Welcome to Open Science
Contact Us
Home Books Journals Submission Open Science Join Us News Unsubscribe Page
Influence of Preoperative Physiotherapy on Respiratory Muscle Function and Quality of Life in Laparotomy Patients
Current Issue
Volume 4, 2019
Issue 3 (May)
Pages: 58-64   |   Vol. 4, No. 3, May 2019   |   Follow on         
Paper in PDF Downloads: 15   Since Apr. 9, 2019 Views: 90   Since Apr. 9, 2019
Anandhi Dakshinamurthy, Department of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, India.
Jagaa Jananee Krishnan Ilavazhagan, Department of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, India.
After abdominal surgery 35% of the patients experience postoperative complications of which 9% is due to pulmonary complications. Preoperative functional status appears to be an important predictor of morbidity and mortality in these patients. Preoperative physiotherapy training may influence the preoperative functional status of the patients. Objective is to find out the effectiveness of preoperative physical therapy program to improve respiratory muscle function and quality of life in abdominal surgeries. Study design was quasi experimental design. Study type was pre- and post-test type. 20 subjects were selected according to convenient sampling method. Duration of the study was 10 days and the study was done at SRM Medical College Hospital & Research Centre, Kattankulathur. The subjects were selected according to inclusion and exclusion criteria and Group A patients received preoperative physiotherapy training protocol and Group B patients undergoing emergency laparotomy did not undergo the training. Cough grading, Numerical Pain Rating Scale, incentive spirometry, WHO Quality of life questionnaire were assessed preoperatively and on postoperative day 1 and day 7 respectively. There is no statistically significant (P>0.05) reduction in cough grading between the posttest day 7 mean values of Group A (0.300) to posttest mean values of Group B (1.400). The posttest mean values of incentive spirometer of day 7 in Group A is (885) and Group B is (990) but it does not show statistically significant improvement (P>0.05). The posttest mean values of day 7 in WHO Quality Of Life in the Group A (53.34) shows statistically significantly improvement (P=0.000) from the posttest day 7 mean values of Group B (1.5200). The posttest of day 7 mean values of Numerical Pain Rating Scale of Group A is (5.000) and that of Group B is (3.700) and it is statistically significant (P<0.05). This study concludes that there is significant improvement in QOL than Cough grading, incentive spirometry and pain in the laparotomy patients, who underwent preoperative physiotherapy training when compared to the patients who did not undergo preoperative training.
Abdominal Surgery Patients, Preoperative Physiotherapy, Respiratory Function, Quality of Life
Kanat F, Golcuk A, Teke T, Golcuk M. Risk factors for postoperative pulmonary complications in upper abdominal surgery. ANZ J Surg 2007; 77: 135–141.
BodenI, Skinner E H, Browning L, Reeve J, Anderson L, Hill C, Robertson I K, Story D, Denehy L. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomized controlled trial. bmj. 2018 Jan 24; 360: j5916.
Waissman C. Pulmonary complications after cardiac surgery. Sem in Cardiothorac Vasc Anesth 2004; 8: 185–211.
Marshall J. A single preoperative physiotherapy session reduced pulmonary complications after upper abdominal surgery. Annals of internal medicine. 2018 May; 168 (10): JC 51.
Boden I, El-Ansary D, Zalucki N, Robertson I K, Browning L, Skinner E H, Denehy L. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed- methods randomised- controlled study. Physiotherapy. 2018 Jun 1; 104 (2): 194-202.
Qaseem A, Snow V, Fitterman N, Hornbake E R, Lawrence V A, Smetana G Wetal. Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing non cardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006; 144: 575–580.
Relan M, Kancha R K. Perioperative assessment and management of the patient with pulmonary disease. Northeast Florida Med 2008; 59: 19–22.
Smetana G W, Lawrence V A, Cornell J E, American College of Physicians. Preoperative pulmonary risk stratification for non cardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006; 144: 581–595.
Dronkers J, Veldman A, Hoberg E, vander Waal C, van Meeteren N. Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study. Clin Rehabil 2008; 22: 134–142.
Bartlett R H, Gazzaniga A B, Geraghty T R. Respiratory maneuvers to prevent postoperative pulmonary complications. A critical review. JAMA 1973; 224: 1017–1021.
O’Connor M, Tattersall M P, Carter J A. An evaluation of the incentive spirometer to improve lung function after cholecystectomy. Anaesthesia 1988; 43: 785–787.
Duggan M, Kavanagh B P. Perioperative modifications of respiratory function. Best Pract Res Clin Anaesthesiol 2010; 24: 145–155.
Canet J, Gallart L, Gomar C, Paluzie G, Vallès J, Castillo J et al. ARISCAT Group Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology 2010; 113: 1338–1350.
Pehlivan E, Turna A, Gurses A, Gurses H N. The effects of preoperative short-term intense physical therapy in lung cancer patients: a randomized controlled trial. Ann Thorac Cardiovasc Surg 2011; 17: 461–468.
Welkowitz J, Ewen R B, Cohen J. Introductory statistics for the behavioral sciences. 3rd ed. San Diego, C A: Harcourt Brace Jovanovich; 1982.
Open Science Scholarly Journals
Open Science is a peer-reviewed platform, the journals of which cover a wide range of academic disciplines and serve the world's research and scholarly communities. Upon acceptance, Open Science Journals will be immediately and permanently free for everyone to read and download.
Office Address:
228 Park Ave., S#45956, New York, NY 10003
Phone: +(001)(347)535 0661
Copyright © 2013-, Open Science Publishers - All Rights Reserved