EFFECTS OF PULMONARY REHABILITATION ON DYSPNEA SCALE IN PATIENTS WITH CHRONIC PULMONARY DISEASE
Tetsuo Miyagawa, Fumihito Kasai, Masazumi Mizuma, and Yoshiaki Mori, (Dept. of Rehab. Medicine, Showa University, School of Medicine, Tokyo, JAPAN)
Pulmonary rehabilitation have been shown to reduce dyspnea, increase exercise capacity, reduce hospitalization, and improve quality of life in patients with chronic pulmonary disease. However, previous studies have not shown effects of pulmonary rehabilitation on grading of dyspnea, pulmonary impairment and its severity. We compared the effects of pulmonary rehabilitation on British Medical Research Council Dyspnea Scale in fifty seven patients with chronic pulmonary disease. 43 patients with COPD, 7 patients with post-TB, 5 patients with pulmonary fibrosis and 2 patients with bronchiectasis were performed six weeks pulmonary rehabilitation program. Results shown are mean values.
Compared with Grade 4 (severe), Grade2 (mild) and 3 (moderate) produced significantly greater improvement in FVC, %VC, PImax, and 6MD. However, Grade 4 showed significantly greater improvement in QOL. This data suggests that pulmonary rehabilitation should start earlier.
REHABILITATION OF CHRONICAL DISEASES OF LUNGS INCLUDING BRONCHIAL ASTHMA
Alexander I. Suhanov (Rehabilitation Centre of Dr Suhanov, St. Petersburg, Russia)
The clinic has come to solution of question of theoretical explanation of development of patological processes in lungs and bronchial asthma totally in a new fashion. We start from this fact that 11rstly disturb structures which provide function of breathing. So, we developed methods step by step rehabilitation of disturbances arising when bronchial asthma is occured. It includes rehabilitation of permeability of small bronchus and bronchiols. As a result we got thousands of treated patients from this disease, have conclusive theoretical and practical data and want to impart to colleagues and world community. We offer our original method of treatment of acute catarrhal diseases as prophylaxis of bronchial asthma. For all that we refused from chemicals dangerous for men. We offer ambulance and hospital methods of treatment. The hospital method designed for hormonodependent part of patients. We absolutely sure that using our methods by world community will allow to deliver the world community from bronchial asthma in 21st century.