Incentive spirometry decreases respiratory complications following major abdominal surgery

Westwood, Karen J.; Griffin, Maura; Roberts, Kathryn L.; Williams, Marie; Yoong, Kevin; Digger, T.

doi:10.1016/s1479-666x(07)80086-2

Cited by 66 publications

(47 citation statements)

References 9 publications

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“…Westwood et al, concluded that incentive spirometry plays a significant role in preventing atelectasis and its complications in major abdominal surgeries [25]. It was found that abdominal surgery patients with surgical incisions close to the diaphragm were placed at a high risk of pulmonary complications.…”

Section: Discussionmentioning

confidence: 99%

“…It was found that abdominal surgery patients with surgical incisions close to the diaphragm were placed at a high risk of pulmonary complications. The researchers also stressed that incentive spirometry was effective as a pulmonary risk-reduction method [25]. Hall et al, showed that incentive spirometry was the most efficient prophylaxis against pulmonary complications in high risk patients after abdominal surgery [19].…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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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“…FEV 1 refers to the capacity of air that is blown out for a single second. 17 The pulmonary function test was performed with the subjects wearing a nose clip. If the subjects coughed or made a mistake, their numerical values were not recorded.…”

Section: Outcome Measuresmentioning

confidence: 99%

Short-term effects of respiratory muscle training combined with the abdominal drawing-in maneuver on the decreased pulmonary function of individuals with chronic spinal cord injury: A pilot randomized controlled trial

Kim

Lee

Kim

et al. 2016

The Journal of Spinal Cord Medicine

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Objective: To investigate the effects of respiratory muscle training (RMT) combined with the abdominal drawingin maneuver (ADIM) on the pulmonary function in patients with chronic spinal cord injury (SCI). Methods: Thirty-seven subjects with SCI (level of injury: C4-T6, time since injury: 4-5 years) were randomly allocated to three groups; the integrated training group (ITG), the RMT group (RMTG), and the control group (CG). The ITG performed RMT using an incentive respiratory spirometer (IRS) and the ADIM using a stabilizer. The RMTG received only RMT using an IRS. Subjects in the CG received alternative and routine physical therapy or usual care. The interventions were conducted over an eight-week period. Pulmonary function was evaluated using spirometry to measure the forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV 1 ). Results: The differences between the pre-and post-test values for FVC (0.47 ± 0.05 versus 0.15 ± 0.06 versus -0.03 ± 0.01) and FEV 1 (0.74 ± 0.07 versus 0.27 ± 0.17 versus 0.02 ± 0.67)were significant among the groups. Post-test, in the ITG, the FVC and FEV 1 values showed significant differences from those in the RMTG and CG (F = 11.48 and 11.49, P = 0.002 and 0.001). Furthermore, following the 8week intervention, the change ratio values of the FVC and FEV 1 of the ITG were increased further by an average of 9.75% and 7.91%, respectively, compared with those of the RMTG. Conclusion: These findings suggest positive evidence that RMT with additional ADIM training can improve pulmonary function in SCI pulmonary rehabilitation.

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“…(22) An incentive spirometer is a portable device whose main purpose is to promote deep, slow inhalation, up to maximal inspiratory capacity, by providing patients with a visual stimulus signaling that the desired flow or volume has been reached. One group of authors (23) monitored patients submitted to upper abdominal surgery. Those patients were divided into two groups of postoperative intervention: one performing inhalation and assisted cough maneuvers (control group); and one using those techniques in combination with incentive spirometry (intervention group).…”

Section: Discussionmentioning

confidence: 99%

Mobilidade diafragmática durante espirometria de incentivo orientada a fluxo e a volume em indivíduos sadios

Yamaguti¹,

Sakamoto

Panazzolo

et al. 2010

J. bras. pneumol.

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Objective: To compare the diaphragmatic mobility of healthy subjects during incentive spirometry with a volumeoriented device, during incentive spirometry with a flow-oriented device, and during diaphragmatic breathing. To compare men and women in terms of diaphragmatic mobility during these three types of breathing exercises. Methods:We evaluated the pulmonary function and diaphragmatic mobility of 17 adult healthy volunteers (9 women and 8 men). Diaphragmatic mobility was measured via ultrasound during diaphragmatic breathing and during the use of the two types of incentive spirometers. Results: Diaphragmatic mobility was significantly greater during the use of the volume-oriented incentive spirometer than during the use of the flow-oriented incentive spirometer (70.16 ± 12.83 mm vs. 63.66 ± 10.82 mm; p = 0.02). Diaphragmatic breathing led to a greater diaphragmatic mobility than did the use of the flow-oriented incentive spirometer (69.62 ± 11.83 mm vs. 63.66 ± 10.82 mm; p = 0.02). During all three types of breathing exercises, the women showed a higher mobility/ FVC ratio than did the men. Conclusions: Incentive spirometry with a volume-oriented device and diaphragmatic breathing promoted greater diaphragmatic mobility than did incentive spirometry with a flow-oriented device. Women performed better on the three types of breathing exercises than did men. ResumoObjetivo: Comparar a mobilidade diafragmática de indivíduos sadios durante a espirometria de incentivo orientada a volume, durante a espirometria de incentivo orientada a fluxo e durante exercícios diafragmáticos. Comparar a mobilidade diafragmática entre homens e mulheres durante esses três tipos de exercícios respiratórios. Métodos: Foram avaliadas a função pulmonar e a mobilidade diafragmática de 17 voluntários sadios adultos (9 mulheres e 8 homens). A avaliação da mobilidade do diafragma foi realizada durante a execução de exercícios diafragmáticos e durante o uso dos dois tipos de espirômetros de incentivo, por meio de um método ultrassonográfico. Resultados: A mobilidade diafragmática avaliada durante a utilização do espirômetro orientado a volume foi significativamente maior que aquela durante o uso do espirômetro orientado a fluxo (70,16 ± 12,83 mm vs. 63,66 ± 10,82 mm; p = 0,02). Os exercícios diafragmáticos promoveram maior mobilidade diafragmática do que o uso do espirômetro orientado a fluxo (69,62 ± 11,83 mm vs. 63,66 ± 10,82 mm; p = 0,02). Durante os três tipos de exercícios respiratórios, a relação mobilidade/CVF foi significativamente maior nas mulheres do que nos homens. Conclusões: A espirometria de incentivo orientada a volume e o exercício diafragmático promoveram maior mobilidade diafragmática do que a espirometria de incentivo orientada a fluxo. As mulheres apresentaram um melhor desempenho nos três tipos de exercícios respiratórios avaliados do que os homens. Original ArticleDiaphragmatic mobility in healthy subjects during incentive spirometry with a flow-oriented device and with a volume-oriented device J Bras Pneumol...

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Incentive spirometry decreases respiratory complications following major abdominal surgery

Cited by 66 publications

References 9 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

Short-term effects of respiratory muscle training combined with the abdominal drawing-in maneuver on the decreased pulmonary function of individuals with chronic spinal cord injury: A pilot randomized controlled trial

Mobilidade diafragmática durante espirometria de incentivo orientada a fluxo e a volume em indivíduos sadios

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