https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2021.109

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 9; Issue 2 (March 2021)

Page No.: 3793-3799

DOI: https://dx.doi.org/10.16965/ijpr.2021.109

Effect of lung boost device on inspiratory muscle strength in abdominal surgery patients

Amisha. A. Alande *1, Vishnu Vardhan G.D 2.

*1 M.P.T Student, Department of Cardiorespiratory physiotherapy, Dr A.P.J Abdul Kalam College of physiotherapy, Loni Ahmednagar, Maharashtra, India.

2 Associate Professor, Dr A.P.J Abdul Kalam College of physiotherapy, Loni Ahmednagar, Maharashtra, India.

Corresponding Author: Dr. Amisha. A. Alande, M.P.T Student, Department of Cardiorespiratory physiotherapy, Dr A.P.J Abdul Kalam College of physiotherapy, Loni Ahmednagar, Maharashtra, India. E-Mail: amishaalande6@gmail.com

ABSTRACT

Background: Abdominal surgery involves a surgical repair, resection or reconstruction of organs inside the abdominal cavity. This may include surgery on the stomach, gallbladder, small intestine (colon), liver, pancreas, spleen, esophagus and appendix affected by infection, obstruction, cancerous growth or inflammatory bowel disease. Post Pulmonary Complications (PPCs), are defined as pulmonary anomalies taking place in the postoperative period producing clinically notable, identifiable disease or dysfunction that critically affects the clinical course. As deconditioning is one of the most common and unnecessary causes of morbidity and mortality, the interventions that are implemented should have the potential to increase the strength of the respiratory muscles and accordingly, expand exercise performance and functional capacity as indicated. The aim of the study was to determine the effect of lung boost device on inspiratory muscle strength training in abdominal surgery patients.

Material and Methods: Thirty participants between the age of 20 to 70 years that underwent abdominal surgery were selected and received inspiratory muscle training by lung boost device for twice daily 6 times in a week for 2 weeks. Pre and post intervention assessments were done by PIMax and 6MWD.

Result: Result of this study showed significant difference in the PIMax and 6MWD when treated with Lung Boost device.

Conclusion: The study concluded that  use of Lung Boost device causes significant improvement in inspiratory muscle strength and 6MWD in group of abdominal surgery patients and so addition of Lung Boost device in patients with abdominal surgery will increase the strength of inspiratory muscle as well as the functional capacity.

Key Words: Abdominal surgery, Lung Boost device, Maximal inspiratory pressure (PIMax), 6Minute Walk Distance (6MWD).

REFERENCES

[1]. http://www.upmc.com/SERVICES/GENERAL-SURGERY-TRAUMA/RESEARCH/Pages/default.aspx
[2]. Rose J, Weiser TG, Hider P, Wilson L, Gruen RL, Bickler SW. Estimated need for surgery worldwide based on prevalence of diseases: a modelling strategy for the WHO Global Health Estimate. The Lancet Global Health. 2015 Apr 27; 3: S 13-20.
[3]. Pushpal K Mitra: Textbook of PHYSIOTHERAPY in Surgical Conditions, Chapter 3, page no 29 and 32.
[4]. Kim TH, Lee JS, Lee SW, Oh YM. Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease. International journal of chronic obstructive pulmonary disease. 2016; 11: 2785.
[5]. Alagol A, Anesthetic Management of Abdominal Surgery [Internet] 2012; Available from http://dx.doi.org/10.5772/49940.
[6]. O, Deborah L, et.al; The Effect of Abdominal Support on Functional Outcomes in Patients Following Major Abdominal Surgery: A Randomized Controlled Trial. Physiotherapy Canada, 2010; 62:242-253.
[7]. M, Celso Ricardo C et.al, Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial. Sao Paulo Med J. 2008; 126(5):269-73.
[8]. Celso R, Carvalho, Denise M.Paisani, et.al, Incentive spirometry in major surgeries: A systemic review. Rev Bras Fisioter.2011; 15(5):343-5.
[9]. Miskovic A, Lumb AB. Postoperative pulmonary complications. BJA: British Journal of Anaesthesia. 2017 Mar 1;118(3):317-34.
[10]. De Menezes KK, Nascimento LR, Ada L, Avelino PR, Polese JC, Alvarenga MT, Barbosa MH, Teixeira-Salmela LF. High-Intensity Respiratory Muscle Training Improves Strength and Dyspnea Poststroke: A Double-Blind Randomized Trial. Archives of physical medicine and rehabilitation. 2018 Oct 12.
[11]. Mayura P. Deshmukh, G. D. Vishnu Vardhan, Dr. Tushar J. Palekar. A study on effect of inspiratory muscle training in upper abdominal surgery patients. International Journal of Pharma and Bio Sciences 2017 October; 8(4): (B) 378-384
[12]. Neves LF, Reis MH, Plentz RD, Matte DL, Coronel CC, Sbruzzi G. Expiratory and expiratory plus inspiratory muscle training improves respiratory muscle strength in subjects with COPD: systematic review. Respiratory care. 2014 Apr 29:respcare-02793
[13]. .www.choicemmedamerica.com .
[14]. Weindler J, Kiefer RT. The efficacy of postoperative incentive spirometry is influenced by the device-specific imposed work of breathing. Chest. 2001 Jun 1;119(6):1858-64.
[15]. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111-7.
[16]. Patman S, Bartley A, Ferraz A, Bunting C. Physiotherapy in upper abdominal surgery–what is current practice in Australia?. Archives of physiotherapy. 2017 Dec 1;7(1):11.
[17]. Canet J, Mazo V. Postoperative pulmonary complications. Minerva Anestesiol 2010; 76: 138-43.
[18]. Weiner P, Man A, Weiner M, Rabner M, Waizman J, Magadle R et al. The effect of incentive spirometry and inspiratory muscle training on pulmonary function after lung resection. J Thorac Cardiovasc Surg 1997;113: 552–7.
[19]. Sheel AW, Derchak PA, Morgan BJ, Pegelow DF, Jacques AJ, Dempsey JA. Fatiguing inspiratory muscle work causes reflex reduction in resting leg blood flow in humans. The Journal of Physiology. 2001 Nov;537(1):277-89.
[20]. Bosnak-Guclu M, Arikan H, Savci S, Inal-Ince D, Tulumen E, Aytemir K, Tokgözoglu L. Effects of inspiratory muscle training in patients with heart failure. Respiratory medicine. 2011 Nov 1;105(11):1671-81.
[21]. Mickleborough TD, Nichols T, Lindley MR, Chatham K, Ionescu AA. Inspiratory flow resistive loading improves respiratory muscle function and endurance capacity in recreational runners. Scandinavian journal of medicine & science in sports. 2010 Jun;20(3):458-68
[22]. Romer LM, McConnell AK, Jones DA. Effects of inspiratory muscle training on time-trial performance in trained cyclists. Journal of sports sciences. 2002 Jan 1;20(7):547-90.
[23]. Gething AD, Williams M, Davies B. Inspiratory resistive loading improves cycling capacity: a placebo controlled trial. British journal of sports medicine. 2004 Dec 1;38(6):730-6
[24]. Witt JD, Guenette JA, Rupert JL, McKenzie DC, Sheel AW. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex. The Journal of physiology. 2007 Nov 1;584(3):1019-28.

Cite this article: Amisha. A. Alande, Vishnu Vardhan G.D.  Effect of lung boost device on inspiratory muscle strength in abdominal surgery patients. Int J Physiother Res 2021;9(2):3793-3799. DOI: 10.16965/ijpr.2021.109
Post Views: 0