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.
The aim of this study will be to investigate the effects of using physical therapy resources
in the postoperative morbidly obese individuals undergoing Roux-en-Y gastric by-pass with
regard to: lung volumes and capacities, prevalence of atelectasis, thoracoabdominal mobility
and evaluation of peak flow of cough, evaluated pre and post operative.
Individuals with BMI between 40 and 55 Kg/m², aged between 25 and 55 years, underwent the
surgical procedure Roux-en-Y type gastric by-pass by laparotomy and normal preoperative
pulmonary function will be included.
The volunteers will be divided into seven different groups, according to the treatment
received during hospitalization after surgery:
G control: subjects treated with conventional physiotherapy according to the routine service
of physiotherapy of the hospital; G Voldyne: subjects treated with incentive spirometry,
Voldyne Model 5000® (Sherwood Medical, USA); G CPAP: subjects treated with "continuous
positive airway pressure"; G EPAP: subjects treated with "expiratory positive airway
pressure"; G IPPB: subjects treated with "intermittent positive pressure breathing"; G
BIPAP: subjects treated with "bi-level positive airway pressure"; G BS: subjects treated
with "breath stacking" (siliconized mask connected to a unidirectional valve allowing only
inspiration).
The application of resources will be held twice a day in the immediate and in the first
postoperative sessions in 6 sets of 15 reps or 30 continuous minutes, with an interval of 4
hours between sessions. The researcher will remain alongside the volunteers, following them
and monitoring vital signs and respiratory comfort.
;
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment
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