2in the course of the illness are usually not used as result variables, but one should consider thisin the future
. Eur Respir J 1999; 13: 1477-1486 Copyright © ERS Journals Ltd 1999
Other studies show that traditional physiotherapy can increase the production of fluids inpatients with COPD, but there is no improvement in lung functions.
.
Jones AP, and Rowe BH:Bronchopulmonary hygience physical therapy for chronic obstructive pulmonary disease and bronchiectasis(Cochrane Review). Cochrane Library 1998; 3 : -
In the book
It Takes My Breath Away END-STAGE COPD: Part 2: Pharmacologic and Nonpharmacologic Management of Dyspnea and Other Symptoms
by
CONSTANCE DAHLIN APRN, BC, PCM
it is said “COPD is a progressive terminal illnesswith no cure. In end-stage disease, respiratory distress is the primary etiology of suffering.However, patients experience myriad secondary symptoms, including depression, anxiety,insomnia, and constipation, that the home care nurse can help alleviate. With proper support,these patients can receive care at home and avoid acute care settings. Nurses can advocate forpatients in establishing a plan of care consistent with the patient’s values and beliefs that alsopromotes a peaceful death…..Music therapy can help patients reduce their respiration rates.Meditation, relaxation, and guided imagery may help reduce anxiety and again affectbreathing. Vibration therapy can help patients with secretions and muscle tenseness. Nurses inthe home can teach patients and families these techniques, and they can perform somerelaxation techniques on visits ( Warren et al., 2002 ).
Home Healthcare Nurse A
pril 2006Vol. 24 Nr 4 Side-224Use of low frequency sound wave therapy for treating ambulant patients with COPD is notcommonly known neither in Norway nor abroad. From 1987 to 2006 Olav Skille has beentreating 10 patients with severe pulmunary dysfunctions using Vibroacoustic Therapy (VAT).The effect of the therapy has been descrbed anecdotically, based on the patients’ subjectiveexperience og the effect of this therapy after therapy periods of varying length. Some patientshave bought VAT equipment for home use – on a daily basis. The patients have asked for VATafter having heard of this therapeutic method. Some children in the pediatric ward in SykehusetLevanger (a local hospital) did in the 1980 and –90’ies supportive therapy with VATequipment provided by Olav Skille. (Reference: Dr. Sigurd Børsting). 3 children withMetachromatic Leucodystrophia (MLD) in Ullensaker community were given VAT daily withgood results while they were in the day care unit. (Ref: Vidar Arnesen) One patient withpulmonary emphysema at Sonjatun Health Center were in 1984-85 given VAT byphysiotherapist Arne Nilsen. After 6 months therapy she was dismissed as symptomless.In June – August 2006 a study was conducted about the effect of VAT on COPD at the therapycenter of GaiaCare AS in Tønsberg, Norway. 4 COPD diagnosed patients received 10 therapysessions each. There was written a logg over the patients’ subjective experiences on theprimary symptom (COPD) and the secondary symptoms (see above) if such symptoms werepresent. The team recorded positive changes in the primary symptoms – in varying degree -inall patients already after the first therapy session (23 minutes) As the number of therapysessions increased, the secondary problems were considerably reduced in all patients. Systolicand diastolic blood pressure and pulse were routinely logged at the beginning and end og eachtherapy session. The study was a part of a research project in which 17 volunteers withdifferent symptoms (digestive problems, neck- sholulder pains, low back pains,headache/migraine and lung problems) participated,- totalling 170 therapy sessions.After 10 therapy sessions there were considerable improvement in 100% of the COPD patients.(An article in the local paper is attatched)
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