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Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries

Received: 14 February 2016    Accepted: 15 February 2016    Published: 23 March 2016
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Abstract

Background: A major decline in pulmonary function is observed on the first day after upper abdominal surgery. This decline can reduce vital and inspiratory capacity and can culminate in restrictive lung diseases that cause atelectasis, reduced diaphragm movement, and respiratory insufficiency. The aim was to compare the effect of Acapella device and breathing exercises with traditional chest physiotherapy program on forced expiratory volume/ forced vital capacity ratio after upper abdominal surgeries. Subjects and methods: Thirty 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 forced expiratory volume/ forced vital capacity ratio (FEV1/ FVC ratio) using electronic spirometer. Results: Post treatment results showed that there was a significant difference in FEV1/ FVC ratio in both groups in favor of the study group. Percentage of improvement of FEV1/ FVC ratio in the study group was 10.17%, while it was 2.96% in the control group. Conclusion: Acapella device and breathing exercises were more effective in improvement of FEV1/FVC % than traditional chest physical therapy after upper abdominal surgeries.

Published in Journal of Surgery (Volume 4, Issue 3-1)

This article belongs to the Special Issue Surgical Infections and Sepsis

DOI 10.11648/j.js.s.2016040301.14
Page(s) 21-24
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), 2024. Published by Science Publishing Group

Keywords

Acapella Device, Breathing Exercises, Forced Expiratory Volume/Forced Vital Capacity Ratio, Spirometer, Upper Abdominal Surgeries

References
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[2] Barker A. Medical progress bronchiectasis. N Engl J Med; 2002. 346: 1383–1393.
[3] Dean R and Robert M. Indications and initial settings for mechanical ventilation. Essentials of Mechanical ventilation. New York: McGraw- Hill; 2003. (2): 115-120.
[4] Veezhinathan M and Ramakrishnan S. Detection of obstructive respiratory abnormality using flow-volume spirometry and radial basis function neural networks. J Med Syst; 2007. 31: 461-465.
[5] Lapin C. Airway physiology, autogenic drainage and active cycle of breathing. Respiratory Care; 2002.47 (7): 778-785.
[6] Alves Silva C, Santos J, Jansen J and De Melo P. Laboratory evaluation of the Acapella device: Pressure characteristics under different conditions and a software tool to optimize its practical use. Respir Care.; 2009, 54 (11): 1480-1487.
[7] Volsko T, Difiore J and Chatburn R. Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus flutter. Respir Care; 2003. 48: 124-130.
[8] Augustine A, AlaparthiG, Anand R and Mahale A. Chest physiotherapy during immediate postoperative period among patients undergoing laparoscopic surgery - a randomized controlled pilot trail. International Journal of Biomedical and Advance Research; 2013, 4(2): 118-122.
[9] Dos Santos A, Guimarães R, Carvalho M and Gastaldi A. Mechanical Behaviors of Flutter VRP1, Shaker, and Acapella Devices. Respiratory care; 2013, 58(2): 298-304.
[10] Mohamed A, Taha M and Bahey El-Deen H. Effects of positive expiratory pressure breathing on functional outcomes in patients with chronic obstructive pulmonary disease after major abdominal surgeries: randomized controlled trial. International Journal of Advanced Research; 2014, (2)7: 784-801.
[11] Abu-Rayan M, Afifi M, Othman M, El-Ganady A and Mikhael B. Evaluation of the single and combined roles of oscillating positive expiratory pressure device and conventional multimodality chest physiotherapy in mechanically ventilated COPD. Alexandria Journal of medicine; 2009, 45 (2): 354-364.
[12] Wolkove N, Kamel H, Rotaple M and Baltzan M. Use of a mucus clearance device enhances the bronchodilator response in patients with stable COPD. Chest; 2002, (121): 702-707.
[13] Nicolini A, CardiniF, Landucci N, Lanata S, Ferrari-Bravo M and Barlascini C. Effectiveness of treatment with highfrequency chest wall oscillation in patients with bronchiectasis. Pulmonary Medicine; 2013, 13 (21): 2-8.
[14] Lamari N, Martins A, Oliveira J, Marino L and Valerio N. Bronchiectasis and clearence physiotherapy: emphasis in postural drainage and percussion. Braz J Cardiovasc Surg; 2006, 21(2), 206-210.
[15] Patterson J, Bradley J, Hewitt O, Bradbury I, and Elborn J. Airway clearance in bronchiectasis: A randomized crossover trial of active cycle of breathing techniques versus Acapella. Respiration; 2005, 72: 239–242.
[16] Murray M, Pentland J and Hill A. A randomized crossover trial of chest physiotherapy in non-cystic fibrosis bronchiectasis. European Respiratory Journal; 2009, 34(5): 1086-1092.
[17] Pryor J, Tannenbaum E, Scott S, Burgess J, Cramer D, Gyi K and Hodson M. Beyond postural drainage and percussion: Airway clearance in people with cystic fibrosis. Journal of Cystic Fibrosis; 2010, 9 (3), 187-192.
Cite This Article
  • APA Style

    Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. (2016). Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries. Journal of Surgery, 4(3-1), 21-24. https://doi.org/10.11648/j.js.s.2016040301.14

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    ACS Style

    Nesma M. Allam; Mohammed M. Khalaf; Wael N. Thabet; Zizi M. Ibrahim. Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries. J. Surg. 2016, 4(3-1), 21-24. doi: 10.11648/j.js.s.2016040301.14

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    AMA Style

    Nesma M. Allam, Mohammed M. Khalaf, Wael N. Thabet, Zizi M. Ibrahim. Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries. J Surg. 2016;4(3-1):21-24. doi: 10.11648/j.js.s.2016040301.14

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  • @article{10.11648/j.js.s.2016040301.14,
      author = {Nesma M. Allam and Mohammed M. Khalaf and Wael N. Thabet and Zizi M. Ibrahim},
      title = {Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries},
      journal = {Journal of Surgery},
      volume = {4},
      number = {3-1},
      pages = {21-24},
      doi = {10.11648/j.js.s.2016040301.14},
      url = {https://doi.org/10.11648/j.js.s.2016040301.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040301.14},
      abstract = {Background: A major decline in pulmonary function is observed on the first day after upper abdominal surgery. This decline can reduce vital and inspiratory capacity and can culminate in restrictive lung diseases that cause atelectasis, reduced diaphragm movement, and respiratory insufficiency. The aim was to compare the effect of Acapella device and breathing exercises with traditional chest physiotherapy program on forced expiratory volume/ forced vital capacity ratio after upper abdominal surgeries. Subjects and methods: Thirty 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 forced expiratory volume/ forced vital capacity ratio (FEV1/ FVC ratio) using electronic spirometer. Results: Post treatment results showed that there was a significant difference in FEV1/ FVC ratio in both groups in favor of the study group. Percentage of improvement of FEV1/ FVC ratio in the study group was 10.17%, while it was 2.96% in the control group. Conclusion: Acapella device and breathing exercises were more effective in improvement of FEV1/FVC % than traditional chest physical therapy after upper abdominal surgeries.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Response of Forced Expiratory Volume/Forced Vital Capacity Ratio to Acapella Device and Breathing Exercises After Upper Abdominal Surgeries
    AU  - Nesma M. Allam
    AU  - Mohammed M. Khalaf
    AU  - Wael N. Thabet
    AU  - Zizi M. Ibrahim
    Y1  - 2016/03/23
    PY  - 2016
    N1  - https://doi.org/10.11648/j.js.s.2016040301.14
    DO  - 10.11648/j.js.s.2016040301.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 21
    EP  - 24
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2016040301.14
    AB  - Background: A major decline in pulmonary function is observed on the first day after upper abdominal surgery. This decline can reduce vital and inspiratory capacity and can culminate in restrictive lung diseases that cause atelectasis, reduced diaphragm movement, and respiratory insufficiency. The aim was to compare the effect of Acapella device and breathing exercises with traditional chest physiotherapy program on forced expiratory volume/ forced vital capacity ratio after upper abdominal surgeries. Subjects and methods: Thirty 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 forced expiratory volume/ forced vital capacity ratio (FEV1/ FVC ratio) using electronic spirometer. Results: Post treatment results showed that there was a significant difference in FEV1/ FVC ratio in both groups in favor of the study group. Percentage of improvement of FEV1/ FVC ratio in the study group was 10.17%, while it was 2.96% in the control group. Conclusion: Acapella device and breathing exercises were more effective in improvement of FEV1/FVC % than traditional chest physical therapy after upper abdominal surgeries.
    VL  - 4
    IS  - 3-1
    ER  - 

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Author Information
  • Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

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

  • Department of general surgery, Faculty of Medicine, Cairo University, Cairo, Egypt

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

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