Date of Award

2006

Degree Type

Thesis

Degree Name

Master of Science

Program

Physical Therapy

Supervisor

Dr. S. Deborah Lucy

Abstract

Objective: Activity induced dyspnea is a common and disabling symptom of chronic obstructive pulmonary disease (COPD) resulting in part from a hyperinflated and rigid chest wall. The purpose of this study was to investigate the effects of chest wall stretching exercises on rib cage excursion, health-related quality of life (HRQL) and pulmonary function in people with COPD. Methods: This study incorporated a single group (n=24) quasi-experimental repeated measures design consisting of two phases; a 4-week non-interventional (baseline) period to evaluate subject stability/variability and a 4-week interventional period (chest wall stretching home exercise program). Results: The results showed a significant increase in rib cage excursion and HRQL, in particular, improvements in dyspnea and fatigue. However, there was no change in pulmonary function. Conclusion: The results of this study provide evidence in support of the use of chest wall stretching exercises in the management of people with COPD.

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