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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2013, Volume : 7, Issue : 1
First page : ( 280) Last page : ( 284)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.

Effect of Midprone Decubitus on Pulmonary Function Test Values in Young Adults with Undesirable Body Mass Indices (BMI)

Fazili Junaid Ahmed1, Ajith S2, Mirajkar A.M.3, Faisal Mohamed C K4, D'Sa Ivor Peter5

1Physical Therapist, Dept. of Physiotherapy, NITTE University, Mangalore

2Asst. Professor, Dept. of Physiotherapy, NITTE University, Mangalore

3Professor and HOD, Dept. of Physiology, NITTE University, Mangalore

4Professor and HOD, Dept. of Physiotherapy, NITTE University, Mangalore

5Professor Dept of Medicine, NITTE University, Mangalore

Online published on 13 February, 2013.

Abstract

Background and Purpose

Body positioning is prescribed by Physical Therapists to directly enhance oxygen transport and oxygenation, to minimize the risk of aspiration, and to drain pulmonary secretion in most of the intensive care units. The aim of this study is to assess pulmonary function in sitting, right mid-prone, left mid prone position in healthy young adult subjects and to compare the effect of Body Mass Index (BMI) on pulmonary function in sitting, right and left mid prone position.

Materials and Methods

We recruited 60 healthy male volunteers by using convenience sampling with the mean age 20.5 ranges from 18–30 years. The subjects were divided into two groups based on their BMI (Group A BMI 18.5–24.9kg/m2and Group B BMI>25kg/m2). The spirometric test was done to measure Forced Vital Capacity (FVC), Forced expiratory volume in 1 second (FEV1), Slow Vital Capacity (SVC), Maximum Voluntary Ventilation (MVV) in sitting, right side lying and left side lying position, the values of three different positions were compared with in the groups and between the groups.

Results

FVC and FEV1 values show significant changes in three different positions in normal and obese subjects. The MVV of normal and obese groups in sitting, right side lying and left side lying was significantly varied. There was no significant difference in other values.

Conclusion

With right side and left side lying position the FVC and FEV1 values decreased significantly in compare to the sitting position, and there is no difference in lung volumes between normal and obese except MVV. MVV is significantly reduced in right and left side lying position. Upright sitting position will increase the lung volumes and capacities compared to the other positions.

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Keywords

Midprone Decubitus, Pulmonary Function Test, Body Mass Indices (BMI).

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