Respiratory Tract Diseases Clinical Trial
Official title:
Influence of Different Physical Therapy Resources Application After Abdominal Surgery
The aim of this study will be to investigate the effects of using physical therapy resources
in the postoperative morbidly obese individuals undergoing gastroplasty.
It is believed that the application of these various features of physiotherapy after
abdominal surgery may contribute differently in restoring lung function and prevention of
pulmonary complications and can thus identify the resources that can contribute more
effectively in post-operative bariatric surgery.
Status | Completed |
Enrollment | 140 |
Est. completion date | December 2013 |
Est. primary completion date | December 2013 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 25 Years to 55 Years |
Eligibility |
Inclusion Criteria: - BMI between 40 and 55 Kg/m² - Aged between 25 and 55 years - Submitted to Roux-en-Y type gastric by-pass by laparotomy - Normal preoperative pulmonary function test Exclusion Criteria: - Hemodynamic instability - Hospital stay longer than three days - Presence of postoperative complications - Smoking |
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Brazil | Universidade Metodista de Piracicaba (UNIMEP) | Piracicaba | São Paulo |
Lead Sponsor | Collaborator |
---|---|
Universidade Metodista de Piracicaba | Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. |
Brazil,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pulmonary function | Spirometry was carried out according to the guidelines of the American Thoracic Society (ATS) and European Respiratory Society (ERS) (2005). Three types of maneuver were used in order to evaluate the lung volumes and flows: Slow Vital Capacity (SVC), Forced Vital Capacity (FVC) and Maximum Voluntary Ventilation (MVV). The maneuvers were carried out until three acceptable and reproducible curves were obtained, not exceeding more than eight attempts. The values extracted from each maneuver were selected according to Pereira (2002), and the predicted values calculated using the equation proposed by Pereira et al. (1992) for Brazilians. | 2 days after surgery | No |
Secondary | Prevalence of atelectasis | The radiological report on the inspiration radiography, issued by the hospital radiologist, was used to analyze the presence of atelectasis. | 2 days after surgery | No |
Secondary | Thoracoabdominal mobility | The measurement of thoracoabdominal mobility was performed by using a tape scaled in centimeters. In the standing position, the measurements were made at levels axillary, xiphoid and abdominal during rest, and at maximal inspiration and maximal expiration. At each level, the measurements were performed three times. It computed the highest value of inspiration and the lowest of expiration. The absolute difference between these values was considered the thoracoabdominal mobility. | 2 days after surgery | No |
Secondary | Peak cough flow | The peak flow measured during a cough maneuver will be measured by the equipment Peak Flow ®. For this, the volunteer will be instructed to place the mouthpiece between the lips of the equipment and play a cough with nostrils occluded nose clip. The maneuver should be repeated three times and the best preoperative measures will be compared to the best postoperative measurement. | 2 days after surgery | No |
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