It is the purpose of this study to demonstrate the effects of chest physical therapy for patients with chronic lung disease. concerning which there is at present no general agreement. On 58 patients with chronic lung disease, chest physical therapy was intensively performed (30-60 min/day, 6 days/week) until the patients reached the goal. Their dyspnea level (Hugh-Jones Classification), lung function, arterial blood gases, respiratory muscle strength and endurance, 6 min walking distance (6MD) and ADL were compared between before and after the physical therapy. A significant improvement was observed in all indices except in some of lung function and arterial blood gases (FEV
1.0, FEV
1.0%, PaCO
2). Compared among patients with different ventilatory disorders, those with obstructive disease exhibited an improvement in PaO
2 and AaDO
2, and those with restrained one showed an improvement in %MVV and PaCO
2. A patient with grade V of Hung-Jones Classification indicated a significantly low improvement rate in dyspnea. It was concluded by the present results that a long-term intensive chest physical therapy of well-controlled clinical program is effective for patients with chronic lung disease, showing that the therapy results in improvements not only in dyspnea, exercise endurance, and ADL, but also in lung function and arterial blood gases. It was also suggested that the effects of therapy may differ according to levels of ventilatory disorder of patients.
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