Effect of Stacked Breathing Exercises on Peak Expiratory Flow Rate in Abdominal Surgery Patients – A Pilot Study

Authors

  • Ghai Kabir Intern, Dr. Vithalrao Vikhe Patil Foundation's College of Physiotherapy, Ahilyanagar
  • Gaikwad Pranali Assistant Professor (Department of Cardiovascular and Respiratory Physiotherapy), Dr. Vithalrao Vikhe Patil Foundation's College of Physiotherapy, Ahilyanagar
  • Diwate Abhijit Professor & HOD (Department of Cardiovascular and Respiratory Physiotherapy), Dr. Vithalrao Vikhe Patil Foundation's College of Physiotherapy, Ahilyanagar

DOI:

https://doi.org/10.46858/vimsjpt.7209

Keywords:

Breath Stacking; Abdominal Surgery; Peak Expiratory Flow Rate; Pulmonary Ventilation; Respiratory Physiotherapy; Postoperative Complications

Abstract

Background: Breath stacking is a technique in which multiple consecutive inspirations are taken before expiration, allowing increased lung expansion and improved secretion clearance. This method enhances oxygenation, increases inspiratory tidal volume, strengthens cough, and reduces postoperative pulmonary complications. The aim of this pilot study was to evaluate the effect of stacked breathing exercises on Peak Expiratory Flow Rate (PEFR) in patients undergoing abdominal surgery.

Methodology: Ten participants who met the inclusion criteria were recruited and PEFR was recorded before initiating stacked breathing exercises. The intervention was administered twice daily for the first three postoperative days, and PEFR was reassessed on postoperative Day 3.

Results: The mean PEFR increased from 90.00 ± 27.48 L/min on Day 1 to 111.00 ± 31.43 L/min on Day 3, representing a statistically significant improvement (p < 0.0001).

Conclusion: These findings suggest that stacked breathing exercises positively influence expiratory flow in postoperative abdominal surgery patients.

References

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2. Elkbuli A, Newsome K, Fanfan D, Sutherland M, Bilski T, Liu H, Ang D. Laparoscopic Versus Laparotomy Surgical Interventions for Trauma Patients With Single Upper Left Quadrant Penetrating Injuries: Analysis of the American College of Surgeons Trauma Quality Improvement Program Dataset. The American Surgeon. 2022 Sep;88(9):2182–93.

3. Adesanya A. Preventing postoperative pulmonary complications. ASA Monitor. 2008 Apr;72(4):11–4.

4. Fernandes DD, Righi NC, Rubin Neto LJ, Bellé JM, Pippi CM, Ribas CZ, Nichele LD, Signori LU, Silva AM. Effects of the breath stacking technique after upper abdominal surgery: a randomized clinical trial. Jornal Brasileiro de Pneumologia. 2022 Mar 14;48.

5. Barcelar JD, Aliverti A, Rattes C, Ximenes ME, Campos SL, Brandao DC, Fregonezi G, de Andrade AD. The expansion of the pulmonary rib cage during breath stacking is influenced by age in obese women. PLoS One. 2014 Nov 5;9(11):e110959.

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Published

2025-12-31

Issue

Section

Pilot Study

How to Cite

Effect of Stacked Breathing Exercises on Peak Expiratory Flow Rate in Abdominal Surgery Patients – A Pilot Study. (2025). VIMS JOURNAL OF PHYSICAL THERAPY, 7(2), 36-40. https://doi.org/10.46858/vimsjpt.7209

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