Effectiveness of Incentive Spirometry on Inspiratory Muscle Strength After Coronary Artery Bypass Graft Surgery

Manapunsopee, Siriluck; Thanakiatpinyo, Thanitta; Wongkornrat, Wanchai; Chuaychoo, Benjamas; Thirapatarapong, Wilawan

doi:10.1016/j.hlc.2019.09.009

Cited by 21 publications

(31 citation statements)

References 15 publications

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“…In the present study, the mean SBP in the spirometry group showed a signi cant improvement over time and the mean HR in the incentive spirometry group showed a signi cant decrease over time. Consistent with these results, the ndings of another study showed a better improvement in respiratory muscle strength on the fourth day after CABG in the incentive spirometry group, but there was no signi cant difference in terms of postoperative pulmonary complications or length of hospital stay [1]. The results of a study by Afrasiabi et al showed that incentive spirometry has no effect on improving arterial blood gas levels, which is inconsistent with the results of the present study.…”

Section: Discussioncontrasting

confidence: 81%

“…Registered 12 March 2020, https://www.irct.ir/trial/43365 Background Coronary artery bypass graft (CABG) is a surgical procedure to restore normal blood ow to the heart by bypassing the blocked coronary arteries. Although surgical procedures, anesthesia, and postoperative care have improved dramatically, postoperative pulmonary complications, including atelectasis, pneumonia, and pneumothorax, have not improved signi cantly after CABG and remain a challenge [1].…”

Section: Trial Registrationmentioning

confidence: 99%

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Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

Barkhordari-Sharifabad

Zerang

2021

Preprint

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Background Hemodynamic changes are among the common complications after coronary artery bypass graft (CABG) surgery. Incentive spirometry and deep breathing exercises are widely used in patients undergoing coronary artery bypass graft surgery. The aim of the present study was to compare the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery. Methods This is a clinical trial that was performed on 40 heart patients who were candidates for coronary artery bypass graft surgery. Participants were selected using convenience sampling and then randomly divided into two groups. One day before surgery, one group was taught how to perform deep breathing exercises (DBE) and the other group was taught how to use incentive spirometry in practice. Hemodynamic indices were measured and recorded before the intervention, the first, second, and the third day after the intervention. Data analysis was carried out using SPSS ver.16 and descriptive and inferential statistical tests. Findings: The mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) on the first day after the intervention in patients undergoing the incentive spirometry group was significantly higher than the DBE group (p < 0.05). On the third day after the intervention, the mean arterial SaO2 in patients of the incentive spirometry group was significantly higher than the DBE group and the mean respiratory rate (RR) in patients in the incentive spirometry group was significantly lower than the DBE group (p < 0.05). However, there was no significant difference between the two groups in terms of other indices (p > 0.05). Conclusion The results showed that incentive spirometry has a greater effect on hemodynamic indices of patients undergoing CABG compared to DBE, so, it is recommended to use incentive spirometry to improve hemodynamic indices in these patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20191028045267N1. Registered 12 March 2020, https://www.irct.ir/trial/43365

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Section: Discussioncontrasting

confidence: 81%

Section: Trial Registrationmentioning

confidence: 99%

Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

Barkhordari-Sharifabad

Zerang

2021

Preprint

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“…Namun terdapat beberapa komplikasi yang timbul setelah dilakukannya CABG seperti komplikasi pulmoner. Komplikasi pulmoner yang dimaksud dapat berupa cedera paru, atelektasis, efusi pleura, pneumonia, pneumothoraks, kelainan pertukaran gas, dan pada akhirnya akan berdampak pada penurunan kemampuan fungsional paru (Çirak et al, 2015;Manapunsopee et al, 2020).…”

Section: Pendahuluanunclassified

Active Cycle Breathing Technique Terhadap Fungsional Paru Pasien Post CABG (Laporan Kasus Berbasis Bukti)

Pahlawi

Sativani

2021

KEPO

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Coronary Artery Bypass Graft (CABG) is an operative action in cases of coronary heart disease (CHD) by cutting and replacing clogged coronary arteries from healthy vessels taken from the legs, arms, or chest. The main clinical problem that arises in post-CABG patients is decreased lung functional capacity, this is due to shortness of breath, pain, decreased thoracic expansion, sputum retention, and decreased pulmonary ventilation. Active Cycle of Breathing Technique (ACBT) is a physiotherapy modality that can be applied in cardiovascular cases. ACBT is a series of exercises that include breathing exercises, coughing exercises, and exercises to expand the chest. To determine the effectiveness of ACBT in increasing lung functional capacity in Post CABG patients, an electronic database search was performed, namely Pubmed, Cochrane, and Google Schoolar. From the search results, 6 articles were selected that met the criteria, namely 1 article on Pubmed and 5 articles on Google scholar. Based on the results of the research that has been presented, it can be concluded that ACBT can increase the functional capacity of the lungs in post CABG patients as evidenced by the evaluation of the results of the 6 minutes walking test, borg scale, and breath holding time.

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“…Порівняння ефективності впливу на силу м'язів вдиху після КШ комбінації IS з дихальною гімнастикою з глибоким диханням (deep breathing exercise, DBE) та лише DBE у рамках післяопераційної фізичної терапії було проведене Manapunsopee S. з співавторами [30]. В обох групах спостерігалося значне зниження MIP від базової лінії на 4 післяопераційний день; однак у ОГ зниження МІP було меншим порівняно з КГ (33,0±23,2% проти 47,2±20,1% відповідно; р=0,006).…”

Section: роль респіраторної фізичної терапії у відновному лікуванні пunclassified

The Role of Respiratory Physical Therapy in the Rehabilitation of Patients after Cardiac Surgery

Vitomskyi¹,

Al-Hawamdeh²

2020

Ukr. ž. med. bìol. sportu

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Effectiveness of Incentive Spirometry on Inspiratory Muscle Strength After Coronary Artery Bypass Graft Surgery

Cited by 21 publications

References 15 publications

Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

Active Cycle Breathing Technique Terhadap Fungsional Paru Pasien Post CABG (Laporan Kasus Berbasis Bukti)

The Role of Respiratory Physical Therapy in the Rehabilitation of Patients after Cardiac Surgery

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