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Physiotherapy Management

Physiotherapy Management


COPD is becoming one of the global and major problems and studies are predicting that by 2020 it will become the 3rd most common reason of death. There are no preventative measures for this rather than to stop smoking and there is no method to reverse this condition as well. This makes it really important to understand the pathophysiological mechanism that could help build innovative therapeutic strategies. There are lots of studies and researches done in order to study COPD and asthma deeply. Patients with severe levels of COPD stay on long term medications.


Acute Exacerbations of Chronic Obstructive Pulmonary Disease

This is usually defined as the worsening condition of these patients from their normal condition; some of these observed symptoms of these patients are breathlessness, higher production of sputum, cough and colour changing. These exacerbations usually result in the weakening of respiratory system. Followed by these symptoms; higher shortness of breath, increased lung inflammation purulence and increase cough and inflammation volume, discomfort and uneasiness, tightening of chest and wheezing, less tolerance to exercise, fluid preservation, higher fatigue, respiratory failure which could require non invasive ventilation ( Tidy. C, 2010)

Clinical features

The clinical features very a lot depending on the levels of the severity of COPD, and as the levels of COPD changes it has different characterizations. In the identification of COPD is largely based upon the history of abnormal functioning lung test and a patient's exposure to smoking. The pathology could have been understood to a lower extent, since COPD has different molecular mechanism, making it difficult to define COPD in one meaning. But this mainly depends on the chain smokers constant air flow. The identification of diseases has been divided into four stages, which is mainly based on FEV1. This identifications on the basis of FEV1 is been widely criticized. But the natural history of COPD still is unclear and been studied to get to the conclusions. Even though this stages may not change from zero to four and mainly the young are effected with the severe COPD (Groneberg. D. A, Chung. K. F, 2004)


The main purpose and the functioning of the respiratory system is to the exchange of carbon dioxide and oxygen in order to fulfil the metabolic requirements of the body and in order for this to take place both gases need to regulate in an orderly way. Pulmonary blood flow and alveolar ventilation must be accordingly balanced to match with the lungs. Imbalance that is created in this function results in abnormal arterial blood respiratory gases in the patient with COPD. When these pattern changes the patient with COPD are affected, lowering their quality of life.

In the patients of COPD the response to the oxygen concentration level is high and similar whether their condition is normal or severe. But in patients who have existing COPD this results in washing out full nitrogen of the alveolar units, even in the patients who are poorly ventilated, having the capability to reach a steady ...
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