Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery
Introduction Chest trunk mobilization with sustained maximum inspiration (SMI) and flow incentive spirometry (flow IS) are breathing techniques that mostly apply to patients undergoing video-assisted thoracoscopic surgery (VATS). The purpose of this study was to determine the effects of chest trunk...
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Termedia Publishing House
2024-12-01
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| Series: | Physiotherapy Quarterly |
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| Online Access: | https://physioquart.awf.wroc.pl/Comparisons-between-chest-trunk-mobilization-with-sustained-maximum-inspiration-and,172747,0,2.html |
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| author | Khanistha Wattanananont Sasipa Buranapuntalug Sira Laohathai |
| author_facet | Khanistha Wattanananont Sasipa Buranapuntalug Sira Laohathai |
| author_sort | Khanistha Wattanananont |
| collection | DOAJ |
| description | Introduction
Chest trunk mobilization with sustained maximum inspiration (SMI) and flow incentive spirometry (flow IS) are breathing techniques that mostly apply to patients undergoing video-assisted thoracoscopic surgery (VATS). The purpose of this study was to determine the effects of chest trunk mobilization with SMI and flow IS on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing VATS.
Methods
Sixty VATS patients were randomly allocated into chest trunk mobilization with SMI ( n = 30) and flow IS ( n = 30) groups. Each group performed a physical therapy program preoperatively and 4 days post-operatively. Chest expansion at upper, middle, and lower levels, inspiratory and expiratory muscle strengths, and functional exercise capacity were determined at pre- and post-VATS.
Results
In both groups, chest expansion at all levels, expiratory muscle strength, and distance of the 6MWT significantly increased ( p < 0.05) post-operatively compared to pre-operative assessments, although there was no significant difference between groups. In addition, inspiratory muscle strength significantly improved from baseline in both groups ( p < 0.05), but the flow IS group showed a greater increase than the chest trunk mobilization with the SMI group (78.17 ± 24.16 and 65.57 ± 20.39 cmH2O, respectively, p < 0.05).
Conclusions
Chest trunk mobilization with SMI and flow IS can improve chest expansion at all levels, as well as respiratory muscle strength and the distance of the 6MWT. However, flow IS enhances inspiratory muscle strength to a greater extent than chest trunk mobilization with SMI. Ultimately, both techniques can be applied effectively in patients undergoing VATS. |
| format | Article |
| id | doaj-art-5e84f8c5a06048b38ad50a18441f6087 |
| institution | Kabale University |
| issn | 2544-4395 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Physiotherapy Quarterly |
| spelling | doaj-art-5e84f8c5a06048b38ad50a18441f60872025-01-27T10:42:58ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-12-01324424810.5114/pq/172747172747Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgeryKhanistha Wattanananont0https://orcid.org/0000-0003-0019-0863Sasipa Buranapuntalug1https://orcid.org/0000-0002-3894-4109Sira Laohathai2https://orcid.org/0000-0001-5856-9281Cardiac Rehabilitation Center, Vajira Excellence Center, Vajira Hospital, Navamindradhiraj University, Bangkok, ThailandPhysical Therapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathumthani, ThailandCardiothoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, ThailandIntroduction Chest trunk mobilization with sustained maximum inspiration (SMI) and flow incentive spirometry (flow IS) are breathing techniques that mostly apply to patients undergoing video-assisted thoracoscopic surgery (VATS). The purpose of this study was to determine the effects of chest trunk mobilization with SMI and flow IS on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing VATS. Methods Sixty VATS patients were randomly allocated into chest trunk mobilization with SMI ( n = 30) and flow IS ( n = 30) groups. Each group performed a physical therapy program preoperatively and 4 days post-operatively. Chest expansion at upper, middle, and lower levels, inspiratory and expiratory muscle strengths, and functional exercise capacity were determined at pre- and post-VATS. Results In both groups, chest expansion at all levels, expiratory muscle strength, and distance of the 6MWT significantly increased ( p < 0.05) post-operatively compared to pre-operative assessments, although there was no significant difference between groups. In addition, inspiratory muscle strength significantly improved from baseline in both groups ( p < 0.05), but the flow IS group showed a greater increase than the chest trunk mobilization with the SMI group (78.17 ± 24.16 and 65.57 ± 20.39 cmH2O, respectively, p < 0.05). Conclusions Chest trunk mobilization with SMI and flow IS can improve chest expansion at all levels, as well as respiratory muscle strength and the distance of the 6MWT. However, flow IS enhances inspiratory muscle strength to a greater extent than chest trunk mobilization with SMI. Ultimately, both techniques can be applied effectively in patients undergoing VATS.https://physioquart.awf.wroc.pl/Comparisons-between-chest-trunk-mobilization-with-sustained-maximum-inspiration-and,172747,0,2.htmlvideo-assisted thoracoscopic surgeryrespiratory muscle trainingbreathing exercisesphysical therapyincentive spirometer |
| spellingShingle | Khanistha Wattanananont Sasipa Buranapuntalug Sira Laohathai Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery Physiotherapy Quarterly video-assisted thoracoscopic surgery respiratory muscle training breathing exercises physical therapy incentive spirometer |
| title | Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery |
| title_full | Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery |
| title_fullStr | Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery |
| title_full_unstemmed | Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery |
| title_short | Comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion, respiratory muscle strength, and functional exercise capacity in patients undergoing video-assisted thoracoscopic surgery |
| title_sort | comparisons between chest trunk mobilization with sustained maximum inspiration and flow incentive spirometry on chest expansion respiratory muscle strength and functional exercise capacity in patients undergoing video assisted thoracoscopic surgery |
| topic | video-assisted thoracoscopic surgery respiratory muscle training breathing exercises physical therapy incentive spirometer |
| url | https://physioquart.awf.wroc.pl/Comparisons-between-chest-trunk-mobilization-with-sustained-maximum-inspiration-and,172747,0,2.html |
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