Title:

Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery

Creator:

Wattanananont, Khanistha ; Buranapuntalug, Sasipa ; Laohathai, Sira

Subject and Keywords:

video-assisted thoracoscopic surgery ; respiratory muscle training ; breathing exercises ; physical therapy ; incentive spirometer

Abstrakt:

Introduction. Chest trunk mobilization with sustained maximum inspiration (SMI) and flow incentive spirometry (flow IS) are breathing techniques that mostly apply to patients undergoing video-assisted thoracoscopic surgery (VATS). The purpose of this study was to determine the effects of chest trunk mobilization with SMI and flow IS on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing VATS.Methods. Sixty VATS patients were randomly allocated into chest trunk mobilization with SMI (n = 30) and flow IS (n = 30) groups. Each group performed a physical therapy program preoperatively and 4 days post-operatively. Chest expansion at upper, middle, and lower levels, inspiratory and expiratory muscle strengths, and functional exercise capacity were deter-mined at pre- and post-VATS.Results. In both groups, chest expansion at all levels, expiratory muscle strength, and distance of the 6MWT significantly increased (p < 0.05) post-operatively compared to pre-operative assessments, although there was no significant difference between groups. In addition, inspiratory muscle strength significantly improved from baseline in both groups (p < 0.05), but the flow IS group showed a greater increase than the chest trunk mobilization with the SMI group (78.17 ± 24.16 and 65.57 ± 20.39 cm H2O, respectively, p < 0.05).Conclusions. Chest trunk mobilization with SMI and flow IS can improve chest expansion at all levels, as well as respiratory muscle strength and the distance of the 6MWT. However, flow IS enhances inspiratory muscle strength to a greater extent than chest trunk mobilization with SMI. Ultimately, both techniques can be applied effectively in patients undergoing VATS.

Publisher:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Place of publication:

Wrocław

Date:

2024

Resource Type:

artykuł

Language:

ang

Relation:

Physiotherapy Quarterly ; Physiotherapy Quarterly,2024,vol.32,nr4

Rights:

Wszystkie prawa zastrzeżone (Copyright)

Access Rights:

Dla wszystkich zgodnie z licencją

License:

CC BY-NC-ND 4.0

Rights Owner:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu