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Minimally Invasive Surgery
Volume 2016, Article ID 1967532, 12 pages
http://dx.doi.org/10.1155/2016/1967532
Clinical Study

Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial

1Department of Physiotherapy, Kasturba Medical College, Manipal University, Bejai, Mangalore 575004, India
2Department of Surgery, Kasturba Medical College, Manipal University, Mangalore 575004, India
3Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Mangalore 575004, India
4Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore 575004, India

Received 5 October 2015; Revised 21 April 2016; Accepted 8 May 2016

Academic Editor: Casey M. Calkins

Copyright © 2016 Gopala Krishna Alaparthi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Fagevik Olsén, K. Josefson, and H. Lönroth, “Chest physiotherapy does not improve the outcome in laparoscopic fundoplication and vertical-banded gastroplasty,” Surgical Endoscopy, vol. 13, no. 3, pp. 260–263, 1999. View at Publisher · View at Google Scholar · View at Scopus
  2. L. Denehy and L. Browing, “Abdominal surgery: the evidence for physiotherapy intervention,” in Recent Advances in Physiotherapy, C. Partridge, Ed., pp. 43–73, John Wiley & Sons, 1st edition, 2007. View at Google Scholar
  3. R. W. M. Wahba, F. Béïque, and S. J. Kleiman, “Cardiopulmonary function and laparoscopic cholecystectomy,” Canadian Journal of Anaesthesia, vol. 42, no. 1, pp. 51–63, 1995. View at Publisher · View at Google Scholar · View at Scopus
  4. M. M. Guimarães, R. El Dib, A. F. Smith, and D. Matos, “Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery,” Cochrane Database of Systematic Reviews, vol. 8, no. 2, Article ID CD006058, 2009. View at Google Scholar · View at Scopus
  5. C. R. F. Carvalho, D. M. Paisani, and A. C. Lunardi, “Incentive spirometry in major surgeries: a systematic review,” Brazilian Journal of Physical Therapy, vol. 15, no. 5, pp. 343–350, 2011. View at Publisher · View at Google Scholar · View at Scopus
  6. P. do Nascimento Junior, N. S. P. Módolo, S. Andrade, M. M. F. Guimarães, L. G. Braz, and R. El Dib, “Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery,” The Cochrane Database of Systematic Reviews, vol. 2, Article ID CD006058, 2014. View at Google Scholar · View at Scopus
  7. S. M. Ravimohan, L. Kaman, R. Jindal, R. Singh, and S. K. Jindal, “Postoperative pulmonary function in laparoscopic versus open cholecystectomy: a prospective, comparative study,” Indian Journal of Gastroenterology, vol. 24, no. 1, pp. 6–8, 2005. View at Google Scholar · View at Scopus
  8. R. C. Frazee, J. W. Roberts, G. C. Okeson et al., “Open versus laparoscopic cholecystectomy. A comparison of postoperative pulmonary function,” Annals of Surgery, vol. 213, no. 6, pp. 651–654, 1991. View at Publisher · View at Google Scholar · View at Scopus
  9. P. R. Schauer, J. Luna, A. A. Ghiatas et al., “Pulmonary function after laparoscopic cholecystectomy,” Surgery, vol. 114, no. 2, pp. 389–399, 1993. View at Google Scholar · View at Scopus
  10. G. Putensen-Himmer, C. Putensen, H. Lammer, W. Lingnau, F. Aigner, and H. Benzer, “Comparison of postoperative respiratory function after laparoscopy or open laparotomy for cholecystectomy,” Anesthesiology, vol. 77, no. 4, pp. 675–680, 1992. View at Publisher · View at Google Scholar · View at Scopus
  11. S. Hasukić, D. Mesić, E. Dizdarević, D. Keser, S. Hadziselimović, and M. Bazardzanović, “Pulmonary function after laparoscopic and open cholecystectomy,” Surgical Endoscopy, vol. 16, no. 1, pp. 163–165, 2002. View at Publisher · View at Google Scholar
  12. Y. Osman, A. Fusun, A. Serpil et al., “The comparison of pulmonary functions in open versus laparoscopic cholecystectomy,” Journal of the Pakistan Medical Association, vol. 59, no. 4, pp. 201–204, 2009. View at Google Scholar · View at Scopus
  13. G. Simonneau, A. Vivien, R. Sartene et al., “Diaphragm dysfunction induced by upper abdominal surgery. Role of postoperative pain,” American Review of Respiratory Disease, vol. 128, no. 5, pp. 899–903, 1983. View at Google Scholar · View at Scopus
  14. T. A. M. Chuter, C. Weissman, D. M. Mathews, and P. M. Starker, “Diaphragmatic breathing maneuvers and movement of the diaphragm after cholecystectomy,” Chest, vol. 97, no. 5, pp. 1110–1114, 1990. View at Publisher · View at Google Scholar · View at Scopus
  15. P. Pasquina, M. R. Tramèr, J.-M. Granier, and B. Walder, “Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review,” Chest, vol. 130, no. 6, pp. 1887–1899, 2006. View at Publisher · View at Google Scholar · View at Scopus
  16. H. Nancy and J. S. Tecklin, “Respiratory treatment,” in Cardiopulmonary Physical Therapy; A Guide to Practice, S. Irwin and J. S. Tecklin, Eds., pp. 356–374, Mosby, 1995. View at Google Scholar
  17. S. T. Grams, L. M. Ono, M. A. Noronha, C. I. S. Schivinski, and E. Paulin, “Breathing exercises in upper abdominal surgery: a systematic review and meta-analysis,” Brazilian Journal of Physical Therapy, vol. 16, no. 5, pp. 345–353, 2012. View at Publisher · View at Google Scholar · View at Scopus
  18. P. Agostini and S. Singh, “Incentive spirometry following thoracic surgery: what should we be doing?” Physiotherapy, vol. 95, no. 2, pp. 76–82, 2009. View at Publisher · View at Google Scholar · View at Scopus
  19. R. D. Restrepo, R. Wettstein, L. Wittnebel, and M. Tracy, “AARC Clinical Practice Guidelines. Incentive spirometry: 2011,” Respiratory Care, vol. 56, no. 10, pp. 1600–1604, 2011. View at Publisher · View at Google Scholar
  20. R. H. Dean and D. B. Richard, “Devices for chest physiotherapy, incentive spirometry and intermittent positive-pressure breathing,” in Respiratory Care Equipment, D. B. Richard, R. H. Dean, and L. C. Robert, Eds., pp. 245–263, J. B. Lippincott, Philadelphia, Pa, USA, 1995. View at Google Scholar
  21. D. D. M. Paisani, A. C. Lunardi, C. C. B. M. da Silva, D. Cano Porras, C. Tanaka, and C. R. Fernandes Carvalho, “Volume rather than flow incentive spirometry is effective in improving chest wall expansion and abdominal displacement using optoelectronic plethysmography,” Respiratory Care, vol. 58, no. 8, pp. 1360–1366, 2013. View at Publisher · View at Google Scholar · View at Scopus
  22. A. C. Gastaldi, C. M. B. Magalhães, M. A. Baraúna, E. M. C. Silva, and H. C. D. Souza, “Benefits of postoperative respiratory kinesiotherapy following laparoscopic cholecystectomy,” Revista Brasileira de Fisioterapia, vol. 12, no. 2, pp. 100–106, 2008. View at Google Scholar · View at Scopus
  23. A. A. El-Marakby, A. Darwiesh, E. Anwar, A. Mostafa, and A. Jad, “Aerobic exercise training and incentive spirometry can control postoperative pulmonary complications after laparoscopic cholecystectomy,” Middle East Journal of Scientific Research, vol. 13, no. 4, pp. 459–463, 2013. View at Publisher · View at Google Scholar · View at Scopus
  24. P. Kundra, M. Vitheeswaran, M. Nagappa, and S. Sistla, “Effect of preoperative and postoperative incentive spirometry on lung functions after laparoscopic cholecystectomy,” Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, vol. 20, no. 3, pp. 170–172, 2010. View at Publisher · View at Google Scholar · View at Scopus
  25. D. Cattano, A. Altamirano, A. Vannucci, V. Melnikov, C. Cone, and C. A. Hagberg, “Preoperative use of incentive spirometry does not affect postoperative lung function in bariatric surgery,” Translational Research, vol. 156, no. 5, pp. 265–272, 2010. View at Publisher · View at Google Scholar · View at Scopus
  26. J. Ayoub, R. Cohendy, J. Prioux et al., “Diaphragm movement before and after cholecystectomy: a sonographic study,” Anesthesia and Analgesia, vol. 92, no. 3, pp. 755–761, 2001. View at Publisher · View at Google Scholar · View at Scopus
  27. A. Boussuges, Y. Gole, and P. Blanc, “Diaphragmatic motion studied by M-mode ultrasonography: methods, reproducibility, and normal values,” Chest, vol. 135, no. 2, pp. 391–400, 2009. View at Publisher · View at Google Scholar · View at Scopus
  28. Y. R. Silva, S. K. Li, and M. J. F. X. Rickard, “Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery? Cluster randomised controlled trial,” Physiotherapy (United Kingdom), vol. 99, no. 3, pp. 187–193, 2013. View at Publisher · View at Google Scholar · View at Scopus
  29. M. R. Miller, J. Hankinson, V. Brusasco et al., “Standardisation of spirometry,” European Respiratory Journal, vol. 26, no. 2, pp. 319–338, 2005. View at Publisher · View at Google Scholar · View at Scopus
  30. G. K. Alaparthi, A. J. Augustine, R. Anand, and A. Mahale, “Chest physiotherapy during immediate postoperative period among patients undergoing laparoscopic surgery-a Randomized Controlled Pilot Trail,” International Journal of Biomedical and Advance Research, vol. 4, no. 2, pp. 118–122, 2013. View at Google Scholar
  31. G. K. Alaparthi, A. J. Augustine, R. Anand, and A. Mahale, “Comparison of flow and volume oriented incentive spirometry on lung function and diaphragm movement after laparoscopic abdominal surgery: a randomized clinical pilot trial,” International Journal of Physiotherapy, vol. 1, no. 5, pp. 274–278, 2013. View at Google Scholar
  32. A. J. Karayiannakis, G. G. Makri, A. Mantzioka, D. Karousos, and G. Karatzas, “Postoperative pulmonary function after laparoscopic and open cholecystectomy,” British Journal of Anaesthesia, vol. 77, no. 4, pp. 448–452, 1996. View at Google Scholar · View at Scopus
  33. G. C. Ramos, E. Pereira, S. Gabriel Neto, and E. C. de Oliveira, “Pulmonary function after laparoscopic cholecystectomy and abbreviated anesthetic-surgical time,” Revista do Colegio Brasileiro de Cirurgioes, vol. 36, no. 4, pp. 307–311, 2009. View at Google Scholar · View at Scopus
  34. S. Bhat, A. Katoch, L. Kalsotra, and R. K. Chrungoo, “A prospective comparative trial of post-operative pulmonary function: laparascopic versus open cholecystectomy,” JK Science, vol. 9, no. 2, pp. 83–86, 2007. View at Google Scholar · View at Scopus
  35. J. Ali, R. D. Weisel, A. B. Layug, B. J. Kripke, and H. B. Hechtman, “Consequences of postoperative alterations in respiratory mechanics,” The American Journal of Surgery, vol. 128, no. 3, pp. 376–382, 1974. View at Publisher · View at Google Scholar · View at Scopus
  36. R. W. M. Wahba, “Perioperative functional residual capacity,” Canadian Journal of Anaesthesia, vol. 38, no. 3, pp. 384–400, 1991. View at Publisher · View at Google Scholar · View at Scopus
  37. G. Gamsu, M. M. Singer, H. H. Vincent, S. Berry, and J. A. Nadel, “Postoperative impairment of mucous transport in the lung,” American Review of Respiratory Disease, vol. 114, no. 4, pp. 673–679, 1976. View at Google Scholar · View at Scopus
  38. J. Joris, A. Kaba, and M. Lamy, “Postoperative spirometry after laparoscopy for lower abdominal or upper abdominal surgical procedures,” British Journal of Anaesthesia, vol. 79, no. 4, pp. 422–426, 1997. View at Publisher · View at Google Scholar · View at Scopus
  39. G. T. Ford, W. A. Whitelaw, T. W. Rosenal, P. J. Cruse, and C. A. Guenter, “Diaphragm function after upper abdominal surgery in humans,” American Review of Respiratory Disease, vol. 127, no. 4, pp. 431–436, 1983. View at Publisher · View at Google Scholar · View at Scopus
  40. F. Erice, G. S. Fox, Y. M. Salib, E. Romano, J. L. Meakins, and S. A. Magder, “Diaphragmatic function before and after laparoscopic cholecystectomy,” Anesthesiology, vol. 79, no. 5, pp. 966–975, 1993. View at Publisher · View at Google Scholar · View at Scopus
  41. A. C. Lunardi, D. D. M. Paisani, C. Tanaka, and C. R. F. Carvalho, “Impact of laparoscopic surgery on thoracoabdominal mechanics and inspiratory muscular activity,” Respiratory Physiology & Neurobiology, vol. 186, no. 1, pp. 40–44, 2013. View at Publisher · View at Google Scholar · View at Scopus
  42. A. H. Tahir, R. B. George, H. Weill, and J. Adriani, “Effects of abdominal surgery upon diaphragmatic function and regional ventilation,” International Surgery, vol. 58, no. 5, pp. 337–340, 1973. View at Google Scholar · View at Scopus
  43. B. A. Weber and J. Prayar, “Physiotherapy skills: techniques and adjuncts,” in Physiotherapy for Respiratory and Cardiac Problems, B. A. Webber and J. Prayar, Eds., pp. 113–171, Churchill Levingstone, Edinburgh, UK, 1993. View at Google Scholar
  44. H. A. Menkes and J. Britt, “Rationale for physical therapy,” American Review of Respiratory Disease, vol. 122, no. 5, pp. 127–131, 1980. View at Publisher · View at Google Scholar · View at Scopus
  45. F. Blaney and T. Sawyer, “Sonographic measurement of diaphragmatic motion after upper abdominal surgery: a comparison of three breathing manoeuvres,” Physiotherapy Theory and Practice, vol. 13, no. 3, pp. 207–215, 1997. View at Google Scholar · View at Scopus
  46. R. M. Manzano, C. R. F. De Carvalho, B. M. Saraiva-Romanholo, and J. E. Vieira, “Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: Randomized clinical trial,” Sao Paulo Medical Journal, vol. 126, no. 5, pp. 269–273, 2008. View at Publisher · View at Google Scholar · View at Scopus
  47. M. Minschaert, J. L. Vincent, A. M. Ros, and R. J. Kahn, “Influence of incentive spirometry on pulmonary volumes after laparotomy,” Acta Anaesthesiologica Belgica, vol. 33, no. 3, pp. 203–209, 1982. View at Google Scholar · View at Scopus