Respiratory Complication Clinical Trial
Official title:
Effect of Virtual Reality on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity After Upper Abdominal Surgeries
After upper abdomen surgery, respiratory muscle dysfunction is well recognised. After laparotomy and even laparoscopy, maximum static inspiratory and expiratory pressures are lowered, and recovery can take several days. A variety of reasons have been implicated in such respiratory muscle dysfunction, including irritation and inflammation, as well as injuries near the diaphragm, resulting in local mechanical failure, reflex inhibition, and pain.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | March 1, 2025 |
Est. primary completion date | February 1, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility | Inclusion Criteria: 1. Patients undergone open upper abdominal surgery (hernia repair, cholecystectomy, large bowel removal, conventional laparotomy) 2. no prior surgical intervention for esophageal, gastric, or biliary tract resection 3. age 18-60 years 4. acceptable physical condition (permitting pulmonary function and functional capacity test). Exclusion Criteria: 1. Cerebrovascular disease 2. use of immunosuppressants within 30 days of surgery 3. cardiovascular instability 4. chest physical therapy within the 8 weeks preceding study enrollment 5. visual impairment or hearing impairment; 6. bed-ridden patients; 7. any lung disorders 8. insulin-dependent diabetes mellitus 9. less than 6-months post thoracic or cardiac surgery 10. musculoskeletal impairment 11. cognitive disorders 12. Patients undergoing laparoscopic surgery as this induces smaller changes in the postoperative breathing mechanics than laparotomy does 13. heavy smokers or alcoholism |
Country | Name | City | State |
---|---|---|---|
Egypt | Faculty of Physical Therapy | Giza |
Lead Sponsor | Collaborator |
---|---|
Cairo University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Forced vital capacity (FVC) | FVC will be measured by using spirometer. | 8 weeks | |
Secondary | Forced expiratory volume in 1 second (FEV1) | FEV1 will be measured by using spirometer. | 8 weeks | |
Secondary | Peak expiratory flow (PEF) | PEF will be measured by using spirometer. | 8 weeks | |
Secondary | Respiratory muscle strength | The inspiratory muscle strength will be verified by means of the maximum inspiratory pressure (MIP) and the expiratory muscular strength by means of maximum expiratory pressure (MEP) by using the digital Manovacuometer. | 8 weeks | |
Secondary | diaphragmatic mobility | Diaphragmatic mobility will be assessed using a high resolution ultrasound machine with a convex probe of 3.5 MHz on the right subcostal area in perpendicular incidence to craniocaudal axis in the assessment. | 8 weeks | |
Secondary | Functional capacity | Functional capacity will be measured by using 6-Minute Walk Test (6-MWT) that measures the maximum distance walked in a period of 6 min to assess the submaximal level of the functional capacity of the participants. | 8 weeks |
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