Effectiveness of Pre-operative Inspiratory Muscle Training on Post-Operative Recovery in patients undergone Abdominal Surgery- A Systematic Review
DOI:
https://doi.org/10.46858/VIMSJPT.4103Keywords:
Keywords – Abdominal surgery, inspiratory muscle training, preoperative, post-operative, pulmonary complications.Abstract
Background – As there is effect of General Anaesthesia on respiratory muscles which also reduces mucocilliary escalator activity for 72 hours that leads to accumulation of mucus in alveola, and it further leads to atelectasis. To reduce all these complications, strength of respiratory muscle must be good. In this study we are mainly focusing on effect of pre-operative inspiratory muscle training improving the post-operative recovery to prevent complications in patients with abdominal surgery. Aims & Objectives- To study the effectiveness of pre-operative inspiratory muscle training on post-operative recovery in patients undergone abdominal surgery. Subjects and Method- Pre-operative exercises are beneficial for the patients under gone abdominal surgery to avoid post-operative pulmonary complications and get faster recovery. Hence, the purpose of the present systemic review is to provide an overview of the recent literature on the role of effectiveness of pre-operative inspiratory muscle training on post-operative recovery in patients undergone abdominal surgery. Articles published on an online electronic database were included. We included studies that were published in English. This systematic review included seven articles which were Randomised controlled trials, controlled trials, prospective study. Result – 7 articles were reviewed out of which 6 articles shown the positive response on research question and 1 article did not showed much impact. Conclusion –The studies show that preoperative inspiratory muscle training will improve post-operative recovery.
References
Teba L, Omert LA. Postoperative respiratory insufficiency. Am Fam Phys 1995; 51: 1473–80.
Roukema JA, Carol EJ, Prins JG. The prevention of pulmonary complications after upper abdominal surgery in patients with nncompromised pulmonary status. Arch Surg 1988; 123: 30–40.
Nomori H, Kobayashi R, Fuyuno G, Morinaga S, Yashima H. Preoperative
respiratory muscle training. Assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest 1994; 105: 1782–8.
Meyers J, Lembeck L, O’Kane J, Baue A: Changes in functional residual capacity
of the lung after operation. Arch Surg 1975, 110:576–583.
Hallbook T, Linblad B, Lindroth B, Wolff T. Prophylaxis against pulmonary complications in patients undergoing gall bladder surgery. Ann Chir Gynaecol 1984; 73: 55–8.
Dripps RD, Deming M. Postoperative atelectasis and pneumonia. Ann Surg 1946; 124: 94–110.
Thoren L. Postoperative pulmonary complications. Acta Chir Scand 1954; 107:
–205.
Latimer RG, Dickman M, Day WC, Gunn ML, Schmidt CD. Ventilatory patterns and pulmonary complications after upper abdominal surgery determined by preoperative and postoperative computerised spirometry and blood gas analysis.
Am J Surg 1971; 122: 622–32.
Inzelberg R, Peleg N, Nisipeaanu P, Magadle R, Carasso RL, Weiner P. Inspiratory muscle training and the perception of dyspnoea in Parkinson’s disease.
Can J Neurol Sci 2005; 32: 213–7
McCool FD and Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med 2012; 366: 932–942.
Kim SH, Na S, Choi JS, Na SH, Shin S and Koh SO. An evaluation of diaphragmatic movement by M-mode sonography as a predictor of pulmonary dysfunction after upper abdominal surgery. Anesth Analg 2010; 110: 1349–1354.
12.O’Donohue W: Postoperative pulmonary complications. When are preventive and therapeutic measures necessary? Postgrad Med 1992, 91(3):167–175.
Hulzebos EHJ, Van Meeteren NLU, De Bie RA, Dagnelie PC, Helders PJM: Prediction of postoperative pulmonary complications on the basis of preoperative risk factors in patients who had undergone coronary artery bypass graft surgery. Phys Ther 2003, 83(1):8–16.
Nomori H, Kobayashi R, Fuyuno G, Morinaga S, Yashima H: Preoperative respiratory muscle training. Assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest 1994, 105(6):1782–1788.
Olsén M, Anzén H: Effects of training interventions prior to thoracic or abdominal surgery: a systematic review. Phys Ther Rev 2012, 17(2):124–131.
Geddes EL, O’Brien K, Reid WD, Brooks D, Crowe J. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med. 2008; 102:1715-29.
Katsura M, Kuriyama A, Takeshima T, Fukuhara S, Furukawa TA. Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database Syst Rev 2015;10:CD010356.
Browning L, Denehy L and Scholes RL. The quantity of early upright mobilisation performed following upper abdominal surgery is low: an observational study. Aust J Physiother 2007; 53: 47–52.
Brouquet A, Cudennec T, Benoist S, et al. Impaired mobility, ASA status and administration of tramadol are risk factors for postoperative delirium in patients aged 75 years or more after major abdominal surgery. Ann Surg 2010; 251:
–765.
Ge X, Wang W, Hou L, Yang K, Fa X. Inspiratory muscle training is associated with decreased postoperative pulmonary complications: evidence from randomized trials. The Journal of thoracic and cardiovascular surgery. 2018 Sep 1;156(3):1290-300.
Dronkers JJ, Lamberts H, Reutelingsperger IM, Naber RH, Dronkers-Landman CM, Veldman A, van Meeteren NL. Preoperative therapeutic programme for elderly patients scheduled for elective abdominal oncological surgery: a randomized controlled pilot study. Clinical rehabilitation. 2010 Jul;24(7):614-22.
Soares SM, Nucci LB, da Silva MM, Campacci TC. Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial. Clinical rehabilitation. 2013 Jul;27(7):616-27.
Dronkers J, Veldman A, Hoberg E, Van Der Waal C, Van Meeteren N. Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study. Clinical rehabilitation. 2008 Feb;22(2):134-42.
Barbalho-Moulim MC, Miguel GP, Forti EM, Campos FD, Costa D. Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion. Clinics. 2011;66(10):1721-7.
Kulkarni SR, Fletcher E, McConnell AK, Poskitt KR, Whyman MR. Pre-operative inspiratory muscle training preserves postoperative inspiratory muscle strength following major abdominal surgery–a randomised pilot study. The Annals of The Royal College of Surgeons of England. 2010 Nov;92(8):700-5. 26. Nomori H, Kobayashi R, Fuyuno G, Morinaga S, Yashima H. Preoperative respiratory muscle training: assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest. 1994 Jun 1;105(6):1782-8.
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