Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery

Study Overview
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Brief Summary
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The aim of this study was to compare the effects of expiratory muscle training (EMT) and incentive spirometry (IS) in addition to conventional pulmonary rehabilitation after colorectal surgery. Twenty-four individuals (13 male) undergoing colorectal surgery were included. They were randomly divided into two groups. In addition to conventional chest physiotherapy, group 1 was performed EMT (n=12), group 2 was performed deep breathing exercises with incentive spirometry (IS) in postoperative period. Respiratory muscle strength, functional capacity, levels of movement and independence, and postoperative pulmonary complications (PPC) were evaluated. Length of stay in hospital (LOS) was recorded.

Detailed Description
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The aim of this study was to compare the effects of expiratory muscle training (EMT) and incentive spirometry (IS) in addition to conventional pulmonary rehabilitation after colorectal surgery. Twenty-four individuals (13 male) undergoing colorectal surgery were included. They were randomly divided into two groups. In addition to conventional chest physiotherapy, group 1 was performed EMT (n=12), group 2 was performed deep breathing exercises with incentive spirometry (IS) in postoperative period. Respiratory muscle strength, functional capacity, levels of movement and independence, and postoperative pulmonary complications (PPC) were evaluated. Length of stay in hospital (LOS) was recorded

Official Title
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Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery

Conditions
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Colorectal Cancer, Pulmonary Rehabilitation

Intervention / Treatment
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* Other: expiratory muscle training
* Device: Insentive spirometry


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hemodynamically stable able to walk independently able to walk independently Exclusion Criteria: any contraindication for chest physiotherapy (unstable cardiovascular disease, severe pulmonary hypertension, corrected severe hypoxemia, exercise desaturation, rib fractures, subcutaneous emphysema, advanced osteoporosis, thrombocytopenia, effort dyspnea and vertigo) any metastases severe chronic cardiovascular disease candidates for organ transplantation abdominal hernia repair history of surgery more than one year orthopaedic or neurological disease that would prevent independent walking

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Expiratory muscle training<br>participant performed expiratory muscle training with threshold device | Other: expiratory muscle training<br>* participants performed expiratory muscle training according to their maximum expiratory pressure that measured earlier in addition to conventional chest physiotherapy<br>|
| Experimental: Insentive spirometry<br>participant performed deep breathing exercise with insentive spirometry device | Device: Insentive spirometry<br>* participants performed deep breating exercise with insentive spirometry in additional to convantional chest physiotherapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Respiratory muscle strength | Maximum expiratory and inspiratory muscle strength | 2-3 minutes | 
| Postoperative pulmonary complications | any pulmonary complications after colorectal surgery | 3-7 day | 
| 6 Minutes walk test | Physical functional capacity | 6-10 minutes | 
| 'Patient Mobility and Observer Mobility Scale | Indipendence and mobility levels after surgery | 2-3 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Colorectal surgery, Expiratory muscle training, Pulmonary rehabilitation