Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery

Pamukkale University24 enrolled

Overview

The aim of this study was to compare the effects of expiratory muscle training (EMT) and incentive spirometry (IS) in addition to conventional pulmonary rehabilitation after colorectal surgery. Twenty-four individuals (13 male) undergoing colorectal surgery were included. They were randomly divided into two groups. In addition to conventional chest physiotherapy, group 1 was performed EMT (n=12), group 2 was performed deep breathing exercises with incentive spirometry (IS) in postoperative period. Respiratory muscle strength, functional capacity, levels of movement and independence, and postoperative pulmonary complications (PPC) were evaluated. Length of stay in hospital (LOS) was recorded.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Colorectal Cancer

Interventions

expiratory muscle trainingOTHER

participants performed expiratory muscle training according to their maximum expiratory pressure that measured earlier in addition to conventional chest physiotherapy

Insentive spirometryDEVICE

participants performed deep breating exercise with insentive spirometry in additional to convantional chest physiotherapy

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * hemodynamically stable * able to walk independently * able to walk independently Exclusion Criteria: * any contraindication for chest physiotherapy (unstable cardiovascular disease, severe pulmonary hypertension, corrected severe hypoxemia, exercise desaturation, rib fractures, subcutaneous emphysema, advanced osteoporosis, thrombocytopenia, effort dyspnea and vertigo) * any metastases * severe chronic cardiovascular disease * candidates for organ transplantation * abdominal hernia repair * history of surgery more than one year * orthopaedic or neurological disease that would prevent independent walking

Outcomes

Primary Outcomes

Respiratory muscle strength

Maximum expiratory and inspiratory muscle strength

Time frame: 2-3 minutes

Postoperative pulmonary complications

any pulmonary complications after colorectal surgery

Time frame: 3-7 day

6 Minutes walk test

Physical functional capacity

Time frame: 6-10 minutes

'Patient Mobility and Observer Mobility Scale

Indipendence and mobility levels after surgery

Time frame: 2-3 days