Pre-operative and Post-operative Physiotherapy in Children With Abdominal Surgery
Condition: Abdominal Surgery
Study type: Interventional

Summary: 
      The study will be conducted in a pediatric surgery ward, department of pediatrics. Children
      between the ages of 5 to 17 years who underwent for abdominal surgery will be recruited by
      simple random sampling. Parents of all the potential participants will receive a written
      explanation of the trial and given written informed consent forms to be signed prior to their
      child being involved in the trial. Pre- op physiotherapy education is given to one
      experimental group and after surgery post operative treatment is given to both the
      experimental groups. spirometery, 6 minute walk test, 10 meter walk test, Timed up and go
      test and Nine star stair climbing test will be used for data collection.
    

Detailed description: 
      Pre- operative education is given to the experimental group 1 only. Pre- op. physiotherapy
      education includes-

      Pursed lip breathing exercises × 10 repetitions Diaphragmatic breathing exercises × 10
      repetitions Leg ROM (active hip and knee flexion, extension and abduction exercises) and
      ankle toe movements exercises × 10 repititions

      Post- op. physiotherapy will be given to both the experimental groups. it includes- On Post
      operative day 1

      Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic breathing exercises
      (5 repetitions × 2 sets)

      Segmental breathing exercises × 5 repetitions × 2 sets Incentive spirometer 10 breaths up to
      600 cc (In three sets) per session Leg Range of motion exercises (active hip and knee flexion
      and extension exercises) × 5 repetitions × 2 sets Ankle and toe movements× 10 repetitions × 2
      sets Ambulation program High sitting minimum of 2 min Static March for 1 min Walk for 5 min.
      every 2 hourly

      Post operative day 2 Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic
      breathing exercises (5 repetitions × 2 sets) Segmental breathing exercises × 5 repetitions ×
      2 sets Incentive spirometer 10 breaths upto 600 cc (In three sets) per sessionThoracic
      expansion exercises- ACBT (Active cycles of breathing techniques)

      Diaphragmatic breathing (10 rep.), deep breathing (5 sec. hold), huffing x 2 repetitions
      twice a day Walk for 10 min. every 2 hourly

      Post operative day 3 Pursed lip breathing exercises x 10 repetitions x 2 sets Incentive
      spirometer 10 breaths upto 900cc (In three sets) per session Thoracic expansion exercises-
      ACBT Diaphragmatic breathing (5-10 rep.), deep breathing (5 sec. hold), huffing x 2
      repetitions twice a day Walk for 15 min. every 2 hourly

      Post operative day 4 Incentive spirometer/ 10breaths upto 900cc (In three sets) per session
      Walk for 20 min. every 4 hourly

      Post operative day 5 Incentive spirometer / 10breaths upto 1000cc (In three sets) per session
      Stair climbing up to 9 steps in ascending and descending pattern for 5 minutes rest in
      between
    

Intervention name(s): Pre-operative physiotherapy education; Post-operative physiotherapy intervention
Intervention type(s): Procedure; Procedure
Intervention description(s): Pre-operative education regarding post-operative physiotherapy intervention in children with abdominal surgery which includes,
Deep breathing exercises
Pursed lip breathing exercises
Diaphragmatic breathing exercises
Leg ROM (active hip and knee flexion, extension and abduction exercises)
Ankle toe movements exercises; Post-operative physiotherapy intervention which includes,
Deep breathing exercises
Pursed lip breathing exercises
Diaphragmatic breathing exercises
Leg ROM (active hip and knee flexion, extension and abduction exercises)
Ankle toe movements exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Abdomen; Children; Chest physical therapy; Surgery