Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries

Nesma M. Allam; Mohammed M. Khalaf; Wael N. Thabet; Zizi M. Ibrahim

doi:doi:10.11648/j.js.s.2016040201.13

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Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries

Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim

Published in Journal of Surgery (Volume 4, Issue 2-1)

Received: 21 October 2015 Accepted: 4 November 2015 Published: 14 December 2015

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Abstract

Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.

Published in	Journal of Surgery (Volume 4, Issue 2-1) This article belongs to the Special Issue Gastrointestinal Surgery: Recent Trends
DOI	10.11648/j.js.s.2016040201.13
Page(s)	10-14
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Acapella Device, Breathing Exercises, Pulmonary Complications, Spirometer, Upper Abdominal Surgeries

References

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APA Style

Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. (2015). Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. Journal of Surgery, 4(2-1), 10-14. https://doi.org/10.11648/j.js.s.2016040201.13

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ACS Style

Nesma M. Allam; Mohammed M. Khalaf; Wael N. Thabet; Zizi M. Ibrahim. Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. J. Surg. 2015, 4(2-1), 10-14. doi: 10.11648/j.js.s.2016040201.13

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AMA Style

Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. J Surg. 2015;4(2-1):10-14. doi: 10.11648/j.js.s.2016040201.13

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@article{10.11648/j.js.s.2016040201.13,
  author = {Nesma M. Allam and Mohammed M. Khalaf and Wael N. Thabet and Zizi M. Ibrahim},
  title = {Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2-1},
  pages = {10-14},
  doi = {10.11648/j.js.s.2016040201.13},
  url = {https://doi.org/10.11648/j.js.s.2016040201.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040201.13},
  abstract = {Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.},
 year = {2015}
}

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TY - JOUR
T1 - Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries
AU - Nesma M. Allam
AU - Mohammed M. Khalaf
AU - Wael N. Thabet
AU - Zizi M. Ibrahim
Y1 - 2015/12/14
PY - 2015
N1 - https://doi.org/10.11648/j.js.s.2016040201.13
DO - 10.11648/j.js.s.2016040201.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 10
EP - 14
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.s.2016040201.13
AB - Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.
VL - 4
IS - 2-1
ER -

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Author Information

Nesma M. Allam

Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Mohammed M. Khalaf

Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Wael N. Thabet

Department of General Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
Zizi M. Ibrahim

Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

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APA Style

Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. (2015). Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. Journal of Surgery, 4(2-1), 10-14. https://doi.org/10.11648/j.js.s.2016040201.13

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ACS Style

Nesma M. Allam; Mohammed M. Khalaf; Wael N. Thabet; Zizi M. Ibrahim. Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. J. Surg. 2015, 4(2-1), 10-14. doi: 10.11648/j.js.s.2016040201.13

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AMA Style

Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries. J Surg. 2015;4(2-1):10-14. doi: 10.11648/j.js.s.2016040201.13

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@article{10.11648/j.js.s.2016040201.13,
  author = {Nesma M. Allam and Mohammed M. Khalaf and Wael N. Thabet and Zizi M. Ibrahim},
  title = {Effect of Combination of Acapella Device and Breathing Exercises on Treatment of Pulmonary Complications After Upper Abdominal Surgeries},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2-1},
  pages = {10-14},
  doi = {10.11648/j.js.s.2016040201.13},
  url = {https://doi.org/10.11648/j.js.s.2016040201.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040201.13},
  abstract = {Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.},
 year = {2015}
}

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