Efficacy Of Breath Stacking Technique On Pulmonary Function On Patients With Upper Abdominal Surgeries

Document Type : Original Article

Authors

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

2 Physical therapy department for Surgery, Faculty of Physical Therapy, Cairo University

3 Department for General Surgery, Faculty of Medicine, Cairo University, Egypt

10.21608/iptccu.2024.457013

Abstract

Background: Pulmonary complications are the second most common complications after upper abdominal surgery and contribute significantly to morbidity, mortality, hospitalization and costs. Breath stacking is a method of breathing that induces increased alveolar ventilation by pulmonary expansion and enhance pulmonary function Purpose: To determine the therapeutic effect of breath stacking technique on pulmonary ventilation after upper abdominal surgeries. Subjects and Methods: Forty-two subjects (16 males, 26 females) recruited from El Hussein University Hospital who received upper abdominal operations as (exploratory laparotomy, hepatectomy, open cholecystectomy, splenectomy, stomach cancer removal), participated in this randomized controlled trial the evaluation took place on the second postoperative day. The subjects were randomly allocated in two groups equal in numbers: Study group (A) (n=21) who received traditional chest physiotherapy in addition to breath stacking, while control group (B) (n=21) received only traditional chest physiotherapy-two times a day for the first two days following surgery, then once daily from day three until day ten.  In this trial, forced vital capacity, forced expiratory volume and peak expiratory flow rate were measured using computerized spirometry (Medisoft Micro 5000 Hand-held, attached to PC via USB) measured before and after ten days. Results: There was a statistically significant effect (p < 0.01) in treatment in both groups. Conclusion: Breath stacking has a positive effect on pulmonary function in subjects with upper abdominal surgery.

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