Pre-operative and Post-operative Physiotherapy in Children With Abdominal Surgery
- Conditions
- Abdominal Surgery
- Interventions
- Procedure: Pre-operative physiotherapy educationProcedure: Post-operative physiotherapy intervention
- Registration Number
- NCT03543904
- Lead Sponsor
- Asir John Samuel
- Brief Summary
The study will be conducted in a pediatric surgery ward, department of pediatrics. Children between the ages of 5 to 17 years who underwent for abdominal surgery will be recruited by simple random sampling. Parents of all the potential participants will receive a written explanation of the trial and given written informed consent forms to be signed prior to their child being involved in the trial. Pre- op physiotherapy education is given to one experimental group and after surgery post operative treatment is given to both the experimental groups. spirometery, 6 minute walk test, 10 meter walk test, Timed up and go test and Nine star stair climbing test will be used for data collection.
- Detailed Description
Pre- operative education is given to the experimental group 1 only. Pre- op. physiotherapy education includes-
Pursed lip breathing exercises × 10 repetitions Diaphragmatic breathing exercises × 10 repetitions Leg ROM (active hip and knee flexion, extension and abduction exercises) and ankle toe movements exercises × 10 repititions
Post- op. physiotherapy will be given to both the experimental groups. it includes- On Post operative day 1
Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic breathing exercises (5 repetitions × 2 sets)
Segmental breathing exercises × 5 repetitions × 2 sets Incentive spirometer 10 breaths up to 600 cc (In three sets) per session Leg Range of motion exercises (active hip and knee flexion and extension exercises) × 5 repetitions × 2 sets Ankle and toe movements× 10 repetitions × 2 sets Ambulation program High sitting minimum of 2 min Static March for 1 min Walk for 5 min. every 2 hourly
Post operative day 2 Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic breathing exercises (5 repetitions × 2 sets) Segmental breathing exercises × 5 repetitions × 2 sets Incentive spirometer 10 breaths upto 600 cc (In three sets) per sessionThoracic expansion exercises- ACBT (Active cycles of breathing techniques)
Diaphragmatic breathing (10 rep.), deep breathing (5 sec. hold), huffing x 2 repetitions twice a day Walk for 10 min. every 2 hourly
Post operative day 3 Pursed lip breathing exercises x 10 repetitions x 2 sets Incentive spirometer 10 breaths upto 900cc (In three sets) per session Thoracic expansion exercises- ACBT Diaphragmatic breathing (5-10 rep.), deep breathing (5 sec. hold), huffing x 2 repetitions twice a day Walk for 15 min. every 2 hourly
Post operative day 4 Incentive spirometer/ 10breaths upto 900cc (In three sets) per session Walk for 20 min. every 4 hourly
Post operative day 5 Incentive spirometer / 10breaths upto 1000cc (In three sets) per session Stair climbing up to 9 steps in ascending and descending pattern for 5 minutes rest in between
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 21
- Children having following abdominal incision- inguinal incision, left subcostal incision, right subcostal incision, kehr incision, McBurney incision, Transverse incison, thoraco-abdominal incison, Median and paramedian incision12
- Between ages of 5 to 17 years
- Who follows and obeys the commands
- Children who is willing to participate in the study
- Children who requires organ transplants
- With mental retardation
- With physical disability
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pre-operative physiotherapy education Post-operative physiotherapy intervention Pre-operative education regarding post-operative physiotherapy intervention and post-operative physiotherapy intervention in children with abdominal surgery Pre-operative physiotherapy education Pre-operative physiotherapy education Pre-operative education regarding post-operative physiotherapy intervention and post-operative physiotherapy intervention in children with abdominal surgery Post-OP PT without Pre-OP education Post-operative physiotherapy intervention Post-operative physiotherapy intervention without pre-operative education in children with abdominal surgery
- Primary Outcome Measures
Name Time Method Change in FVC (Liters) (spirometric measurements) 3 times (recorded pre operative and post operative on day1 and 5) Functional vital capacity (FVC) is the maximum volume of air which can be exhaled or inspired during a forced maneuver
- Secondary Outcome Measures
Name Time Method Timed up and go test 3 times (recorded pre operative and post operative on day1 and 5) The child starts in a seated position. The child will be tands up upon therapist's command walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the child is seated.
10 meter walk test 3 times (recorded pre operative and post operative on day1 and 5) The 10MWT assesses walking speed in meters per second over a short duration.The child will be asked to walk a set distance (10 meters). Time will be measured during walking. The distance covered is divided by the time it took the individual to walk that distance.
6 minute walk test 2 times (recorded pre operative and post operative on day 5) the child will be asked to walk far as possible for 6 minutes. Child will be encouraged in every minute for walking. At 6 minute, child will be asked to stop. If the participant stops at any time prior record the distance at which the oxygen saturation drops \< 88%
Nine stair climbing test 2 times (recorded pre operative and post operative on day 5) It is performed for measuring functional strength and balance through ascending and descending a set number of steps. 2min. time will be given to complete the test. The patient should use the assistive device (if any) normally used to perform the activity at the time of testing.
Trial Locations
- Locations (1)
Pediatric surgery ward, Maharishi Markandeshwar Hospital, Mullana
🇮🇳Ambala, Haryana, India