THE EFFECTIVITY OF ADDITION CHEST MOBILIZATION OR PURSED LIP BREATHING IN CONVENTIONAL THERAPY IN COPD PATIENTS

Background: Chronic obstructive pulmonary disease (COPD) is an accumulation of pulmonary pathologies that causes limited airflow, then breathlessness. Chest mobilization and pursed lip breathing (PLB) are physiotherapy management aimed at reducing pulmonary hyperinflation, increasing FEV1 and improve breathlessness. The purpose of this study was to determine differences effectiveness of addition chest mobilization or PLB in conventional therapy to increase FEV1 and improve breathlessness in COPD patients at Lung Hospital dr. Ario Wirawan Salatiga. Research methods: This study is true experiment with pretest and posttest control group design. The subjects numbered 30 people then divided into 3 groups. All groups were given treatment 3 times a week for 6 weeks. Group I received additional chest mobilization, group II received additional PLB and group III received only conventional hospital intervention. FEV1 was measured using spirometry, breathlessness was measured using modified Borg scale. Results: Based on Wilcoxon sign rank test, there was an increase in FEV1 and improve breathlessness with p>0.05 in group I and group II. In group III there was an increase in FEV1 but no improve breathlessness. Different test results on increasing FEV1 between groups based on the Kruskal-Wallis t-test obtained p>0.05. Different test for improve breathlessness between groups I and II using Mann Whitney U-test p-value>0.05. Conclusion: The addition of chest mobilization or PLB to conventional therapy is as good as conventional hospital intervention only in increasing FEV1 and improve breathlessness in COPD patients at Lung Hospital dr. Ario Wirawan Salatiga.