Clinical trial NCT05290480: Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery
Official title: Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Colorectal Cancer
Pulmonary Rehabilitation
Keywords: Colorectal surgery
Expiratory muscle training
Pulmonary rehabilitation
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2022-03-22
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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

Eligibility criteria: 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

Primary outcomes:
measure: Respiratory muscle strength
timeFrame: 2-3 minutes
measure: Postoperative pulmonary complications
timeFrame: 3-7 day
measure: 6 Minutes walk test
timeFrame: 6-10 minutes
measure: 'Patient Mobility and Observer Mobility Scale
timeFrame: 2-3 days
Secondary outcomes:
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Pamukkale University
state: Pamukkale
Study officials:
affiliation: Pamukkale University
name: Erhan KIZMAZ, Msc
role: PRINCIPAL_INVESTIGATOR
References: