Respiratory simulators and halotherapy in the rehabilitation of patients with chronic respiratory diseases

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Abstract

ABSTRACT

Background: respiratory diseases occupy leading positions among the causes of morbidity, temporary disability and mortality of the population.

Aims: to evaluate the effectiveness of the combined sequential effect of the Universal-2011 respiratory massager simulator and halotherapy in the complex treatment and rehabilitation of patients with chronic respiratory diseases.

Materials and methods: the study involved 60 patients aged 32 to 64 years with chronic respiratory diseases beyond the acute stage with respiratory insufficiency of 0-1 degree. All patients were divided by randomization into two groups: the main group (32 people) and the comparison group (28 people). Patients of both groups underwent clinical examination, saccharin test, spirography, quality of life was assessed using the SAT test. The patients of the main group were trained under conditions of hypoxia and hypercapnia using a breathing simulator "Universal-2011" followed by a session of halotherapy. Patients of the comparison group received only halotherapy sessions using the same methodology and parameters. The course of treatment was 10 procedures. The study was conducted for 18 months. Statistical data processing was carried out using Microsoft Excel 2013 and Statistic 13.0 software applications.

Results: in the main group, at the end of treatment, a statistically significant decrease in respiratory rate was noted in relation to the comparison group. Only in the main group there was a significant increase in VEL, FEV1, peak volume exhalation rate and peak volume inhalation rate. According to the SAT-test, all patients noted an improvement in their general condition, however, in the main group it was more significant and achieved a negligible effect of the disease on the lives of patients, and in the comparison group it remained moderate.

Conclusion: the proposed technique, including the consistent use of the Universal-2011 breathing simulator and the halotherapy procedure, can be included in the treatment and rehabilitation complex of patients with chronic respiratory diseases.

About the authors

Aleksandr V Yashkov

Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation

Email: a_yashkov@mail.ru
ORCID iD: 0000-0003-3783-823X
SPIN-code: 2277-5401

Doctor of Medical Sciences, Professor, Head of the Department of Medical Rehabilitation, Sports Medicine, Physiotherapy and Balneology.

Russian Federation, 89 Chapaevskaya str., Samara, Samara region, 443099, Russian Federation.

Viktor A Polyakov

Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation

Email: viktorpolyakov47@gmail.com
ORCID iD: 0000-0002-9161-6534
SPIN-code: 9325-2702

Candidate of Medical Sciences, Associate Professor of the Department of Medical Rehabilitation, Sports Medicine, Physiotherapy and Balneology.

Russian Federation, 89 Chapaevskaya str., Samara, Samara region, 443099, Russian Federation

Marina V Shelyhmanova

Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: shelmv@mail.ru
ORCID iD: 0000-0002-6383-6791
SPIN-code: 6935-4684

Candidate of Medical Sciences, Associate Professor of the Department of Medical Rehabilitation, Sports Medicine, Physiotherapy and Balneology

Russian Federation, 89 Chapaevskaya str., Samara, Samara region, 443099, Russian Federation.

Dmitry G Boguslavsky

Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation

Email: dmitrii_6688@mail.ru
ORCID iD: 0000-0003-4491-7403
SPIN-code: 2548-6280

Candidate of Medical Sciences, Associate Professor of the Department of Medical Rehabilitation, Sports Medicine, Physiotherapy and Balneology

Russian Federation, 89 Chapaevskaya str., Samara, Samara region, 443099, Russian Federation.

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