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Introduction
1.SmartBreathe: Respiratory exercises
boosting the oxygenation of cells is one
of the most effective ways to normalize
health parameters, enhance abilities,
stabilize psyche and fight off stress as
well as psycho-emotional distress. The
Smart Breathe is used as a training
simulator for respiratory muscles to
form proper respiratory stereotype,
enhance physical endurance, increase
adaptation potential of the body,
improve resistance to adverse
environmental, weather and industrial
factors.
2.The International Classification of
Functioning, Disability and Health
(ICF): The ICF, provides a standard
language and framework for the
description of health and health-related
states. This model can be used to
underpin case planning, monitoring of
progress, and outcomes evaluation.
Using International Classification of Functioning to capture
effect of breathing exercise with SmartBreathe in community
dwelling elderly
Abstract There is a need to highlight the medical problems that are being faced by the elderly people in India, and explore the
strategies for bringing about an improvement in their community life. This research was designed to see the effect of an assistive
technology ,Smart Breathe on mobility status and community life of elderly in New Delhi, India. Evaluation based on the International
Classification of Functioning provides an appropriate theoretical base where the effect of a assistive technology like SmartBreathe can be
captured in terms of changes in functions. We concluded that the Smart Breathe device helped elders to improve sensations associated
with cardiovascular and respiratory functions, mobility and community life.
5 June 2015
Helsinki, Finland
Poster Number
First International Symposium: ICF education, 2015
Alakananda Banerjee ,Pankaj Kumar Sahi, Shilpa Kumar, Robins Kumar, Boris
Aranovich
Title
Methods & Materials
Acknowledgements or Notes
Results
Six physical therapists were trained on
protocol of breathing exercises with the
breathing device. Demographic profiles
of elderly were documented on the ICF
Checklist Version 1A .Elderly were
trained to use Smart Breathe in
groups. Subjects performed group
based breathing exercises and home
exercise program with Smart Breathe.
The duration of exercises was gradually
increased as per the protocol starting
from day 2 to week 8. Components of
Geriatric ICF core set (Fig. 2) were
assessed initially and at the end of
week 8. There were 5 components of
body functions and 3 components of
activities and participation.
Conclusions
We thank Max Super Specialty
Hospital and respect worthy elder
subjects of Varishtha Nagrik Kendra
Sansthan who made this study
possible.
In our study, we have devised a
respiratory muscle-strengthening
program using the Smart Breathe. The
device reinforced expiratory muscle
strength training by incorporating a
pressure threshold valve. This
respiratory muscle training helped in
reduction in dyspnoea and improvement
in cardio-vascular and respiratory
function.The respiratory device which
assisted in respiratory functions is
classified within the ICF as Products &
Technology under the contextual
component .Effect of device used by
elderly in the group based therapy was
captured as changes in functional
outcomes due to improvement in
respiratory and cardiac functions.
Improvement in feeling of dyspnoea
during various indoor and outdoor
activities, improved walking ability in
different locations and different kind of
surfaces and community life such as
social gathering, visit to markets and
temples etc. Social group gathering with
the same purpose of doing exercises
together along with a home exercise
program helped in healthy ageing. ICF
provides an appropriate theoretical base
for the Assistive technology (AT) context
and is useful for demonstrating the
impact of assistive technology like
Smart Breathe in respiratory functions
and community life in elderly. The ICF
framework has the potential of
facilitating the development of device-
specific causal models. It also may
contribute to developing a research
agenda for technology outcomes like
this study on SmartBreathe by
highlighting measures that need to be
developed.
The study illustrates significant
improvement in sensations associated
with cardiovascular and respiratory
functions, mobility status, and
community life of elderly.
ICF- Function and activity
3
0
1
8
12
11
7
5
4
0
1
8
5
10
3
1
0
2
4
6
8
10
12
14
ICFb440 ICFb445 ICFb450 ICFb455 ICFb460 ICFd455 ICFd460 ICFd910
Item code
Disabilitycount
WEEK 1
WEEK 8
Fig 4: Demographic profile
Fig 5: Disability count in number of elderly
in body function and activity participation
Fig 1: International Classification of
Functioning Model
Item code Description
b440 Respiration functions
b445 Respiratory muscle functions
b450 Additional respiratory functions
b455 Exercise tolerance functions
b460 Sensations associated with cardiovascular and
respiratory functions
d455 Moving around
d460 Moving around in different locations
d910 Community life
Fig 3: Smart Breathe device
Fig 2: Item codes selected from ICF Geriatric
Core Set
Funded by: Procator KB Sweden
Conflicts of Interest: None disclosed.
Dharma Foundation of India

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Effect of SmartBreathe on Community Dwelling Elders

  • 1. Introduction 1.SmartBreathe: Respiratory exercises boosting the oxygenation of cells is one of the most effective ways to normalize health parameters, enhance abilities, stabilize psyche and fight off stress as well as psycho-emotional distress. The Smart Breathe is used as a training simulator for respiratory muscles to form proper respiratory stereotype, enhance physical endurance, increase adaptation potential of the body, improve resistance to adverse environmental, weather and industrial factors. 2.The International Classification of Functioning, Disability and Health (ICF): The ICF, provides a standard language and framework for the description of health and health-related states. This model can be used to underpin case planning, monitoring of progress, and outcomes evaluation. Using International Classification of Functioning to capture effect of breathing exercise with SmartBreathe in community dwelling elderly Abstract There is a need to highlight the medical problems that are being faced by the elderly people in India, and explore the strategies for bringing about an improvement in their community life. This research was designed to see the effect of an assistive technology ,Smart Breathe on mobility status and community life of elderly in New Delhi, India. Evaluation based on the International Classification of Functioning provides an appropriate theoretical base where the effect of a assistive technology like SmartBreathe can be captured in terms of changes in functions. We concluded that the Smart Breathe device helped elders to improve sensations associated with cardiovascular and respiratory functions, mobility and community life. 5 June 2015 Helsinki, Finland Poster Number First International Symposium: ICF education, 2015 Alakananda Banerjee ,Pankaj Kumar Sahi, Shilpa Kumar, Robins Kumar, Boris Aranovich Title Methods & Materials Acknowledgements or Notes Results Six physical therapists were trained on protocol of breathing exercises with the breathing device. Demographic profiles of elderly were documented on the ICF Checklist Version 1A .Elderly were trained to use Smart Breathe in groups. Subjects performed group based breathing exercises and home exercise program with Smart Breathe. The duration of exercises was gradually increased as per the protocol starting from day 2 to week 8. Components of Geriatric ICF core set (Fig. 2) were assessed initially and at the end of week 8. There were 5 components of body functions and 3 components of activities and participation. Conclusions We thank Max Super Specialty Hospital and respect worthy elder subjects of Varishtha Nagrik Kendra Sansthan who made this study possible. In our study, we have devised a respiratory muscle-strengthening program using the Smart Breathe. The device reinforced expiratory muscle strength training by incorporating a pressure threshold valve. This respiratory muscle training helped in reduction in dyspnoea and improvement in cardio-vascular and respiratory function.The respiratory device which assisted in respiratory functions is classified within the ICF as Products & Technology under the contextual component .Effect of device used by elderly in the group based therapy was captured as changes in functional outcomes due to improvement in respiratory and cardiac functions. Improvement in feeling of dyspnoea during various indoor and outdoor activities, improved walking ability in different locations and different kind of surfaces and community life such as social gathering, visit to markets and temples etc. Social group gathering with the same purpose of doing exercises together along with a home exercise program helped in healthy ageing. ICF provides an appropriate theoretical base for the Assistive technology (AT) context and is useful for demonstrating the impact of assistive technology like Smart Breathe in respiratory functions and community life in elderly. The ICF framework has the potential of facilitating the development of device- specific causal models. It also may contribute to developing a research agenda for technology outcomes like this study on SmartBreathe by highlighting measures that need to be developed. The study illustrates significant improvement in sensations associated with cardiovascular and respiratory functions, mobility status, and community life of elderly. ICF- Function and activity 3 0 1 8 12 11 7 5 4 0 1 8 5 10 3 1 0 2 4 6 8 10 12 14 ICFb440 ICFb445 ICFb450 ICFb455 ICFb460 ICFd455 ICFd460 ICFd910 Item code Disabilitycount WEEK 1 WEEK 8 Fig 4: Demographic profile Fig 5: Disability count in number of elderly in body function and activity participation Fig 1: International Classification of Functioning Model Item code Description b440 Respiration functions b445 Respiratory muscle functions b450 Additional respiratory functions b455 Exercise tolerance functions b460 Sensations associated with cardiovascular and respiratory functions d455 Moving around d460 Moving around in different locations d910 Community life Fig 3: Smart Breathe device Fig 2: Item codes selected from ICF Geriatric Core Set Funded by: Procator KB Sweden Conflicts of Interest: None disclosed. 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