Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial
Introduction: Surgical procedures in abdominal area lead to changes in pulmonary function, respiratory mechanics and impaired physical capacity leading to postoperative pulmonary complications, which can affect up to 80% of upper abdominal surgery. Aim: To evaluate the effects of flow and volum...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7064/16164_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1819079318071934976 |
|---|---|
| author | Amaravadi Sampath Kumar Gopala Krishna Alaparthi Alfred Joseph Augustine Zulfeequer Chundaanveetil Pazhyaottayil Anand Ramakrishna Shyam Krishnan Krishnakumar |
| author_facet | Amaravadi Sampath Kumar Gopala Krishna Alaparthi Alfred Joseph Augustine Zulfeequer Chundaanveetil Pazhyaottayil Anand Ramakrishna Shyam Krishnan Krishnakumar |
| author_sort | Amaravadi Sampath Kumar |
| collection | DOAJ |
| description | Introduction: Surgical procedures in abdominal area lead to
changes in pulmonary function, respiratory mechanics and
impaired physical capacity leading to postoperative pulmonary
complications, which can affect up to 80% of upper abdominal
surgery.
Aim: To evaluate the effects of flow and volume incentive spirometry on pulmonary function and exercise tolerance in patients
undergoing open abdominal surgery.
Materials and Methods: A randomized clinical trial was
conducted in a hospital of Mangalore city in Southern India.
Thirty-seven males and thirteen females who were undergoing
abdominal surgeries were included and allocated into flow and
volume incentive spirometry groups by block randomization.
All subjects underwent evaluations of pulmonary function with
measurement of Forced Vital Capacity (FVC), Forced Expiratory
Volume in the first second (FEV1), Peak Expiratory Flow (PEF).
Preoperative and postoperative measurements were taken up
to day 5 for both groups. Exercise tolerance measured by SixMinute Walk Test during preoperative period and measured again
at the time of discharge for both groups. Pulmonary function was
analysed by post-hoc analysis and carried out using Bonferroni’s
‘t’-test. Exercise tolerance was analysed by Paired ‘T’-test.
Results: Pulmonary function (FVC, FEV1, and PEFR) was found
to be significantly decreased in 1st, 2nd and 3rd postoperative
day when compared with preoperative day. On 4th and 5th
postoperative day the pulmonary function (FVC, FEV1, and
PEFR) was found to be better preserved in both flow and volume
incentive spirometry groups. The Six-Minute Walk Test showed
a statistically significant improvement in pulmonary function on
the day of discharge than in the preoperative period. In terms
of distance covered, the volume- incentive spirometry group
showed a greater statistically significant improvement from the
preoperative period to the time of discharge than was exhibited
by the flow incentive spirometry group.
Conclusion: Flow and volume incentive spirometry can be safely
recommended to patients undergoing open abdominal surgery
as there have been no adverse events recorded. Also, these
led to a demonstrable improvement in pulmonary function and
exercise tolerance. |
| first_indexed | 2024-12-21T19:27:05Z |
| format | Article |
| id | doaj.art-ff287fa987f04d52a8862932393e4fe3 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T19:27:05Z |
| publishDate | 2016-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ff287fa987f04d52a8862932393e4fe32022-12-21T18:52:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101KC01KC0610.7860/JCDR/2016/16164.7064Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical TrialAmaravadi Sampath Kumar0Gopala Krishna Alaparthi1Alfred Joseph Augustine2Zulfeequer Chundaanveetil Pazhyaottayil3Anand Ramakrishna4Shyam Krishnan Krishnakumar5Lecturer, Department of Physiotherapy, Father Muller Medical College Hospital, RGUHS, India.Associate Professor, Department of Physiotherapy, Kasturba Medical College, Manipal University, India.Professor, Department of Surgery, Kasturba Medical College, Manipal University, India.Assistant Professor, Senior Scale, Department of Physiotherapy, Kasturba Medical College, Manipal University, India.Associate Dean and Professor, Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, India.Assistant Professor, Senior Scale, Department of Physiotherapy, Kasturba Medical College, Manipal University, India.Introduction: Surgical procedures in abdominal area lead to changes in pulmonary function, respiratory mechanics and impaired physical capacity leading to postoperative pulmonary complications, which can affect up to 80% of upper abdominal surgery. Aim: To evaluate the effects of flow and volume incentive spirometry on pulmonary function and exercise tolerance in patients undergoing open abdominal surgery. Materials and Methods: A randomized clinical trial was conducted in a hospital of Mangalore city in Southern India. Thirty-seven males and thirteen females who were undergoing abdominal surgeries were included and allocated into flow and volume incentive spirometry groups by block randomization. All subjects underwent evaluations of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow (PEF). Preoperative and postoperative measurements were taken up to day 5 for both groups. Exercise tolerance measured by SixMinute Walk Test during preoperative period and measured again at the time of discharge for both groups. Pulmonary function was analysed by post-hoc analysis and carried out using Bonferroni’s ‘t’-test. Exercise tolerance was analysed by Paired ‘T’-test. Results: Pulmonary function (FVC, FEV1, and PEFR) was found to be significantly decreased in 1st, 2nd and 3rd postoperative day when compared with preoperative day. On 4th and 5th postoperative day the pulmonary function (FVC, FEV1, and PEFR) was found to be better preserved in both flow and volume incentive spirometry groups. The Six-Minute Walk Test showed a statistically significant improvement in pulmonary function on the day of discharge than in the preoperative period. In terms of distance covered, the volume- incentive spirometry group showed a greater statistically significant improvement from the preoperative period to the time of discharge than was exhibited by the flow incentive spirometry group. Conclusion: Flow and volume incentive spirometry can be safely recommended to patients undergoing open abdominal surgery as there have been no adverse events recorded. Also, these led to a demonstrable improvement in pulmonary function and exercise tolerance.https://jcdr.net/articles/PDF/7064/16164_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdfincentive spirometerlung function testlaparotomysix-minute walk test |
| spellingShingle | Amaravadi Sampath Kumar Gopala Krishna Alaparthi Alfred Joseph Augustine Zulfeequer Chundaanveetil Pazhyaottayil Anand Ramakrishna Shyam Krishnan Krishnakumar Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial Journal of Clinical and Diagnostic Research incentive spirometer lung function test laparotomy six-minute walk test |
| title | Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial |
| title_full | Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial |
| title_fullStr | Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial |
| title_full_unstemmed | Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial |
| title_short | Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial |
| title_sort | comparison of flow and volume incentive spirometry on pulmonary function and exercise tolerance in open abdominal surgery a randomized clinical trial |
| topic | incentive spirometer lung function test laparotomy six-minute walk test |
| url | https://jcdr.net/articles/PDF/7064/16164_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdf |
| work_keys_str_mv | AT amaravadisampathkumar comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial AT gopalakrishnaalaparthi comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial AT alfredjosephaugustine comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial AT zulfeequerchundaanveetilpazhyaottayil comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial AT anandramakrishna comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial AT shyamkrishnankrishnakumar comparisonofflowandvolumeincentivespirometryonpulmonaryfunctionandexercisetoleranceinopenabdominalsurgeryarandomizedclinicaltrial |