Рhysiotherapy in Patients with Chronic Obstructive Pulmonary Disease


  • Antoaneta Dimitrova Department of Physiotherapy and Rehabilitation, National Sports Academy “Vasil Levski”, Sofia
  • Nikolay Izov Department of Aquatic Sports, National Sports Academy “Vasil Levski”, Sofia
  • Ivan Maznev Department of Sports Medicine, National Sports Academy “Vasil Levski”, Sofia
  • Danche Vasileva Faculty of Medical Sciences, University “Goce Delchev”, St. Krste Misirkov 10-A, 2000 Shtip
  • Milena Nikolova Department of Sports Medicine, National Sports Academy “Vasil Levski”, Sofia




physiotherapy, chronic obstructive pulmonary disease


BACKGROUND: Physiotherapy is an essential for the treatment of patients with chronic respiratory non-inflammatory diseases especially for chronic obstructive pulmonary disease (COPD).

AIM: To assess the effect of six months physiotherapy (PT) program on functional status in patients with COPD.

ÐœÐTERIAL AND METHODS: The patients were divided into two groups according to the severity of the disease. Group A included 33 patients (mean age 68.6 ± 7.3; GOLD II – III stages). Group B included 32 patients (mean age 71.7 ± 6.9; GOLD I –II). They were referred to supervised PT program performed three times weekly for a half a year. All the patients were on standard medical care. At entry and after PT, six minutes walking test (6 MWT), Borg scale and modified Medical Research Council (mMRC) scale were assessed.

RESULTS: Significant changes in 6 MWT (Ñ€ < 0.001) and mMRC scale (Ñ€ < 0.001) were found after applied physical therapy program in patients of group A. Exertional dyspnoea decreased significantly in patients with group A (Ñ€ < 0.001). Positive changes were found in physical tolerance in the patients of group B (Ñ€ < 0.001).

CONCLUSIONS: The present study revealed the positive effect of six months physiotherapy in physical tolerance and dyspnoea in patients with COPD at different stages of the disease.


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Author Biography

Danche Vasileva, Faculty of Medical Sciences, University “Goce Delchev”, St. Krste Misirkov 10-A, 2000 Shtip

Faculty of Medical Sciences


Global Initiave for Chronic Obstructive Pulmonary Disease (GOLD), Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease, 2014

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How to Cite

Dimitrova A, Izov N, Maznev I, Vasileva D, Nikolova M. Рhysiotherapy in Patients with Chronic Obstructive Pulmonary Disease. Open Access Maced J Med Sci [Internet]. 2017 Sep. 9 [cited 2023 Mar. 31];5(6):720-3. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2017.176



B - Clinical Sciences

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