Abdul Jalil Khan, Muhammad Qasim Raza.
Effectiveness of Blow Bottle Exercises for Improvement in Pneumothorax.
Int J Rehab Sci Jan ;06(01):43.

Background: Pneumothorax is the accumulation of air in the pleural space which is appeared with high morbidity and mortality after blunt or penetrating trauma/injury to the chest. There appears to be no published data on blow bottle exercises and effects of blow bottle exercises on pneumothorax in Pakistan or in the world. The purpose of this study is the advancement and role of blow bottle exercises after pneumothorax. Objective: To determine the effectiveness of blow bottle exercises on pneumothorax. Methodology: A total of 56 patients were selected post pneumothorax with complaint of absent or decreased air entry in lung bases. All the patients were selected by non-probability convenient sampling and distributed randomly into control (n=28) and experimental (n=28) groups. A well designed questionnaire was used for the collection of data. The assessment before and after blow bottle exercises was done and different variables (auscultation scale, pulmonary function test, arterial blood gases and dyspnea Borges scale) were noted. General physical therapy protocol was given to all patients but blow bottle exercises were an addition for the experimental group. Results: Different variables were analyzed and experimental group show highly significant (P<0.05) in improvement of lung sound and x-ray. It was also noted that the pulmonary function scale (P<.05), Borges Dyspnea scale (P<0.5) and auscultation scale (P<.05), partial pressure of carbon dioxide (P<.05) all found highly significant in the experimental group, but the PO2 (P>0.5) and SO2 (P>.05) was not found significant due to lake of control on oxygen flow in the patients. Conclusion: These finding suggest that blow bottle exercises are effective to improve lung expansion in pneumothorax patients. The improvement of experimental group was early as compare to control group. The potential for administration of technique was safe and proved to be very effective for the improvement of pneumothorax.

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