Dept of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal.
*Corresponding Author: T Sivakumar, Assistant Professor, Dept of Physiotherapy, MCOAHS, Manipal University Manipal, Karnataka - 576104, INDIA.
To evaluate the effect of graded early mobilization on exercise tolerance during post operative period following lung resection surgeries.
Controlled experimental trial; Descriptive study.
Patient who underwent elective lung resection surgery were selected and randomly assigned in to two groups control group and experimental group using block randomization.
All patients were evaluated preoperatively for pulmonary function measures and six minute walk distance (6MWD) with spirometry and six minute walk test respectively. Patients in both groups underwent conventional postoperative physiotherapy protocol. Experimental group patients received graded incremental mobilization exercises in addition. The mobilization exercises were incremented by 150% for every session. Pulmonary function measures and 6MWD were measured on tenth postoperative day and at the end of fourth postoperative week.
Within group comparison of the variables was done with paired ‘t’ test and between group comparisons with independent ‘t’ test. FEV1, MVV and 6MWD were reduced on tenth postoperative day and showed a recovery by fourth week in both groups. However in experimental group the decrease on tenth day was less, and significantly (p = 0.00) improved during fourth week postoperatively when compared to control group.
Graded incremental mobilization enhances the recovery of lung function and exercise tolerance in the post operative period following lung resection surgeries.
Graded incremental mobilization, exercise tolerance, six minute walk test, six minute walk distance, lung resection
