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ORIGINAL PAPER
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
1
Cardiac Rehabilitation Center, Vajira Excellence Center, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
2
Physical Therapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathumthani, Thailand
3
Cardiothoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
Submission date: 2023-04-14
Acceptance date: 2023-09-21
Publication date: 2024-12-06
Corresponding author
Sasipa Buranapuntalug
Physical Therapy Department, Faculty of Allied Health Sciences, Thammasat University, 99 Phahonyothin Road, Khlong Luang, Pathumthani 12120, Pathumthani, Thailand
Physical Therapy Department, Faculty of Allied Health Sciences, Thammasat University, 99 Phahonyothin Road, Khlong Luang, Pathumthani 12120, Pathumthani, Thailand
Physiother Quart. 2024;32(4):42-48
KEYWORDS
video-assisted thoracoscopic surgeryrespiratory muscle trainingbreathing exercisesphysical therapyincentive spirometer
TOPICS
ABSTRACT
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 determined 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 cmH2O, 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.
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 determined 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 cmH2O, 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.
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