Post-Op Complication
Conditions
Keywords
Abdominal hysterectomy, postoperative pain, Early rehabilitation, Postoperative recovery profile
Brief summary
Variety of physical therapy treatments have been used after open abdominal surgery to improve cardiopulmonary and physical function as well as to reduce the incidence of postoperative pulmonary complications. This study intends to determine the effect of early physical therapy interventions on post-operative recovery profile, post-operative ileus and incisional pain following abdominal hysterectomy.
Detailed description
This study is randomized controlled trial which will be conducted at in-patient gynecology department of Pakistan Railway hospital. This study would include total of 42 participants divided into two groups with 21 participants in each group calculated through OpenEpi (CI=95%Power=80%). Individuals will be screened according to inclusion and exclusion criteria and allocated randomly into two groups through sealed envelope method. Experimental group will receive early physical therapy interventions including patient education, ambulation, in-bed exercises, deep breathing exercises, connective tissue manipulation and TENS during the first 3 post-operative days following abdominal hysterectomy. While the control group will receive patient education and early ambulation during the first 3 post-operative days following abdominal hysterectomy. Post-operative recovery will be assessed on 3rd post-operative day. Intensity of pain will be measured on baseline and 3rd post-operative day. The effect of intervention on post-operative ileus will be measured by monitoring each participant's time to tolerance of oral diet, first passage of stool and flatus
Interventions
OTHERAdvanced early Rehabilitation Program
Patient education, Ambulation, In bed exercises, Deep breathing exercises: (5 rep x 3set), Connective tissue manipulation for intestinal motility (5 min) and TENS\* for incisional pain (30min)
OTHEREarly ambulation
Patient education & Assisted ambulation out of bed including walking away from bedside for at least 15 min gradually moving to Unsupervised ambulation for 30 min
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
This study will be single blinded randomized control trail, participants will be unaware of treatment groups, they will be randomly allocated through sealed envelope method.
Intervention model description
Both experimental and control groups will be treated at the same time following their respective protocols
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* open abdominal hysterectomy * Patient awake and responsive, stable blood pressure, stable heart rate, no dyspnea at rest and pain score \< 8 on visual analogue scale on first post-operative day. * No limitation on physical activities due to any medical problem or restriction by the physician.
Exclusion criteria
* Other hysterectomy procedures i.e. laparoscopic or vaginal hysterectomy. * Females with diabetes or cancer of metastatic nature. * Neurological or cognitive deficit. * Ongoing respiratory problem prior to initiation of physical therapy session. * Medical recommendation not to participate in early active rehabilitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative recovery profile questionnaire | Post 3rd day | For hospitalized patients a 17-item version of the PRP will be used (excluding the items Re-establishing everyday life and Sexual activity). The global score ranges from 0 to 17. |
| Numeric pain rating scale (NPRS) | Baseline | Numeric pain rating scale (NPRS) will be used for evaluating intensity of the incisional pain. Its scores range from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score. |
Countries
Pakistan
Outcome results
None listed