Respiratory rehabilitation: a choice of methods and schedules

Abstract

A choice of a respiratory rehabilitation regimen was studied based on the objective noninvasive investigation of 3 components of the respiratory failure, such as respiratory mechanics disorders, functional failure of inspiratory and expiratory muscles and neurorespiratory drive. The method’s entity is a measurement of airway occlusion pressure.
The examination of 112 COPD patients and 42 postoperative patients showed that a separate affection of lung mechanics, respiratory muscles function and central neurorespiratory drive is not almost encountered in the everyday clinical practice. The involvement of each component in the respiratory failure is different. Therefore, an application of the universal complex of respiratory rehabilitation, that is identical for all respiratory failure patients is not quite effective.
The choice of respiratory rehabilitation method and schedule based on the functional assessment of the three-component model gives good results, that is confirmed with everyday clinical practice. The high effectiveness of the incentive spirometry and inspiratory and expiratory muscles training as a part of respiratory rehabilitation was displayed.