KLEU Institute of Physiotherapy, Belgaum-590010, Karnataka, India
*Corresponding author: Renu B Pattanshetty, Assistant Professor, Kleu Institute of Physiotherapy, E-mail id: renu_kori@rediffmail.com
Online published on 6 April, 2015.
Surgery and general anesthesia directly affect the respiratory system. The major causes of postoperative pulmonary complications (PPCs) may be related to shallow breathing and monotonous tidal volume in post-operative patients. Other causes such as anesthesia, opioid analgesia, and postoperative pain also seem to contribute it. Physiotherapy treatment for patients after open abdominal surgery consists of a variety of interventions intended to improve cardiopulmonary and/or physical function and reduce the incidence of postoperative pulmonary complications.
To compare the effect of early mobilization programme with diaphragmatic breathing exercise (DBE) versus incentive spirometry (IS) on diaphragmatic excursion and PEFR in the patients with abdominal surgery.
A pre-post experimental design was carried out in an Indian tertiary care set-up.
Thirty adult participants, both male and female randomly allocated by coin method, comprising 15 in each group. Demographic data and pre and post intervention values for all the outcome measures in the form of diaphragmatic excursion and peak expiratory flow rate were obtained.
Student paired‘t’ test was utilized to analyze the data.
The study showed improvement in diaphragmatic exercusion (p=0.0001) and PEFR (p= 0.0001) in both the groups.
Diaphragmatic breathing exercise and incentive spirometry demonstrate improvement in diaphragmatic exercusion and peak expiratory flow rate in post operative abdominal surgery patients. However, DBE was more effective than IS.
Abdominal surgery, Early mobilization, Diaphragmatic breathing exercise, Incentive spirometry
