Pilates Exercise and Inhalation Injury Post Burn
Condition: Inhalation Injury
MeSH terms: Respiratory Aspiration; Wounds and Injuries
Study type: Interventional

Summary: 
      Sixty patients with 25-45 years of age presenting post burn inhalation injury, randomly
      distributed into two equal groups, 30 patients for each group. control group receive
      conventional chest physiotherapy (diaphragmatic respiratory exercises, apical breathing
      exercises) for (15-20) minutes 3times/week and medical treatment for 4 weeks as a total
      period of treatment. study group will receive pilates exercise in addition to their
      conventional chest physiotherapy for (15-20) minutes 3times/week and medical treatment for 4
      weeks as a total period of treatment, computerized spirometer assessment before treatment are
      ( The following variables were measured: forced vital capacity (PVC%) and forced ·expiratory
      volume in one second (FEVl %) and peak expiratory flow (PEF %)and after one month
    

Detailed description: 
      Two groups of sixty patients (thirty patients in each group) of both sexes of inhalation
      injury post burn are selected randomly to participate in the study.

      The patients will be divided into two equal groups in number:

        -  Group (A) study group: this group includes 30 patients who have postburn inhalation
           injury will receive conventional chest physiotherapy (diaphragmatic respiratory
           exercises, deep inhalation exercises, and respiratory exercises associated with shoulder
           flexion movements and extension of the upper limbs, assisted cough, circulatory
           exercises and early ambulation) and medical treatment and pilates method.

        -  Group (B) control group: this group includes 30 patients who have postburn inhalation
           injury will receive conventional chest physiotherapy (diaphragmatic respiratory
           exercises, deep inhalation exercises, and respiratory exercises associated with shoulder
           flexion movements and extension of the upper limbs, assisted cough, circulatory
           exercises and early ambulation) and medical treatment.

        -  computerized spirometer assessment before treatment are ( The following variables were
           measured: forced vital capacity (PVC%) and forced ·expiratory volume in one second (FEVl
           %) and peak expiratory flow (PEF %)and after one month
    

Intervention name(s): Conventional chest physical therapy; Pilates exercise
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Conventional chest physical therapy: The patients performed four series of five breath with 3 seconds of sustained breathing interspersed with periods of quite breathing followed by two or three coughs or huffs (with wound support by a pillow or his/her hands), twice a day in the first two postburned days and once a day from the third to the tenth days.; The Pilates technique, which stretched laterally and to the back, stressed costal breathing, in which the ribs climb and drop throughout the ventilatory stream. The transverse muscle had to work harder to avoid abdominal distension, provide more support to the diaphragm to promote lower rib movement, and provide more diaphragmatic excursion, During the expiratory phase, the transversus abdominis, the multifidus and the pelvic floor musculature were contracted.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Pilates exercise ,lung functions ,inhalation injury