A comparison of the effects of breathing, upper and lower limb exercise on postoperative lung functions

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A comparison of the effects of breathing, upper and lower limb exercise on postoperative lung functions

 

Author: Ng, Ka-wah Rebecca
Title: A comparison of the effects of breathing, upper and lower limb exercise on postoperative lung functions
Degree: M.Sc.
Year: 1997
Subject: Lungs -- Diseases -- Physical therapy
Lungs -- Diseases -- Patients -- Rehabilitation
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Pages: viii, 67 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1410561
URI: http://theses.lib.polyu.edu.hk/handle/200/1244
Abstract: Thirty-six patients underwent upper abdominal surgery took part in a randomised study to compare the effect of lower limb, upper limb and breathing exercises on postoperative lung functions. Patients were divided into 3 groups: group 1 received lower limb static cycling exercise as the sole postoperative physiotherapy treatment; group 2 received only upper limb elevation exercise after the operation; and patients in group 3 were taught to perform the active cycle of breathing techniques (ACBT). All patients were supervised by a physiotherapist to perform the treatment protocol twice daily on the first and second postoperative day. Vital capacity (VC) and inspiratory capacity (IC) were measured before and after each treatment. Respiratory rate, heart rate and oxygen saturation were monitored during exercise in order to maintain a standardised exercise intensity (60% HR max). Immediately after surgery, no significant difference was found in the mean VC & IC measured between subject groups (p>0.05); even though a significant difference was measured in the VC & IC of individual subjects within all 3 groups during the period of the study (p<0.05). Postoperative VC and IC were restored to 89% of their preoperative values by the second treatment session on day 2 (p<0.01). There was no hypoxaemia nor other incidence of chest complication reported in all subjects. It is concluded that lower limb, upper limb and breathing exercises were equally effective in producing a significant improvement in the postoperative lung functions of patients after abdominal surgery, and either of the 3 exercise programmes could be employed in a postoperative pulmonary care regimen.

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