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Asthma Research Paper

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Asthma is a chronic obstructive inflammatory lung disease that can affect all age groups and is characterized by repeated episodes of wheezing, shortness of breath (SOB), chest tightness, and coughing due to the increased sensitivity of the airway smooth muscle to various stimuli, as well as a buildup of mucus from the mucosal layer.1 The smooth muscle layer and the mucosal layer make up the lumen of the airway. As of now, there is no cure for asthma, however individuals with asthma are fully capable of living a normal life by controlling the symptoms. Factors such as the environment, allergies, respiratory infection and genetics play a role in determining who has asthma and who does not. The narrowing of the airways in combination with the …show more content…

Physicians who hypothesize asthma as their patient’s diagnoses will focus their physical examination on the upper respiratory tract, chest, and skin. When performing lung auscultations during normal breaths or during prolonged phase of expiration, sounds of wheezing will mostly likely be heard. Dyspnea and wheezing since childhood is like to be asthma or COPD; however, patients older than 40 years old who complain of wheezing typically manifest from heart failure and is said to have cardiac asthma.4 Postural observations in patients with asthma include: hyper expansion of the thorax (especially in children), use of accessory muscles, appearance of hunched shoulders, and chest deformity. Increased nasal secretion, mucosal swelling, and eczema are also seen in patients with asthma.5 The most common pulmonary function test for diagnosis of asthma is spirometry. According to Schneider et al., the efficacy of spirometry in diagnoses of asthma has sensitivity of 29%, specificity of 90%, positive predictive value of 77%, and negative predictive value of 53%. 6 Spirometry is useful for ruling in asthma; however, cannot be utilized for ruling out asthma. Although patient history and physical examination help identify asthma, it does not determine the severity of asthma. Patients are instructed to breathe in until maximal inhalation, and then forcibly exhale into the spirometer …show more content…

Patients with asthma have difficulty exhalation leading to imbalance of inhalation exhalation ratio. Pursed lip breathing allows the patient to create back pressure in the mouth to open airways to splint them open; allowing air to move with less work and increase exhalation time.4 Active Cycle of Breathing Technique (ACBT) is one technique that can be utilized to achieve this goal. The components of ACBT are breathing control, thoracic expansion exercises, and forced expiration technique (FET). Breathing control is described as gentle tidal volume breathing with relaxed shoulders and upper chest. Breathing techniques are utilized for asthma in order to slow down respiratory rate and prevent bronchospasm. Thoracic expansion exercise is focused on inspiration in order to increase lung volume. The most common technique used for FET is huffing. Huffing allows patients with asthma stabilize collapsible bronchial walls and increase expiratory flow. ACBT should be incorporated into a patient’s daily routine and performed repetitively for at least 10 minutes.4 Physical therapists should be aware of techniques that may not prove effective for treating asthma symptoms. Coughing is counter effective because it can irritate, inflame, and narrow airways and elicit bronchospasms. Patients are discouraged to take long bouts of exhalation, as it produces wheezing in the lungs and can cause

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