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ABSTRACT

Back ground and objectives: Organophosphates (OP) are used as insecticides in agricultural and domestic settings throughout the world. Acute organophosporous (OP) pesticide self- poisoning is a major global problem. Early recognition of respiratory failure, prompt endotracheal intubation and mechanical ventilation are life- saving measures in severe OP poisoning.  Patients with OP poisoning may have respiratory failure for many reasons, including aspiration of gastric contents, excessive secretions, pneumonia and septicemia complicating adult respiratory distress syndrome and thereby physical therapy may be indicated for patients in the intensive care setting.

Methods: A total of twenty patients ranging in age from 25-45 years, mechanically ventilated for respiratory muscle paralysis, due to organophosporous poisoning,  recruited from various ICU’s were included in the study. Effects of physiotherapy treatment were studied on static lung compliance (CST), oxygenation ratio (PaO2: FiO2 ratio) and partial pressure of carbon dioxide in arterial blood (PaCO2). Measurements of dependent variables were recorded (PRE) before commencement of treatment, 30 minutes and 60 minutes after treatment.

Results: Analysis of variance showed that there was highly significant improvement in CST mean values (p<0.01) and significant improvement in PaCO2 mean values (p<0.05). Comparing mean values with critical difference, significant critical difference was observed between mean values at PRE and Post-30, and between PRE and Post-60 time intervals (p<0.05) for CST, PaO2:FiO2 ratio and PaCO2, respectively.

Conclusion:Respiratory rehabilitation of patients with organophosporous poisoning can be effectively achieved with employment of various physiotherapeutic techniques including manual hyperinflation and bronchial hygiene therapy.

Keywords:Manual hyperinflation, organophosphorous poisoning, static lung compliance, mechanical ventilation.

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March 10th, 2019

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DIVYA B1*, ANDREW MICHAEL2, JIBI PAUL1 Authors: 1 Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai,India 2 […]

March 10th, 2019

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Moorthy A 1*, Jibi Paul 1, G. Muthuraj 1 Authors:1 Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, […]

December 10th, 2018

Changes in eating habits among youth: A study on college students in Chennai City

LEENA VS1* , LAZAR.S2 , JIBI PAUL1 Authors: 1 Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai […]

December 10th, 2018

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RADHAKRISHNAN. R1 , VENKATESAN. R2 , SENTHIL. P3 , KIRAN.V4 Authors: 2 Asst. Professor, Tamilnadu Physical Education and Sports University, […]

December 10th, 2018

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IZHAM ZAIN1*, THAM SZE KEI1 Author 1 Physiotherapy Department, School of Health Sciences, KPJ Healthcare University College, 71800 Nilai, Negeri […]

December 10th, 2018

Changes in eating habits among youth: A study on college students in Chennai City

LEENA VS1*, LAZAR.S2, JIBI PAUL1 Author 1Professor, Faculty of Physiotherapy, DR MGR Educational and Research Institute, Velappanchavadi, Chennai 2 Coordinator, […]

September 10th, 2018

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PURNIMA SINGH Corresponding Author: Purnima Singh, Former Head of the Department, Department of Physiotherapy,VIMS & RC Bangalore-66. Email id: purnimasingh29@gmail.com […]

September 10th, 2018

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V.P.LAKSHMIKANTH1 , JIBI PAUL2 , BERNARD EBENEZER2 , RAMANATHAN2 Authors: 2 Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute, […]

December 10th, 2017

Combined effect of Bobath technique and motor relearning program (MRP) over its individual effects to improve upper limb functions in stroke patients

AMJAD ANNETHATTIL1 , JIBI PAUL2 , JOSEPH SEBASTIAN3 Authors 1Stroke care Association, Physiotherapy Specialist, Assam down town University, India. E […]

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The association between demographic status and occupational related back pain among shipping port workers

IZHAM ZAIN1 , JIBI PAUL2 Corresponding Author: 1Department of Physiotherapy, School of Health Sciences, KPJ Healthcare University College,Nilai, Negeri Sembilan, […]