Clinical and functional efficacy of respiratory muscle resistive training in rehabilitation of patients with preasthma and bronchial asthma

Abstract

Authors has proposed an original diagnostic program of examining the respiratory biomechanics and capillary circulation in pulmonary circuit which included pulmonary roentgenopneumopolygraphy and scintigraphy. It was demonstrated that in patients with asthma having not clinical manifestations of chronic respiratory failure during even the moderate course of the disease there was the decrease of diaphragm respiratory function (the diaphragmatic index DI 39±8 mm; the normal value of the one is 98±5 mm) and hyperfunction of the crural component of the respiration (amplitude of the rib cage displacement ARD was 21+4 mm, the normal one is 14+3 mm). While progressing of the disease, the decrease of diaphragm function (DI = 39±8 mm) and the respiratory muscle performance (ARD = 12±5 mm) were demonstrated, that was considered to be the fatigue state. The respiratory muscle training was carried out with Ambu-RMT system during three months and longer. In patients with mild and moderate impairments of respiratory muscles the fisiological fatigue elimination was achieved.