Effects of Pre- Operative Physiotherapy Education and Post Operative Physiotherapy in Children With Abdominal Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Abdominal Surgery
- Sponsor
- Asir John Samuel
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Change in FVC (Liters) (spirometric measurements)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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
Investigators
Asir John Samuel
Associate Professor and Research Scholar
Maharishi Markendeswar University (Deemed to be University)
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •Children who requires organ transplants
- •With mental retardation
- •With physical disability
Outcomes
Primary Outcomes
Change in FVC (Liters) (spirometric measurements)
Time Frame: 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 Outcomes
- Timed up and go test(3 times (recorded pre operative and post operative on day1 and 5))
- 10 meter walk test(3 times (recorded pre operative and post operative on day1 and 5))
- 6 minute walk test(2 times (recorded pre operative and post operative on day 5))
- Nine stair climbing test(2 times (recorded pre operative and post operative on day 5))