Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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The Study on Respiratory Function, Spirometric Lung Pattern and Fatigue of Elderly in a Facility

  • Received : 2012.12.13
  • Accepted : 2013.01.28
  • Published : 2013.05.30
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Abstract

The purpose of this study was to investigate spirometric lung pattern, respiratory function and degree of fatigue by lung function tests and fatigue tests of 39 elderly people in a care facility aged 65 and over. The respiratory function tests were used to the Spirovit SP-1 and fatigue tests were used modified Piper fatigue scale(mPFS). Regarding the respiratory function, the FVC was $1.41{\pm}0.36$l, the FVC % predicted was $69.10{\pm}14.98$%, the $FEV_1$ was $1.02{\pm}0.31$l, the $FEV_1$ % predicted was $63.27{\pm}16.05$%, the $FEV_1$/FVC was $72.77{\pm}13.40$%, and the fatigue score was $5.83{\pm}1.09$. As for the spirometric lung pattern, 19 patients had a restrictive pattern(48.7%), followed by 11 with a mixed pattern(28.2%), 5 with an obstructive pattern( 12.8%), and 4 with a normal pattern(10.3%). Regarding the respiratory function and fatigue by spirometric lung pattern, the FVC and the FVC % predicted of patients with a normal pattern or an obstructive pattern were greater than other groups at a statistically significant level. As for the $FEV_1$, that of patients with a normal pattern was significantly higher than others, and for the $FEV_1$ % predicted, that of patients with a normal pattern or a restrictive pattern was significantly higher(p<.001). Fatigue score by patients with a normal pattern was significantly less than patients of other patterns(p<.001). Therefore, pulmonary physical therapy is considered necessary to improve respiratory function and fatigue degradation of elderly in a facility.

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References

  1. Korean Statistical Information Service. Future Population Projection. 2009.
  2. Ministry of Health and Welfare. Current Status of Elderly Residence Facilities at 2009.
  3. Bonomo L, Larici AR, Maggi F, Schiavon F, Berletti R. Aging and the respiratory system. Radiol Clin North Am 2008; 46(4): 685-702. https://doi.org/10.1016/j.rcl.2008.04.012
  4. Bellia V. Asthma in the elderly, mortality rate and associated risk factors for mortality. Chest 2007; 132(4): 1175-1182. https://doi.org/10.1378/chest.06-2824
  5. Frownfelter D, Dean E. Cardiovascular and pulmonary physical therapy: Evidence and practice 4th ed: Elsevier Inc 2006.
  6. Belza BL, Henke CJ, Yelin EH, Epstein WV, Gillis CL. Correlation of fatigue in older adults with rheumatoid arthritis. Nursing research 1993; 42(2): 93-99.
  7. Guyatt GH, Townsend M, Berman LB, Pugsley SO. Quality of life in patient with chronic airflow limitation. British Journal of Disease in Chest 1987; 81: 45-54. https://doi.org/10.1016/0007-0971(87)90107-0
  8. Song HM. The Effects of Foot Reflex Therapy on the Ability to Perform Daily Activities and Fatigue in Stroke Patients. Dongshin University. Master Thesis; 2003.
  9. Krupp L, Alvarz L, LaRocca N, Scheinberg L. Fatigue in multiple sclerosis. Archs Neurology 1988; 45: 435-437. https://doi.org/10.1001/archneur.1988.00520280085020
  10. Srivastava R. Fatigue in end-stage renal disease patients. In key aspects of comfort. New York;Springer 1989.
  11. Schroeder D, Hill GL. Postoperative Fatigue: A prospective physiological study of patients undergoing. Major abdominal surgery 1991; 61: 774-779.
  12. Schaefer K, Potylychi M. Fatigue associated with congestive heart failure: Use of Levine's Conversation Model. Journal of advance nursing 1993; 18(2): 260-268. https://doi.org/10.1046/j.1365-2648.1993.18020260.x
  13. Oh YM. How Many Patients with Mixed Spirometric Pattern Really Have Restrictive Disorders? Tuberculosis and Respiratory Diseases 1999; 47(6): 836-842. https://doi.org/10.4046/trd.1999.47.6.836
  14. Piper B. Subjective fatigue in women receiving six cycles of adjuvant chemotherapy for breast cancer. Doctorial dissertation. University of California, San Francisco 1992.
  15. Kwon YE. A Structural Model for Fatigue-Regulation Behaviors in Cancer Patients Undergoing Chemotherapy. Hanyang University 1997.
  16. Fried LP, Kronmal RA, Newman AB, Blid DE, Mittelmark MB, Polak JF, Robbins JA, Gardin JM. Risk factors for 5-year mortality in older adults: the Cardiovascular Health Study. JAMA 1998; 279: 585-592. https://doi.org/10.1001/jama.279.8.585
  17. Mannino DM, Buist AS, Petty TL, Enright PL, Redd SC. Lung function and mortality in the United States: data from the First National Health and Nutrition Examination Survey follow up study. Thorax 2003; 58(5): 388-393. https://doi.org/10.1136/thorax.58.5.388
  18. Boss R, Sparrow D, Garvey AJ, Costa PT Jr, Weiss St, Rowe JW. Cigarette smoking, aging, and decline in pulmonary fuction: A longitudinal study. Arch Environ Health 1980; 35(4): 247.
  19. Lee WY. Pulmonary Diseases in the Elderly. Korean Journal of Medicine 1996; 50(5): 618-632.
  20. Ryu SJ. Pulmonary functions of Elderly inpatients in One Geriatric Hospital in Gwangju area and Efficacy of Pulmonary Rehabilitation. Chonnam National University 2009.
  21. Kasper CE, McNaulty AL, Otto AJ. Alteration in skeletal muscle related to impaired physical mobility: An empirical model. Research of Nursing Health 1993; 16: 173-265.
  22. Glell R, Casan P, Belda J, Sangenls M, Morante E, Guyatt GH, Sanchis J. Long-term effects of outpatient rehabilitation of COPD: a randomize trial. CHEST 2000; 117(4): 976-983. https://doi.org/10.1378/chest.117.4.976
  23. Reid WD, Samrai B. Respiratory Muscle Training for Patients with COPD. Physical Therapy 1995; 75: 996-1004. https://doi.org/10.1093/ptj/75.11.996
  24. Fahr LK. Psychosocial considerations in the care of the adult with chronic pulmonary disease. St.Louis; Mosby Year Book 1994.
  25. Breukink SO, Strijbos JH, Koorn M, Koeter GH, Breslin EH, Van der Schans CP. Relationship between subjective fatigue and physiologic variables in the patients with chronic obstructive pulmonary disease. Respiratory Medicine 1998; 92: 676-682. https://doi.org/10.1016/S0954-6111(98)90517-0