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Comparative effect of proprioceptive neuromuscular facilitation (PNF) and chest physiotherapy with chest physiotherapy alone on SpO2, heart rate, respiratory rate, and lung compliance in mechanically ventilated patient
Ashtankar AP, Kazi A
Journal of Pharmaceutical Sciences and Research 2019 Oct;11(10):3514-3518
clinical trial
2/10 [Eligibility criteria: No; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Intensive care unit is a unit especially dedicated for the patients with life-threatening conditions, injuries or complications that specialize in management for the same. Mechanically ventilated patients usually present with larger amounts of pulmonary secretions because of impairment in mucociliary function and mucus transport. Intercostal stretch and anterior basal lift are techniques of proprioceptive neuromuscular facilitation which have beneficial effects among ventilatory patients. OBJECTIVE: To compare the efficacy of PNF and chest physiotherapy with chest physiotherapy alone on SPO2, HR, RR and lung compliance. MATERIALS AND METHODS: An experimental (interventional) comparative study was done. 30 participants from intensive care unit (MICU) were included in the study and divided into two groups: group A received PNF and chest physiotherapy and group B received chest physiotherapy alone. Patients were given the intervention according to their allocated group for 5 days and effects of these techniques on RR, SpO2 and HR and lung compliance parameters were observed. Data were taken at baseline and after 5 days of intervention. Result: Independent t-test was taken for comparison of inter group data and paired t-test was taken for comparison of intra group data. Post-intervention heart rate, respiratory rate, saturation of oxygen, lung compliance parameter in both groups improved but group a improved more significant than group B. CONCLUSION: The present study concludes that PNF alone with chest physiotherapy are better and effective in improving saturation of oxygen, pulmonary compliance and reduction of heart rate, respiratory rate and lead to early extubation of patients.

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