Department of Physiotherapy in Preventive and Surgical Medicine, Department of Physiotherapy in Internal Diseases, University of Physical Education, Wrocław, Poland.
Adv Clin Exp Med. 2013 Sep-Oct;22(5):721-30.
To evaluate the effectiveness of specialized physiotherapy methods measured by the BODE index in patients with COPD during hospitalization.
The study was conducted on a group of 30 patients diagnosed with COPD, all under treatment at the clinical hospital in Wroclaw due to the exacerbation of their symptoms. All patients were undergoing standard pharmacological treatment along with basic physiotherapy. The subjects of the study were randomly divided between an experimental group of 20 persons and a control group of 10 persons. Patients in the experimental group underwent a series of 6 additional massage treatments performed over a period of a few days, aimed at reshaping the following muscles: the sterno-cleidomastoid, pectoralis major, pectoralis minor, trapezius, levator scapulae, rhomboids and serratus anterior. Each massage lasted for 30 minutes and consisted of stroking, grinding, vibration and kneading techniques. Before and after therapy the patients were assessed based on the BODE index. First, the patient's BMI was calculated (B). Airflow obstruction (O) was determined by the percentage value of FEV1 while the MRC scale was used to evaluate a patient's dyspnea (D). Exercise capacity (E) was measured by the distance a patient could cover in a 6-minute walk test. Each variable of the BODE index was ranked on a scale from 0 to 3 points except the BMI, for which was given either 0 or 1 point.
Analysis of the results showed a significant improvement of the BODE index in the experimental group while in the control group this ratio changed slightly. The FEV1 and MRC parameters changed significantly only in the experimental group.
After a week of therapy the BODE index improved in both groups, but in the experimental group there was a significantly higher difference. In the experimental group all BODE components except BMI improved highly significantly, whereas in the control group only exercise capacity was significantly improved.
评估 BODE 指数评估的 COPD 患者住院期间的专业物理治疗方法的效果。
该研究在 30 名被诊断患有 COPD 的患者中进行，所有患者均因症状加重而在弗罗茨瓦夫的临床医院接受治疗。所有患者均接受标准药物治疗和基础物理治疗。研究对象随机分为实验组（20 人）和对照组（10 人）。实验组患者接受了一系列为期数天的 6 次额外按摩治疗，旨在重塑以下肌肉：胸锁乳突肌、胸大肌、胸小肌、斜方肌、肩胛提肌、菱形肌和前锯肌。每次按摩持续 30 分钟，包括抚摸、研磨、振动和揉捏技术。治疗前后，根据 BODE 指数对患者进行评估。首先，计算患者的 BMI（B）。气流阻塞（O）通过 FEV1 的百分比值确定，而 MRC 量表用于评估患者的呼吸困难（D）。运动能力（E）通过患者在 6 分钟步行测试中能覆盖的距离来测量。BODE 指数的每个变量的评分范围为 0 到 3 分，BMI 除外，其得分为 0 或 1 分。
结果分析显示，实验组 BODE 指数显著改善，而对照组该比例略有变化。仅在实验组中，FEV1 和 MRC 参数发生了显著变化。
经过一周的治疗，两组 BODE 指数均有所改善，但实验组差异更为显著。在实验组中，除 BMI 外，所有 BODE 成分均有显著改善，而在对照组中，只有运动能力显著改善。
