Colorectal Cancer, Pulmonary Rehabilitation
Conditions
Keywords
Colorectal surgery, Expiratory muscle training, Pulmonary rehabilitation
Brief summary
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.
Detailed description
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
Interventions
participants performed expiratory muscle training according to their maximum expiratory pressure that measured earlier in addition to conventional chest physiotherapy
DEVICEInsentive spirometry
participants performed deep breating exercise with insentive spirometry in additional to convantional chest physiotherapy
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Masking description
Treatment and evaluation were performed by two different physiotherapists. The assessing physiotherapist was blind to group allocation.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory muscle strength | 2-3 minutes | Maximum expiratory and inspiratory muscle strength |
| Postoperative pulmonary complications | 3-7 day | any pulmonary complications after colorectal surgery |
| 6 Minutes walk test | 6-10 minutes | Physical functional capacity |
| 'Patient Mobility and Observer Mobility Scale | 2-3 days | Indipendence and mobility levels after surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed