Postoperative respiratory muscle training in addition to chest physiotherapy after pulmonary resection: A randomized controlled study
| Autor: | Taşkin H., Msc, Telli Atalay O., Phd, Yuncu G. |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pulmonary resection 030204 cardiovascular system & hematology postoperative period law.invention surgery 0302 clinical medicine Randomized controlled trial law middle aged Medicine Postoperative Period Pneumonectomy Lung pathophysiology Pain Measurement respiratory muscle training Middle Aged Respiratory Muscles female Anesthesia Female Adult Adolescent Physical Therapy Sports Therapy and Rehabilitation Walk Test Chest physiotherapy pain measurement Breathing Exercises lung breathing exercise 03 medical and health sciences Young Adult length of stay Humans In patient controlled study human procedures Muscle Strength Thoracic Wall Respiratory muscle training Aged business.industry chest physiotherapy breathing muscle thorax wall Length of Stay 030228 respiratory system lung resection randomized controlled trial business |
| Zdroj: | Physiotherapy theory and practice. 36(3) |
| ISSN: | 1532-5040 |
| Popis: | Purpose: The effects of preoperative respiratory muscle training (RMT) on postoperative complications in patients with pulmonary resection have recently attracted the attention of researchers. More studies are obviously needed to clarify the effects of RMT after pulmonary resection. The aim of this study was to evaluate the effectiveness of intense RMT in addition to chest physiotherapy after pulmonary resection in terms of respiratory muscle strength, exercise capacity, and length of hospital stay rather than postoperative complications. Methods: Forty subjects undergoing pulmonary resection were included in the study. Subjects were divided into two groups using a simple randomization method. The subjects in the study group (SG; n = 20) received RMT in addition to regular chest physiotherapy in the postoperative period. The subjects in the control group (CG; n = 20) received only regular chest physiotherapy. Respiratory muscle strength (maximal inspiratory and expiratory pressure [PImax and PEmax]) was measured pre-postoperatively and before discharge, and exercise capacity, which was measured by the 6-min walk test (6MWT), was assessed preoperatively and before discharge. The length of hospital stay was also recorded. Results: There were no differences between groups in terms of demographic and surgical characteristics. The nonsignificant change of PImax from the preoperative to the discharge value was 65.1 ± 15.5 to 68.2 ± 19.2 cmH2O in SG and 59.2 ± 13.7 to 44.3 ± 14.8 cmH2O in CG (p > 0.05, p > 0.05, respectively). The change of PEmax from the preoperative to the discharge value was 80.4 ± 24.9 to 81.5 ± 24.9 cmH2O in SG (nonsignificant) and 85.4 ± 38.2 to 61.3 ± 25.4 cmH2O in CG (p > 0.05, p = 0.002, respectively). There was a significant difference between SG and CG in terms of RMT effect (PImax: 11.05 [21.84; 0.25] cmH2O p = 0.045; PEmax: 25.23 [42.83; 7.62] cmH2O p = 0.006). A significant difference was found in the 6MWT when the mean differences were compared between the groups (85.72 [166.15; 5.28] m p = 0.037). The length of hospital stay was significantly shorter in the SG (number of days for SG 9.1 ± 3 and for CG 12.9 ± 4.2 [p = 0.002]). Conclusion: The addition of RMT to chest physiotherapy after pulmonary resection can have positive effects on respiratory muscle strength, exercise capacity, and length of hospital stay. © 2018, © 2018 Taylor & Francis. |
| Databáze: | OpenAIRE |
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