TO STUDY THE LONG TERM EFFECT OF MULTIPLE SESSIONS OF ACU-TENS ON DYSPNOEA IN COPD PATIENTS: AN EXPERIMENTAL STUDY

Dr. V.KIRAN; Dr.R. VENKATESAN; Dr. Radhakrishnan

Volume : VIII, Issue : VIII, August - 2019

TO STUDY THE LONG TERM EFFECT OF MULTIPLE SESSIONS OF ACU-TENS ON DYSPNOEA IN COPD PATIENTS: AN EXPERIMENTAL STUDY

Dr. V. Kiran, Dr. R. Venkatesan, Dr. Radhakrishnan

Abstract :

BACKGROUND :- Knowledge of factors contributing to Dyspnea is critical to the development and selection of therapeutic interventions to alleviate eathing discomfort, and the interest in doing so is high. Goal in this statement is to review the current understanding of the pathophysiologic mechanisms of Dyspnea, the tools used to assess this symptom and its impact on patients‘ lives, and therapeutic approaches that may be employed to ameliorate the discomfort. This approach assumes standard treatments for the underlying disease state have been exhausted. SPECIFIC OBJECTIVE :- To find out whether the multiple sessions of Acu-Tens is effective in providing the long term effect on Dyspnea in COPD patient DESIGN :-It is an experimental study design STUDY SETTING :- Department of PHYSIOTHERAPY, Narayana Medical College Hospitals, Nellore. PARTICIPANTS :- A total of 30 patients who are coming from pulmonology deparment INTERVENTION :-All the 30 patients of Dyspnea were divided into two groups (15 in each group),group A and group B.The subjects of group A received traditional physiotherapy treatment (which includes training of relaxed postural re-education, controlled eathing, eathing retraining[23]- exercise like pursed lip and diaphragmatic )and session of 45 minutes of Acu-TENS.The subjects of group B were treated with traditional physiotherapy treatment mentioned above. Data was taken on Day 0,12th week and 14th week. OUTCOME MEASURES :-Distance covered in 6 minute walk test, VAS Scale, Borg Scale. RESULTS :-There was a significant improvement in the functional capacity of the patient in Group A which was accessed by 6 MWT. Patient covered more distance in 6 MWT, and reduction on Borg scale and VAS scale. As already the short term effect of Acu-TENS was proved. The multiple sessions of Acu-TENS i.e 45 Minutes session once a week for 12 weeks has also showed improvement & helped in relieving dyspnea. A follow up of the treatment was taken on 14th week, which finally proved the long term effect of multiple sessions of Acu-TENS. CONCLUSION:- Hence this study concludes that there is a significant reduction in dyspnea in pts with COPD who are under gone. multiple sessions of Acu-TENS 12 weeks is associated with reduction in dyspnea and therefore showed improvement in 6MWT and reduction of VAS scale and Borg scale.When two samples was conducted after 12th & 14th week using Borg scale. It was found that there is a significant reduction after 12th week with p =0.000, and its sinificancy is maintained after 14th week in GP A compare GP B p=000