Original Research Article
Year: 2022 | Month: February | Volume: 12 | Issue: 2 | Pages: 26-36
DOI: https://doi.org/10.52403/ijhsr.20220204
Combined Effect of Active Cycle of Breathing Technique and Autogenic Drainage on PEFR and Inspiratory Capacity in Participants Following Upper Abdominal Surgery - A Randomized Controlled Clinical Trial Study
P. S. ManiArasi1, V. P. Hathila2, D. Jayaprakash3
1PhD Scholar in Parul University, Gujarat, India; and Professor in Physiotherapy, Government Physiotherapy College, Nimnaliya Road, Muvaliya, Dahod -389160, Gujarat.
2Professor and Head, Dept of Surgery, Parul institute of Medical Sciences and Research, P.O Limda, Waghodia,Vadodara-391760, Gujarat, India.
3Principal I/C and Professor in Physiotherapy, Government Physiotherapy College, Nimnaliya Road, Muvaliya, Dahod -389160, Gujarat.
Corresponding Author: P.S. ManiArasi
ABSTRACT
Background: The purpose of the study is to find the Combined effect of Active cycle of breathing technique and Autogenic drainage on PEFR and inspiratory capacity in participants following upper abdominal surgery. Post-operative pulmonary complication are common which increases the patients mortality. Changes in the respiratory system determines the risk factors of complications. These risk factors can be modified or reduced by the immediate post-operative management given to the patient at an early stage which can be aimed in improving the lung volume and clearance of secretions. Early physiotherapy is believed to reduce the pulmonary complications following major surgery. Lung function which is declined due to anaesthetic effect and the incisional pain which alters the normal ventilatory function in abdominal surgery. Therefore the study is aimed to analyse the outcomes of peak expiratory flow rate and inspiratory capacity in participants subjected to upper abdominal surgery on performing Active cycle of breathing technique and autogenic drainage in the post-operative period.
Methods: 30 subjects between the age of 30 to 60 years who have undergone urgent and elective abdominal surgery were included in the study. 15 subjects were given Active cycle of breathing technique while another 15 subjects were given both Active cycle of breathing technique and autogenic drainage. The exercises were given for a period of 6 days, and the outcome measure of PEFR and Inspiratory capacity are measured on the first day and 6th day for the comparison. Statistical analysis were done using students “t” test.
Results: The subjects who had performed only Active cycle of breathing technique for a period of 6 days shown significant improvement in both PEFR and inspiratory capacity. Similarly the subjects who performed both Active cycle of breathing technique and autogenic drainage also shown improvement on PEFR and inspiratory capacity. The PEFR on the Day 6 in Group B (338 ± 52.81) had significant difference than Group A where the PEFR was (263.33 ± 47.61). The inspiratory capacity on the Day 6 in Group B (2273.33 ± 201.66) had significant difference than Group A where the inspiratory capacity was (2106.67 ± 190.74).
Conclusion: The above study had proved that combined techniques of Active cycle of breathing technique and autogenic drainage increases the peak expiratory flow rate and inspiratory capacity, the lung function which helps to reduce the post-operative pulmonary complications in participants who have undergone upper abdominal surgery. This accepts the alternate hypothesis.
Key words: Active cycle of breathing technique, Autogenic drainage, Peak expiratory flow rate, Inspiratory capacity, Upper abdominal surgery.