Breathing exercises in upper abdominal surgery: a systematic review and meta-analysis

Grams, Samantha Torres; Ono, Lariane Mortean; Noronha, Marcos de; Schivinski, Camila Isabel Santos; Paulin, Elaine

doi:10.1590/s1413-35552012005000052

Cited by 63 publications

(54 citation statements)

References 31 publications

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“…Common postoperative pulmonary complications include atelectasis, hypoxaemia, pneumonia, respiratory dysfunction and pleural effusion [7,8]. The factors that are directly related to physiological changes include anaesthesia (general or regional), the type of incision, the surgical technique employed.…”

Section: Introductionmentioning

confidence: 99%

Comparison of flow and volume incentive spirometry on pulmonary function and exercise tolerance in open abdominal surgery – A randomized clinical trial

Kumar

2016

9.2 Physiotherapists

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Section: Introductionmentioning

confidence: 99%

Comparison of flow and volume incentive spirometry on pulmonary function and exercise tolerance in open abdominal surgery – A randomized clinical trial

Kumar

2016

9.2 Physiotherapists

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“…This study and others (Grams et al 2012, Lunardi et al 2013, Lunardi et al 2015 have demonstrated that DB&C improve respiratory function following UAS, although it remains unclear whether these physiological improvements translate to clinically meaningful reductions in LOS or incidence of PPCs.…”

Section: Postoperative Breathing Exercisesmentioning

confidence: 67%

“…One further systematic review assessed specifically the effect of breathing exercises on physiological aspects of pulmonary function following abdominal surgery such as respiratory muscle strength and diaphragm mobility (Grams et al 2012). This study and others (Grams et al 2012, Lunardi et al 2013, Lunardi et al 2015 have demonstrated that DB&C improve respiratory function following UAS, although it remains unclear whether these physiological improvements translate to clinically meaningful reductions in LOS or incidence of PPCs.…”

Section: Postoperative Breathing Exercisesmentioning

confidence: 94%

The physiotherapy management of patients undergoing abdominal surgery

Reeve¹,

Boden²

2016

NZJP

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Abdominal surgery is performed to remove cancerous tissue, to resolve visceral tissue perforations or to remove inflammatory bowel segments, benign growths or vascular aneurysms. Postoperative complications, including pulmonary complications, are common following abdominal surgery and physiotherapy aims to prevent and treat many of these complications. Much of the literature investigating physiotherapy interventions is over a decade old and advances in surgery, including minimally invasive surgery and fast track pathways, require physiotherapists to re-evaluate their practices. This narrative review aims to examine the evidence investigating the effectiveness of physiotherapy interventions and apply this to contemporary surgical practices. Recommendations for practice and research are outlined.

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“…This can cause a reduction in inspiratory capacity, total inspiratory time, and ventilation at the lung bases, leading to a high risk of developing post operative pulmonary complications (PPCs) [1]. For adequate pulmonary ventilation to occur, it is fundamental that the forces that act on the respiratory system favor the thoracic and abdominal movements, especially the respiratory muscle strength that is compromised after UAS [2].…”

Section: Introductionmentioning

confidence: 99%

Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries

Allam¹

2016

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Abstract:Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.

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Breathing exercises in upper abdominal surgery: a systematic review and meta-analysis

Abstract: Background: There is currently no consensus on the indication and benefits of breathing exercises for the prevention of postoperative

Cited by 63 publications

References 31 publications

Comparison of flow and volume incentive spirometry on pulmonary function and exercise tolerance in open abdominal surgery – A randomized clinical trial

Comparison of flow and volume incentive spirometry on pulmonary function and exercise tolerance in open abdominal surgery – A randomized clinical trial

The physiotherapy management of patients undergoing abdominal surgery

Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries

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