Original Research Article
Year: 2022 | Month: July | Volume: 12 | Issue: 7 | Pages: 271-278
DOI: https://doi.org/10.52403/ijhsr.20220738
Short Term Effects of Combination of ACBT, Chest Mobility Exercises and Tens on Chest Expansion, PEFR and Pain Perception Postabdominal Surgeries: RCT
Kapuria Nishi1, Sorani Dinesh2, Parmar Jayesh3
1Consultant Physiotherapist at Dr K N Mashru Hospital, Jamnagar, Gujarat, India.
2I/C Principal, Government Physiotherapy College, Jamnagar, Gujarat, India.
3Principal, Shri KK Sheth Physiotherapy College, Rajkot, Gujarat, India.
Corresponding Author: Kapuria Nishi
ABSTRACT
Background and objectives: Abdominal surgery involves a surgical repair, resection or reconstruction of organs inside the abdominal cavity. Postoperative pulmonary complications are common after abdominal surgeries. Pulmonary function tests, such as FVC, FEV1 and peak expiratory flow rate, are all reduced significantly after surgery, especially if the patient has pain. This purpose of the study is to determine the short term effects of combination of ACBT, Chest mobility exercises and TENS on pulmonary variables and pain on patients who had recent abdominal surgery.
Methods: The study was conducted on 40 stable patients who underwent major abdominal surgery of age above 25 years and were selected as per inclusion and exclusion criteria. They were randomly divided into experimental group1 (n=20) and control group2 (n=20). Group1 received combination of ACBT, chest mobility exercises and TENS while Group2 received breathing exercises and sham current, for 5 consecutive days. Pre and post differences in chest expansion, PEFR, and NPRS were assessed.
Results: Analysis of pre and post values of group 1 was done using Wilcoxon signed rank test which showed significant difference (P value < 0.05) for chest expansion, PEFR and NPRS. Between group analysis was done using Mann Whitney U test which showed significant difference (P value < 0.05) for all the three outcome variables.
Conclusion: It can be concluded from the present study that the combination of ACBT, Chest mobility exercises and TENS is effective in improving chest expansion, PEFR and reducing pain significantly in a short period.
Key words: Abdominal surgery, Postoperative pulmonary complications, ACBT, chest mobility exercises, TENS, Chest expansion, PEFR and NPRS. .