BackgroundHeart surgery is associated with an occurrence of pulmonary complications. The aim of this study was to determine whether pre-surgery respiratory physiotherapy reduces the incidence of post-surgery pulmonary complications.MethodsObservational study of 263 patients submitted to off-pump coronary artery bypass grafting (CABG) surgery at the A Coruña University Hospital (Spain). 159 (60.5%) patients received preoperative physiotherapy. The fact that patients received preoperative physiotherapy or not was related to whether they were admitted to the cardiac surgery unit or to an alternative unit due to a lack of beds.A physiotherapist provided a daily session involving incentive spirometry, deep breathing exercises, coughing and early ambulation. A logistic regression analysis was carried out in order to identify variables associated with pulmonary complications.ResultsBoth groups of patients (those that received physiotherapy and those that did not) were similar in age, sex, body mass index, creatinine, ejection fraction, number of affected vessels, O2 basal saturation, prevalence of diabetes, dyslipidemia, exposure to tobacco, age at smoking initiation, number of cigarettes/day and number of years as a smoker. The most frequent postoperative complications were hypoventilation (90.7%), pleural effusion (47.5%) and atelectasis (24.7%).In the univariate analysis, prophylactic physiotherapy was associated with a lower incidence of atelectasis (17% compared to 36%, p = 0.01).After taking into account age, sex, ejection fraction and whether the patients received physiotherapy or not, we observed that receiving physiotherapy is the variable with an independent effect on predicting atelectasis.ConclusionPreoperative respiratory physiotherapy is related to a lower incidence of atelectasis.
Context:Lack of extensibility of the hamstrings is manifested by a restricion of knee extension range of motion.Objective:To quantify the effect of a single pulsed shortwave diathermy treatment on extensibility of the hamstrings.Participants:Twenty volunteers with tight hamstrings (< 150° of active knee extension).Intervention:Subjects were randomly allocated to receive either a pulsed shortwave diathermy treatment (experimental group) or a simulated pulsed shortwave diathermy treatment that did not produce a deep tissue heating effect.Main Outcome Measurements:Measurements of active and passive range of movement were recorded before and after the treatment, as well as the subjective level of discomfort perceived during the passive stretching.Results:No statistically signifcant differences were found.Conclusion:A single pulsed shortwave diathermy treatment, without stretching, did not increase hamstring extensibility.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.