Influence of treatment and rehabilitation programs on clinical and functional indicators of occupational obstructive pulmonary disease
https://doi.org/10.31089/1026-9428-2020-60-4-258-263
Abstract
Based on the existing concept of COPD pathogenesis, treatment and rehabilitation measures should be aimed at normalizing the functioning of the mucociliary system and forming an energy-saving stereotype of breathing. In this regard, the inclusion of flutters as breathing simulators in the complex of treatment and rehabilitation programs is scientifically justified.
43 patients with moderate-severity PCOS were examined without exacerbation. The subjects were divided into 2 groups: 1 (main) — 22 patients receiving FT, and 2 (comparison) — 21 patients without FT. To assess the effectiveness, we used data from functional indicators, the results of the 6-minute walking test (6MWD) and standard questionnaires CAT, mMRC, SGRQ. The state of the respiratory muscles was assessed by the size of the chest area and indicators of endurance to static loads of the back and abdominal muscles. Studies were conducted before the start of therapy and 3 months after its end.
Use of FT leads to a signifi cant regression of clinical symptoms, a signifi cant increase in OFB1, positive shifts in the CAT, mMRC and 6MWD test results, increased strength and endurance of respiratory muscles and improved quality of life. This proves the feasibility of including FT in the complex of treatment and rehabilitation measures for PHOBL.
43 patients with moderate-severity PCOS were examined without exacerbation. The subjects were divided into 2 groups: 1 (main) — 22 patients receiving FT, and 2 (comparison) — 21 patients without FT. To assess the effectiveness, we used data from functional indicators, the results of the 6-minute walking test (6MWD) and standard questionnaires CAT, mMRC, SGRQ. The state of the respiratory muscles was assessed by the size of the chest area and indicators of endurance to static loads of the back and abdominal muscles. Studies were conducted before the start of therapy and 3 months after its end.
Use of FT leads to a signifi cant regression of clinical symptoms, a signifi cant increase in OFB1, positive shifts in the CAT, mMRC and 6MWD test results, increased strength and endurance of respiratory muscles and improved quality of life. This proves the feasibility of including FT in the complex of treatment and rehabilitation measures for PHOBL.
About the Authors
L. V. Artemova
Izmerov Research Institute of Occupational Health
Russian Federation
leading researcher, head of department of professional and non-infectious diseases of internal organs from chemical factors, Cand. of Sci. (Med.)
31, Budennogo Ave., Moscow, Russia, 105275
Russian Federation
leading researcher, head of department of professional and non-infectious diseases of internal organs from chemical factors, Cand. of Sci. (Med.)
31, Budennogo Ave., Moscow, Russia, 105275
V. G. Suvorov
Izmerov Research Institute of Occupational Health
Russian Federation
31, Budennogo Ave., Moscow, Russia, 105275
Russian Federation
31, Budennogo Ave., Moscow, Russia, 105275
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For citations:
Artemova L.V., Suvorov V.G. Influence of treatment and rehabilitation programs on clinical and functional indicators of occupational obstructive pulmonary disease. Russian Journal of Occupational Health and Industrial Ecology. 2020;(4):258-263. (In Russ.) https://doi.org/10.31089/1026-9428-2020-60-4-258-263
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