Evaluation of the Thoracoabdominal Mobility of Obese Subjects in Pre-Bariatric Surgery

Abstract

Background: Obesity can affect the thorax, diaphragm, and alterations in respiratory function even if the lungs are within normality. The respiratory compliance is very reduced by the increase in fat mass. Aim: To evaluate the effect of the physical therapeutic respiratory exercises on the thoracoabdominal mobility of obese individuals in pre-bariatric surgery Methods: Cross-sectional and descriptive study, which used the cirtometry (axillary, xiphoid and abdominal) to evaluate the mobility of 74 individuals, 27 men and 47 women, in pre-bariatric surgery, assisted by the team EMAD, after eight weeks of physiotherapy, following a protocol of exercises, reevaluating and compared the measures pre and post intervention. Results: Had positive correlation abdominal mobility in the total volume of all participants (p=0.010) and also for all the measures in the measurement of residual volume in three levels (p=0.000). Comparing genders, in total volume, cirtometry abdominal greater for women (p=0.015) when compared to men and residual volume, significance for either men or women in all measurements (p=0.000). Conclusion: Obese patients that underwent the physiotherapeutic treatment during the preoperative period, had pré respiratory dynamics improved by the increase in the mobility of the chest cavity and by the improvement of respiratory conscience.

The Relation Among the Physical Activity Level During Leisure Time, Anthropometry, Body Composition, and Physical Fitness of Women Underwent of Bariatric Surgery and an Equivalent Group With No Surgery

“…The obesity is a multifactorial disease characterized by the fat excess in the organism 6 , 15 , 29 , 32 The fat excess is also recognized as a pandemic, being a major problem of public health in both developed and developing countries. It is estimated that about 1,9 billion adults is already diagnosed with body mass excess worldwide, and out of this, 600 million are already obese 32 .…”

Correlação entre mobilidade toracoabdominal, força muscular respiratória, pico de fluxo de tosse e as complicações pulmonares no pósoperatório de cirurgias abdominais

“…Embora as pressões respiratórias máximas estivessem reduzidas no momento pós-operatório, os resultados do presente estudo não mostram diferença entre os grupos com e sem complicações pulmonares, divergindo do estudo de Veloso e colaboradores que demonstraram que o enfraquecimento dos músculos respiratórios após a cirurgia abdominal pode levar a complicações pós-operatórias, dificultando o trabalho respiratório e aumentando o tempo de internação hospitalar 26 . Santos e colaboradores também divergem dos achados do presente estudo, na medida em que evidenciaram que pacientes submetidos a colecistectomia apresentam redução significativa da PImáx e PEmáx, sendo esta um importante fator de risco para o aparecimento de complicações respiratórias no pós-operatório 27 .…”

Functionality of Upper Gastrointestinal Cancer Patients Which Have Undertaken Surgery in Hospital Phase

“…Among the complications of the surgical procedure, the pulmonary complications are one of the most frequent after abdominal operations and are also responsible for the increase in morbidity and mortality due to the longer period of hospitalization and health-related costs 26 . The complications occur more frequently after procedures in which the surgical incision is made above the umbilical scar 17 , a fact also acknowledged in bariatric patients 20 , 28 . Its incidence is related to the existence of preoperative risk factors 5 and also to perioperative factors, such as anesthesia, central nervous system depression, use of invasive mechanical ventilation, ineffectiveness of cough, pain and immobilization 9 , 17 .…”