Document Detail

Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial.
MedLine Citation:
PMID:  23405020     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Investigation of the effects of preoperative physical therapy on pulmonary function and physical performance before and after upper abdominal surgery.
DESIGN: Non-blind randomized controlled trial.
SETTING: Tertiary public hospital and private university, São Paulo state, Brazil.
SUBJECTS: Thirty-two patients undergoing abdominal surgery.
INTERVENTIONS: Patients were randomly assigned to receive physical therapy, with respiratory and global exercises, 2-3 weeks before surgery (treatment group; n = 16) or await operation without engaging in practicing (control group; n = 16). After surgery, a physical therapy protocol was administered to all subjects until the seventh postoperative day.
MAIN MEASURES: Pulmonary function outcome variables were inspiratory and expiratory strength, respiratory muscle endurance and spirometry, and physical performance outcome variables were the functional independence measure and 6-minute walk test distance. Any postoperative pulmonary complications were recorded.
RESULTS: There were no between-group differences at randomization. In the preoperative period, patients in the intervention group had higher inspiratory strength and respiratory muscle endurance than controls (88 cmH(2)O versus 64 cmH(2)O and 28 cmH(2)O versus 23 cmH(2)O, respectively; P <0 0.05). On the seventh postoperative day, in addition to inspiratory force and respiratory muscle endurance, the intervention group showed better results than controls in the functional independence measure score (118 versus 95) and 6-minute walk test distance (368.5 m versus 223 m), all P <0 0.05. Postoperative pulmonary complications occurred in 11 patients in the control group and five in the intervention group (P = 0.03).
CONCLUSION: Preoperative physical therapy improved pulmonary function and physical performance in the pre- and postoperative periods among patients undergoing upper abdominal surgery.
Silvia Maria de Toledo Piza Soares; Luciana Bertoldi Nucci; Marcela Maria de Carvalho da Silva; Thaís Colombini Campacci
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2013-02-12
Journal Detail:
Title:  Clinical rehabilitation     Volume:  27     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-26     Completed Date:  2014-03-03     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  616-27     Citation Subset:  IM    
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MeSH Terms
Abdomen / surgery*
Breathing Exercises / methods*
Inspiratory Capacity / physiology
Middle Aged
Physical Endurance / physiology
Postoperative Complications / prevention & control*
Preoperative Care / methods*
Prospective Studies
Respiratory Function Tests
Respiratory Muscles / physiology*
Tertiary Care Centers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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