A Study on compare to find out the effect of postural drainage with percussion and active cycle of breathing technique in patient with chronic bronchitis

INTRODUCTION: Chronic bronchitis is one of the common COPD disorders and is defined as chronic cough and expectation which persists for at least 3 months period for at least 2 consecutive years. The aim of the study was to analyze the effect of postural drainage with percussion and cycle of breathing technique in patients with chronic bronchitis. The study shows that there is significant difference between the postural drainage and percussion pre and post intervention and also shows significant difference pre and post intervention with active cycle breathing technique in patients with chronic bronchitis. When compared the effectiveness of the postural drainage and percussion to active cycle of breathing technique improving bronchial hygiene in patients with chronic bronchitis there was no significant difference and no treatment is superior over the other. OBJECTIVES: 1. To find out the effectiveness of postural drainage with percussion in improving bronchial hygiene in chronic bronchitis patients. 2. To find out the effectiveness of the active cycle of breathing technique in improving bronchial hygiene in chronic bronchitis patients. 3. To compare the effectiveness of the postural drainage and percussion to active cycle of breathing technique improving bronchial hygiene in patients with chronic bronchitis. METHODOLOGY: POPULATION: Patients with chronic bronchitis who satisfied the inclusion criteria are included in study. SELECTION CRITERIA: INCLUSION CRITERIA: • Age: 40-60 years. (Male only), • Chronic bronchitis patient with physician’s reference, • FEV1/FVC ratio of less than 50-70%, • FEVI value less than 50-70% of the predicated. EXCLUSION CRITERIA: • Clinically diagnosed mild and severe chronic bronchitis patients. • Asthma patients, • Patients with other lung complication, • Cardiac complication, • Neurological problems, • Patients with Metastasis conditions, • Un Co-operative patients, • Patient who is not able to understand the procedure. • Subjects suffering from traumatic complication including rib fracture. SAMPLE SIZE: The sample size consisted of 30 subjects who satisfied the inclusion criteria. The study subjects were divided in to three groups i.e. Group-A and Group-B and Group-C consisting of 10 subjects in each group. Group A- postural drainage and percussion, Group B- Active cycle of breathing technique, Group C- No Exercise. SAMPLING TECHNIQUE: Simple random sampling was used to divided the three groups. RESEARCH DESIGN: A comparative study. STUDY SETTING: This study was conducted at the Department of Physiotherapy Shanmuga Institute of Post-graduate Medical Sciences, Salem–7 under the super version of concerned authority. RESULTS: Descriptive statistical analysis has been carried out in the present study. Results on continuous measurements are presented on Mean + SD (Min-Max) and results on categorical measurements are presented in Number (%). Significance is assessed at 5% level of significance. Analysis of variance (ANOVA) has been used to find the significance of study parameters between three or more groups of patients Student t test (two tailed, dependent) has been used to find the significance of student parameters on continuous within each group. Student t test has been used to find the homogeneity of parameters on continuous scale 95% confidence interval has been computed to find the significance of change or difference (delta) is statistically significant otherwise not significant. CONCLUSION: The aim of the study was to analyze the effect postural drainage with percussion and active cycle of breathing technique in patients with chronic bronchitis. The study shows that there is significant difference between the postural drainage and percussion per and post intervention and also shows significant difference pre and post intervention with Active cycle breathing technique in patients with chronic bronchitis. When compared the effectiveness of the postural drainage and percussion to active cycle of breathing technique improving bronchial hygiene with chronic bronchitis there was no significant different and no treatment is superior over the other