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

Vitomskyi, V. V.; Al-Hawamdeh, К. М.

doi:10.26693/jmbs05.04.017

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…Physical therapy (PT), including respiratory PT, is routinely offered to the patients following CS (Vitomskyi & Al-Hawamdeh, 2020). Traditionally, prevention and treatment of pulmonary complications have included early mobilization and physical therapy interventions, including a variety of respiratory manoeuvres such as deep breathing exercises, coughing, incentive spirometry (Stein et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

Al-Hawamdeh

Лазарєва

Vitomskyi

2020

jhse

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Objective: To investigate the effect of using Tri-Ball breathing exerciser on the results of the pulmonary function test in the patients undergoing cardiac surgery. Design: prospective randomized controlled trial. Setting: hospitalized care. Participants: 66 patients of both sexes were randomly divided into control group (CG) and training group (TG). Interventions: Both groups received standardized physical therapy (early mobilization; therapeutic exercises; chest wall vibrations; percussions; coughing; calm deep breathing without simultaneous movements of the limbs or other parts of the body to rest between therapeutic exercises and reduce respiratory and heart rates). TG patients also used Tri-Ball breathing exerciser to train inspiratory muscles. Main Outcome Measures: the results of the pulmonary function test before the surgery and on the 7 postoperative day. Results: pulmonary function had no statistical difference in CG and TG patients both before the surgery and on the 7 postoperative day. Vital capacity reduced from 103.81 ± 13.20% to 76.84 ± 14.65% in CG and from 104.18 ± 13.20% to 76.38 ± 16.18% in TG. The reduction of peak expiratory flow was less pronounced in both groups: from 96.91 ± 14.05% to 79.19 ± 18.08% in CG and from 98.77 ± 19.38% to 82.03 ± 20.75% in TG. Inspiratory indicators (forced inspiratory vital capacity, forced inspiratory volume in one second, peak inspiratory flow) also did not confirm any additional benefit of using Tri-Ball breathing exercises, despite the fact that it is aimed to train deep, strong and quick inhalation. Tiffeneau index had no statistical changes in CG (p = .257), though it showed statistical improvement in TG (p = .031). Conclusions: The study did not confirm any benefits of using Tri-Ball breathing exercises in the physical therapy program.

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Section: Introductionmentioning

confidence: 99%

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

Al-Hawamdeh

Лазарєва

Vitomskyi

2020

jhse

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“…Over time, the benefits of early mobilization were acknowledged [10]. CS patients have been found to have a high risk for immobility-related complications [11][12][13]. CS patient mobilizing practice includes exercises to increase a range of motion, dangling at the bedside and transition to a chair on the operation day, if a patient is able.…”

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confidence: 99%

The impact of mobilization protocols on the length of postoperative hospitalization among cardiac surgery patients

Vitomskyi

Лазарєва

Doroshenko

et al. 2021

ZMJ

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The aim. To determine the impact of implementing the extra early mobilization protocol (EEM) on the length of intensive care unit (LICU) stay and postoperative unit (LPOU) stay and to assess the role of age, heart contractility, functional class and surgical outcomes. Materials and methods. Participants – adult patients of 2018–2019 with less than 24-hour artificial lung ventilation (ALV). The first group were treated according to the early mobilization protocol (EM, patients of 2018); the second group were treated according to the EEM protocol (patients of 2019). Design: a retrospective analysis. Settings: cardiosurgical unit. Interventions: the major difference is that the resources of patient mobilization team have expanded since 2019, namely it included a physical therapist, which made it possible to modify the EM protocol (standing on the 2 postoperative day (POD), activation with the help of medical staff, respiratory exercise) to the EEM protocol (standing on the 1 POD following consultation with an anesthesiologist, exercises with a physical therapist, respiratory exercise). The main outcomes: LICU, LPOU and total postoperative hospitalization (LTPO) (number of nights). Results. There were no differences between the EEM and EM groups in LICU (3 (2; 4) vs. 2 (2; 4); P = 0.182), LPOU (7 (6; 10) vs. 8 (6; 10); P = 0.118), LTPO (10 (8; 13) vs. 10 (9; 13); P = 0.308). Correlation analysis revealed absence, weak and very weak relations between the LICU, LPOU, LTPO indicators and other criteria, including age, ejection fraction, ALV. Conclusions. The effectiveness of the EEM protocol seems doubtful to reduce LICU, LPOU, and LTPO as compared to the EM protocol. The obtained results also raise the importance of physical therapist time management.

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Effectiveness and safety evaluation of a cough stimulation device in early postoperative respiratory rehabilitation in cardiac surgery patients

Еременко¹,

Ryabova²,

Komnov³

et al. 2021

Vopr. kurortol. fizioter. lech. fiz. kul't.

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

Cited by 4 publications

References 46 publications

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

The impact of mobilization protocols on the length of postoperative hospitalization among cardiac surgery patients

Effectiveness and safety evaluation of a cough stimulation device in early postoperative respiratory rehabilitation in cardiac surgery patients

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