Commenced in January 2007
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Response of Diaphragmatic Excursion to Inspiratory Muscle Trainer Post Thoracotomy

Authors: H. M. Haytham, E. A. Azza, E.S. Mohamed, E. G. Nesreen


Thoracotomy is a great surgery that has serious pulmonary complications, so purpose of this study was to determine the response of diaphragmatic excursion to inspiratory muscle trainer post thoracotomy. Thirty patients of both sexes (16 men and 14 women) with age ranged from 20 to 40 years old had done thoracotomy participated in this study. The practical work was done in cardiothoracic department, Kasr-El-Aini hospital at faculty of medicine for individuals 3 days Post operatively. Patients were assigned into two groups: group A (study group) included 15 patients (8 men and 7 women) who received inspiratory muscle training by using inspiratory muscle trainer for 20 minutes and routine chest physiotherapy (deep breathing, cough and early ambulation) twice daily, 3 days per week for one month. Group B (control group) included 15 patients (8 men and 7 women) who received the routine chest physiotherapy only (deep breathing, cough and early ambulation) twice daily, 3 days per week for one month. Ultrasonography was used to evaluate the changes in diaphragmatic excursion before and after training program. Statistical analysis revealed a significant increase in diaphragmatic excursion in the study group (59.52%) more than control group (18.66%) after using inspiratory muscle trainer post operatively in patients post thoracotomy. It was concluded that the inspiratory muscle training device increases diaphragmatic excursion in patients post thoracotomy through improving inspiratory muscle strength and improving mechanics of breathing and using of inspiratory muscle trainer as a method of physical therapy rehabilitation to reduce post-operative pulmonary complications post thoracotomy.

Keywords: Diaphragmatic excursion, inspiratory muscle trainer, ultrasonography, thoracotomy.

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[1] P. Agostini and S. Singh, Incentive spirometry following thoracic surgery: what should we be doing? Physiotherapy; 95, 2009, pp. 76–82.
[2] J. C. Reeve, K. Nicol, K. Stiller, K. M. McPherson, L. Denehy, Does physical therapy reduce the incidence of postoperative complication in patient following pulmonary resection via thoracotomy? J Cardiothoracic Surg; 2008, pp. 3- 48.
[3] C. Carrie, J. Antonio, Effect of respiratory muscle training on pulmonary function in preoperative preparation of tobacco smokers. Acta Cir Bras; 22, 2007, pp.89-104.
[4] K. Athanassiadi, S. Kakaris, N. Theakos, I. Skottis, Muscle-sparing versus posterolateral thoracotomy a prospective study. Eur J Cardiothoracic Surg; 31, 2007, pp.496-500.
[5] M. Barbalho-Moulim, G. Miguel, E. Forti, D. Costa, Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion. Clinics (Sao Paulo); 66(10), 2011, pp. 1721–1727.
[6] A. Padula, E. Yeaw, Res Theory Nurs Pract.; University of Rhode Island, College of Nursing, Kingston 02881, USA; 21(2), 2007, pp. 98-118.
[7] A. Enright, V. Unnithan, Effect of Inspiratory Muscle Training Intensities on Pulmonary Function and Work Capacity in People Who Are Healthy: A Randomized Controlled Trial. Physical Therapy; 91 (6), 2011, pp. 894-905.
[8] M. Alison, Inspiratory muscle training for managing breathlessness. Nursing in practice; 2005, pp. 60-64.
[9] E. Westerdahl, M. Möller, Physiotherapy-supervised mobilization and exercise following cardiac surgery: a national questionnaire survey in Sweden, Journal of Cardiothoracic Surgery; 2010, pp.5:67.
[10] E. Paulo, J. Alfredo, R. Paulo, Effects of an inspiratory muscle rehabilitation program in the postoperative period of cardiac surgery. Arq. Bras. Cardiol; 92(4), 2009, pp. 261-268.
[11] J. Ribeiro, G. Chiappa, J. Neder, Frankenstein, Respiratory muscle functions and exercise intolerance in heart failure. Curr Heart Fail Rep; 6(2), 2009, pp.95-101.
[12] P. Weiner, N. Berar-Yanay, A. Davidovich, The cumulative effect of long acting bronchodilators, exercise and inspiratory muscle training on the perception of dyspnea in patients with COPD. Chest; 118, 2000, pp. 672-678.
[13] C. Alfredo, F. Luigi, G. Domenico, P. Franco, B. Stefano, C. Enrico, B. Gianluca, Impact on pulmonary complications after thoracotomy. Chest; (127), 2007, pp.1977-1983.
[14] N.S. Hil, Pulmonary Rehabilitation. The Proceedings of the American Thoracic Society; 3, 2006, pp.66-74.
[15] C.C. Casali, A.P. Pereira, J.A. Martinez, H.C. de Souza, A.C. Gastaldi, Obesity Surgery Effects of Inspiratory Muscle Training on Muscular and Pulmonary Function after Bariatric Surgery in Obese Patients. Obesity Surgery; 64(7), 2011, pp. 683–689.