Expiratory Muscle Training Versus Incentive Spirometry After Colorectal Surgery

Not Applicable

Completed

• Conditions: Pulmonary Rehabilitation; Colorectal Cancer
• Interventions: Device: Insentive spirometry; Other: expiratory muscle training

• Registration Number: NCT05290480
• Lead Sponsor: Pamukkale University

Brief Summary

The aim of this study was to compare the effects of expiratory muscle training (EMT) and incentive spirometry (IS) in addition to conventional pulmonary rehabilitation after colorectal surgery. Twenty-four individuals (13 male) undergoing colorectal surgery were included. They were randomly divided into two groups. In addition to conventional chest physiotherapy, group 1 was performed EMT (n=12), group 2 was performed deep breathing exercises with incentive spirometry (IS) in postoperative period. Respiratory muscle strength, functional capacity, levels of movement and independence, and postoperative pulmonary complications (PPC) were evaluated. Length of stay in hospital (LOS) was recorded.

Detailed Description

The aim of this study was to compare the effects of expiratory muscle training (EMT) and incentive spirometry (IS) in addition to conventional pulmonary rehabilitation after colorectal surgery. Twenty-four individuals (13 male) undergoing colorectal surgery were included. They were randomly divided into two groups. In addition to conventional chest physiotherapy, group 1 was performed EMT (n=12), group 2 was performed deep breathing exercises with incentive spirometry (IS) in postoperative period. Respiratory muscle strength, functional capacity, levels of movement and independence, and postoperative pulmonary complications (PPC) were evaluated. Length of stay in hospital (LOS) was recorded

Study Timeline

• Study Start: 2018-01-01
• Primary Completion: 2019-02-12
• Study Completion: 2019-04-10
• Status Verified: 2022-03
• Study First Submitted: 2022-03-03
• Study First Submitted QC: 2022-03-13
• Last Update Submitted: 2022-03-13
• Study First Posted: 2022-03-22
• Last Update Posted: 2022-03-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• hemodynamically stable
• able to walk independently
• able to walk independently

Exclusion Criteria

• any contraindication for chest physiotherapy (unstable cardiovascular disease, severe pulmonary hypertension, corrected severe hypoxemia, exercise desaturation, rib fractures, subcutaneous emphysema, advanced osteoporosis, thrombocytopenia, effort dyspnea and vertigo)
• any metastases
• severe chronic cardiovascular disease
• candidates for organ transplantation
• abdominal hernia repair
• history of surgery more than one year
• orthopaedic or neurological disease that would prevent independent walking

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Insentive spirometry	Insentive spirometry	participant performed deep breathing exercise with insentive spirometry device
Expiratory muscle training	expiratory muscle training	participant performed expiratory muscle training with threshold device

Primary Outcome Measures

Name	Time	Method
Postoperative pulmonary complications	3-7 day	any pulmonary complications after colorectal surgery
6 Minutes walk test	6-10 minutes	Physical functional capacity
Respiratory muscle strength	2-3 minutes	Maximum expiratory and inspiratory muscle strength
'Patient Mobility and Observer Mobility Scale	2-3 days	Indipendence and mobility levels after surgery

Trial Locations

Locations (1)

Pamukkale University; 🇹🇷 Denizli, Pamukkale, Turkey