Comparison between physical therapy with incentive spirometry and physical therapy alone on chest expansion of patients after open heart surgery.
Keywords:
Chest expansion, incidence of atelectasis, incentive spirometryAbstract
Background and objective: Deep breathing exercise and incentive spirometry is the physical therapy technique that can increase chest expansion and prevent atelectasis in cardiopulmonary patients. The objective of the study was to compare the effects between physical therapy program with incentive spirometry and conventional physical therapy on chest expansion and the incidence of atelectasis in post-operative heart surgery patients.
Methods : Twenty patients with opened heart surgery were randomed into two groups (10 patients received conventional physical therapy with incentive spirometry and 10 patients received conventional physical therapy alone). The chest wall expansion was measured by standard tape at the upper and lower level of thoracic. All participants were measured for incidence of atelectasis by film x-ray 3 days after operation.
Result : The chest wall expansion and the incidence of atelectasis were not difference between two groups. Additionally, the chest wall expansion decreases significantly in both groups 6 days after operation (p<0.05).
Conclusions : The conventional physical therapy with incentive spirometry has similar effect on chest wall expansion and incidence of atelectasis in post-operative heart surgery patients compared to conventional physical therapy.
References
2. Westerdahl E.Optimal technique for deep breathing exercises after cardiac surgery. Minerva Anestesiol 2015;81:678-83
3. Ruben DR, Richard W, Leo W, Michael T. Incentive Spirometry:2011.Respir Care 2011;56:1600-1604
4. Jean MC, Christine AB. The effectiveness of Incentive Spirometry with Physical Therapy for High-Risk Patients after Coronary Artery Bypass Surgery. Phys Ther. 1997;77:260-268
5. Julia AR, Ricardo CV, Marcia BR, Miguel HN. Comparison between deep breathing exercises and incentive spirometry after CABG surgery. Rev Bras Cir Cardiovasc. 2009;24: 165-172
6. Preeyaphorn Songsorn, Chutharat Ariywongthong, Aungkana Kensaku. Reference values of chest expansion among Thai healthy people aged 20-70 years. Thammasat Medical Journal 2014;14:571-579
7. Susan EB,Haifan C,Kell NJ,Jeremy W. Measuring Thoracic Excursion: Reliability of the Cloth Tape Measure Technique. J Am Osteopath Assoc.2007;107:191-196
8. O’Brien JW, Johnson SH, VanSteyn SJ, Craig DM, Sharpe RE, Mauney MC, et al. Effects of internal mammary artery dissection on phrenic nerve perfusion and function. Ann Thorac Surg 1991;52:182-8
9. Chang YH,Yu CP. A model of ventilation distribution in the human lung. Aerosol Sci Techol 1999;30:309-19
10. Gosselink R, Troosters T, Decramer M.Peripheral muscle weakness contributes to exercise limitation in COPD. AM J Respir Crit Care Med 1996;153:976-80
11. Elisabeth W, Tomas E, Goran H. Deep breathing exercises reduce atelectassis and improve pulmonary function after Coronary Artery Bypass Surgery. Chest 2005;128:3482-3488
12. Parreira VF, Tomich GM, Britto RR, Sampaio RF. Assessment of tidal volume and thoracoabominal motion using volume and flow-oriented incentive spirometrs in healthy subjects. Braz J Med Biol RES 2005;38:1105-12
13. Chang AT, Palmer KR, McNaught J, Thomuas PJ. Inspiratory flow rate, not type of incentive spirometry device, influences chest wall motion in healthy individuals. Physiother Theory Pract 2010;26:385-92
14. Akkarpon Opaspasu, Penanong Trisarawat, Usanisa Kongamnoiysak, Sasipa Buranapuntalug. The immediate effects of costal breathing exercise with sustained maximal inspiration technique and flow incentive spirometer on chest expansion in sedentary young adults. Thammasat Medical Journal 2016;16:220-229
15. Saspi Buranapuntalug, Preeyaphorn Songsorn.Effect of respiratory muscle training on lung function and respiratory muscle strength in patients undergoing open heart surgery. Thammasat Medical Journal 2015;15:260-271
16. Renault JF, Costa-Val R, Rosseti MB, Houri Neto M.Comparison between deep breathing exercise and incentive spiometry after CABG surgery. Rev Bras Cir Cardiovasc 2009;24;165-72
17. Westerdahl E, Lindmark B, Eriksson T, Friberg O, Hedenstierna G, Tenling A. Deep breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery.
