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Effectiveness of Flow-Oriented Incentive Spirometry on Lung Function after Upper Abdominal Surgery

Title: Effectiveness of Flow-Oriented Incentive Spirometry on Lung Function after Upper Abdominal Surgery
Authors: Devmurari, Parthkumar; Dodiya, Nikhita; Satani, Kalpesh
Source: Journal of Society of Indian Physiotherapists ; volume 9, issue 1, page 70-72 ; ISSN 2456-7787 2582-0702
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2025
Description: A bstract Postoperative respiratory complications are common following upper abdominal surgery due to impaired respiratory mechanics and reduced lung function. This study aimed to assess the effectiveness of flow-oriented incentive spirometry (IS) combined with conventional chest physiotherapy in enhancing the pulmonary function and functional capacity after surgery. Materials and Methods: A randomized controlled trial was conducted with 56 patients who underwent upper abdominal surgery. Participants were divided into two groups: Group A received standard chest physiotherapy, while Group B received additional flow-oriented IS. Primary outcomes included forced expiratory volume in 1 s and forced expiratory volume in 6 s. Secondary outcomes included the visual analog scale for pain, chest expansion, and the 6-minute walk distance (6MWD). Assessments were conducted on postoperative day 1 (POD-1) and day 3 (POD-3). Results: Both groups showed significant improvements in all outcome measures between POD-1 and POD-3. However, Group B demonstrated a significantly greater improvement in walking capacity (6MWD) compared to Group A ( P = 0.001). No statistically significant differences were observed between groups for other measures. Conclusion: The addition of flow-oriented IS to conventional physiotherapy improves the postoperative functional capacity more effectively than physiotherapy alone, supporting its use in upper abdominal surgery rehabilitation.
Document Type: article in journal/newspaper
Language: English
DOI: 10.4103/jsip.jsip_173_24
Availability: https://doi.org/10.4103/jsip.jsip_173_24; https://journals.lww.com/10.4103/jsip.jsip_173_24
Rights: http://creativecommons.org/licenses/by-nc-sa/4.0
Accession Number: edsbas.CDB50CA1
Database: BASE