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. 2024 Apr-Jun;50(2):289-298.
doi: 10.12865/CHSJ.50.02.15. Epub 2024 Jun 30.

Obstructive Ventilatory Dysfunctions-Functional Assessment and Rehabilitation Program

Gabriela-Marina Andrei  1 , Eugenia-Andreea Marcu  2 , Mihai Olteanu  3 , Ramona Cioboată  3 , Magdalena Rodica Trăistaru  4
Affiliations

Obstructive Ventilatory Dysfunctions-Functional Assessment and Rehabilitation Program

Gabriela-Marina Andrei et al. Curr Health Sci J. 2024 Apr-Jun.

Abstract

Background: Obstructive ventilatory dysfunctions have an increased incidence, and through functional assessment determined by the International Classification of Functioning, Disability and Health (ICF), appropriate treatment can be established.

Aims: The objectives of our research are represented by the application of respiratory rehabilitation sessions according to the ICF in patients with obstructive ventilatory dysfunctions-with COPD or asthma, using a unique, international language and the evaluation of the results obtained before and after completion pulmonary rehabilitation.

Methods: We conducted a randomized prospective study between November 2022-April 2023, which included 84 patients diagnosed with obstructive ventilatory dysfunctions and who performed respiratory rehabilitation. They were divided into two categories: category 1-C1 which included 43 patients with Chronic Obstructive Pulmonary Disease-COPD and category 2-C2 which included 41 patients diagnosed with asthma. The rehabilitation program lasted 8 weeks, with exercises performed from Monday to Friday, with a weekend break. Respiratory rehabilitation consisted of physical therapy, inspiratory and expiratory muscle training (IEMT), proper nutrition, and psychotherapy.

Results: At the end of the program, most of the patients showed improvements in the ICF qualifiers, a fact that supported us that respiratory recovery is one of the basic therapies of patients with obstructive ventilatory dysfunctions.

Conclusions: The ICF allows the application of a personalized respiratory rehabilitation program. The ICF qualifiers are used for the functional assessment of patients and allow they to be included in individualized medical rehabilitation programs.

Keywords: ICF; Respiratory rehabilitation; obstructive ventilatory dysfunctions.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Comprehensive ICF Core Set for Obstructive Pulmonary Diseases [10].
Figure 2
Figure 2
Distribution by age ranges
Figure 3
Figure 3
Initial ICF Qualifiers in group C1-COPD
Figure 4
Figure 4
Initial ICF Qualifiers in group C2-ASTHMA
Figure 5
Figure 5
6MWT in the 2 groups before and after the respiratory rehabilitation program
Figure 6
Figure 6
Initial 6MWT-Abnormal value in a patient from group C1 from the collection of the ˝Filantropia˝ Municipal Clinical Hospital of Craiova
Figure 7
Figure 7
Final 6MWT-Normal value in a patient from group C1 from the collection of the ˝Filantropia˝ Municipal Clinical Hospital of Craiova
Figure 8
Figure 8
FEV 1 improvement after the respiratory rehabilitation program in the 2 groups
Figure 9
Figure 9
Final ICF Qualifiers in group C1-COPD
Figure 10
Figure 10
Final ICF Qualifiers in group C2-ASTHMA.
See this image and copyright information in PMC

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