Background
& objectives: Abdominal
surgeries are the most common operative procedures including a wide range of
both emergency and elective surgical interventions. Postoperative Pulmonary
complications following upper abdominal surgery are the most common surgical
complications. The combined effect of surgical trauma and anaesthesia results
in reduced lung volumes and respiratory muscle dysfunction. The aim of this
study was to assess the effect of pre-operative respiratory muscle training on
pulmonary function test (PFT) and Respiratory muscle strength after abdominal
surgery.
Methodology: Total number of 104 participants of both the
gender with age group between 30 to 70 years, who were planning for major
abdominal surgery were to be divided in to two groups i.e. experimental group
(Group- A) and control group (Group- B). The experimental group was to undergo
a pre-operative respiratory muscle training and post operatively both groups were
to receive conventional physiotherapy treatment. All the participants were
assessed for pulmonary function test and respiratory muscle strength at the
baseline, before surgery, at 3rd day, 7th day and 21st
day post operatively.
Results: There were statistically significant
differences (p<0.01) found in all the outcome measures in both groups.
Further, comparison was done between the groups. It was found that the
experimental and control groups were not different statistically. But on 3rd
day and 7th day in pulmonary function test parameters (FVC, FEV1,
MVV) and respiratory muscle strength parameters (MIP and MEP) there was
significantly difference (p<0.01) in the experimental group compare to
control group.
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