Inspiratory Capacity Clinical Trial
Official title:
Method JaPer. A New Strategy to Improve Inspirational Capacity
Different diseases worldwide have repercussions at the level of multiple systems; but without a doubt a higher prevalence in the cardiopulmonary system. When a patient is hospitalized, he enters a continuous and often prolonged rest stay. Wherein, this physical inactivity plus its base pathology negatively impact its lung capacity. And low lung capacity has been shown to increase the risk of mortality, hospital stay, and complications. That said, the use of the device known as the "incentive inspirometer" is important, which to some extent there is no standardization of its use or applicability in a structured and planned manner. For this reason, the Japer method emerges as an idea; which, pretending through an exercise prescription through the incentive inspirometer according to 50% to 80% of the maximum inspiring capacity of the patient, improves their inspiring capacity. Having said this, the general objective was to analyze the effects of the JaPer method to improve lung capacity versus the traditional use of an inspirometer in hospitalized patients.
In 1974 the Respiratory Rehabilitation (RR) Committee of the American College of Chest
Physicians defined RR as an art. It took almost 20 more years for another group of experts to
describe it as a service. Moving forward in our reasoning, it is important to remember that
all physical activity produces an increase in metabolic energy expenditure, as a result of
body movement carried out in a specific period of time. The current literature through
various organizations has been oriented to promote activities that arouse interest in
generating movement and thus obtain benefits in improving health and quality of life. The
respiratory physiotherapy techniques are basically divided into 2 types: facilitating
techniques for expectoration and respiratory exercises. The former are indicated in
hypersecretory processes, in alterations in the properties of mucus, ciliary dysfunction and
alterations in the cough mechanism, to keep the airway free of secretions. The second is
focused on improving a respiratory pattern, a respiratory reeducation, strengthening of
respiratory muscles, preventing and / or reducing dyspnea and fatigue through the use of the
inspirometer, respiratory exercises and specific techniques. In addition, it helps to
decrease the hospital stay. Which, when prolonged, generates negative effects on the health
system, such as: increased costs, poor accessibility to hospitalization services, saturation
of emergencies and risks of adverse events. Plus all the negative effects it can generate in
a hospitalized patient.
Different diseases worldwide have repercussions at the level of multiple systems; but without
a doubt a higher prevalence in the cardiopulmonary system. When a patient is hospitalized, he
enters a continuous and often prolonged rest stay. Wherein, this physical inactivity plus its
base pathology negatively impact its lung capacity. And low lung capacity has been shown to
increase the risk of mortality, hospital stay, and complications. That said, the use of the
device known as the "incentive inspirometer" is important, which to some extent there is no
standardization of its use or applicability in a structured and planned manner. For this
reason, the Japer method emerges as an idea; which, pretending through an exercise
prescription through the incentive inspirometer according to 50% to 80% of the maximum
inspiring capacity of the patient, improves their inspiring capacity. Having said this, the
general objective was to analyze the effects of the JaPer method to improve lung capacity
versus the traditional use of an inspirometer in hospitalized patients.
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