Abstract
Effect of chest physiotherapy to 63 amyotrophic lateral sclerosis (ALS) patients of early stage, 10 ALS patients who were introduced noninvasive positive pressure ventilation (NIPPV), and 30 ALS patients who had tracheotomy ventilation (TV) was studied. The chest physiotherapy created by National Center of Neurology and Psychiatry Kohnodai Hospital was carried out to ALS patients of early stage. Thorax assist breathing was performed to ALS patients who were introduced NIPPV. The program of leaving their sickbed was carried out for TV group of ALS patients.
From the result, it was revealed that chest physiotherapy prolonged the period until the stage of TV. Moreover, the improvement of SPO2, the reduction of dyspnea, and the improvement of blood gas were accepted by using thorax assist breathing with NIPPV. It was thought that thorax assist breathing with NIPPV was the technology of new chest physiotherapy. After doing the program for TV group, ALS patients could leave their sickbed under the right breathing control. Leaving their sickbed prevent lung complication and improves the patient's quality of life for TV group of ALS.
