Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Ho S,C., Chiang L.L., Cheng H.F., Lin H.C., Sheng D.F., Kuo H.P., Lin H.C.
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------>journal_name=Chang Gung Medical J 2000; 23: 73-79
------>paper_name=The Effect of incentive spirometry on chest expansion and breathing work in patients with chronic obstructive airway diseases. Comparison of two methods.
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------>fullAbstract=BACKGROUND: Chronic obstructive airway diseases (COAD), characterized by mucus hypersecretion, lead to exercise intolerance. Incentive spirometry has been used to prevent postoperative pulmonary atelectasis. METHODS: To compare the efficacy of two incentive spirometers, Coach (volume-oriented) and Triflo (flow-oriented), in the work of breathing in COAD patients, 22 patients were randomized in this study: 12 patients (Triflo-II group) initially used Triflo-II for 10 minutes and then Coach for the same period. In contrast, the Coach group, including 10 patients, started with Coach followed by Triflo-II. After receiving incentive spirometry, lung expansion and work of breathing were assessed. RESULTS: Patients in the Coach group significantly increased chest wall expansion (p = 0.041), as compared with patients using Triflo-II. Similarly, there was also a significantly increased abdominal wall expansion in the Coach group (p = 0.0056), compared with that in the Triflo-II group. The need of accessory muscle assistance for breathing in the Coach group was significantly less than in the Triflo-II group (p = 0.047). It was easier for patients in the Coach group to start a breath (p = 0.0058) than for those in the Triflo-II group. For the entire group, 17 patients (77.3%) preferred Coach to assist their breathing, and only 4 patients (18.2%) favored Triflo-II. CONCLUSION: COAD patients achieved a larger expansion of the chest and abdomen with a Coach device. Our data provide a good rationale for an outcome study on the use of incentive spirometer in COAD patients.
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------>authors=Ho S,C., Chiang L.L., Cheng H.F., Lin H.C., Sheng D.F., Kuo H.P., Lin H.C.
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------>updateTitle=The effect of incentive spirometry on chest expansion and breathing work in patients with chronic obstructive airway diseases: comparison of two methods.
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------>publish_year=2000
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z