The aim of this study was to compare the functional capacity of exercise by six-minute walk test and lung function by spirometry, before and after Nuss procedure in subjects who have undergone the early rehabiliation program with those who were under conventional care. Researchers want to find out if early rehabilitation is a strategy to enhance recovery after Nuss procedure.
The replacement of some traditional approaches in surgical care has demonstrated that surgical recovery can be accelerated and convalescence decreased. These multimodal approaches focuses on enhancing recovery and reducing morbidity by reduction of surgical stress,minimal invasive surgery, optimized pain relief, early nutrition and ambulation. In postoperative, the bed rest leads to the increase in muscle loss and weakness, impairs pulmonary function, predisposes to venous stasis and thromboembolism, increases infection complications and reduces functional capacity even in patients who are not restricted to bed. However, few studies have focused on when start the mobilization and which effects on functional capacity of exercise and lung function during hospital stay. In this trial the investigators will consider early rehabilitation to be safe and feasible in Nuss procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
40
The physical exercises and breathing exercises are started as soon as after the Nuss procedure
Functional capacity of exercise ( six-minute walk test)
Change from baseline in distance walking on hospital discharge
Time frame: participants will be followed for the duration of hospital stay, an expected average of 6 days
Lung function (spirometry)
Change from baseline in lung function on hospital discharge
Time frame: participants will be followed for the duration of hospital stay, an expected average of 6 days
Time to first postoperative ambulation
Time from end of surgical procedure until first postoperative ambulation was used as an indicator for early rehabilitation.
Time frame: up 2 hour after surgery
Pain intensity
Auto-evaluation of pain (the numeric rating scale and visual analogue scale of pain from 0 -no pain- to 10 - maximal pain)
Time frame: participants will be followed for the duration of hospital stay, an expected average of 6 days
The length of hospital stay
Time to achieve standardized hospital discharge criteria (tolerance of oral intake, recovery of lower gastrointestinal function, adequate pain control on oral analgesia, ability to mobilize and self care and no evidence of complications or untreated medical problems).
Time frame: expected average of 6 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.