vyacheslavovich Antonovich
AU  - Alexey Egorovich Samorukov
AU  - Larisa Yurievna Tarasova
Y1  - 2018/07/10
PY  - 2018
N1  - https://doi.org/10.11648/j.rs.20180302.12
DO  - 10.11648/j.rs.20180302.12
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 33
EP  - 37
PB  - Science Publishing Group
SN  - 2637-594X
UR  - https://doi.org/10.11648/j.rs.20180302.12
AB  - This study was conducted to evaluate the efficiency of manipulative action techniques in complex treatment of patients with chronic obstructive pulmonary disease and represents the results of clinical and functional tests. Differentiated indications for use of different techniques of chest massage and manual therapy were proposed. Parallel group randomized prospective comparative study was conducted on 137 patients with COPD. In accordance with the classification (GOLD, 2013), all patients were diagnosed with COPD of medium severity. 75 (54.7%) patients had persistent disease, 80 (58.4%) and 57 (41.6%) patients suffered from respiratory insufficiency of I and II degree, respectively. Respiration function was assessed by pneumotachometry study performed during forced expiratory maneuvers and by spirometry methods; pulmonary hemodynamics and myocardial contractile function of the right ventricle were assessed by reopulmonography methods; central hemodynamics was assessed by tetrapolar thoracic rheography. The research led to the following overall findings. The massage technique focused on asymmetric areas of the chest develops the most active anti-inflammatory action as compared to other physical impact techniques we investigated. This technique should be used with caution in the presence of hypokinetic type of blood circulation and pulmonary hypertension. The classical massage technique of the chest has the advantage as we can consider the possibility to prescribe this technique to patients with more severe course of COPD, including but not limited to presence of pulmonary and systemic cardiac hemodynamic disorders, alveolar hypoxia.
VL  - 3
IS  - 2
ER  -

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