Are maximal inspiratory breathing exercises or incentive spirometry better than early mobilization after cardiopulmonary bypass?

Abstract:

:Forty-nine adults who had undergone cardiopulmonary bypass surgery were randomly assigned to one of three exercise programs to determine if either maximal inspiratory breathing exercises or incentive spirometry offered a therapeutic advantage over early mobilization alone. After extubation, the patients started their assigned exercise programs. A physical examination and pulmonary function tests were performed preoperatively, at the start of the exercise program, and 24 and 48 hours after the start of the program. The results showed a significant decrease (approximately 50%) in lung volumes but no airflow obstruction in patients who had coronary artery bypass graft. In those patients who had valve replacement, lung volumes fell, and in addition, mild airflow obstruction occurred. A majority of patients had postoperative pulmonary complications. There were no significant differences among the exercise programs in improving lung volumes and airflow or in preventing postoperative complications. We conclude that maximal inspiratory breathing exercises or incentive spirometry, when used in addition to early mobilization, offers no therapeutic advantage over early mobilization alone after cardiopulmonary bypass surgery.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Dull JL,Dull WL

doi

10.1093/ptj/63.5.655

subject

Has Abstract

pub_date

1983-05-01 00:00:00

pages

655-9

issue

5

eissn

0031-9023

issn

1538-6724

journal_volume

63

pub_type

临床试验,杂志文章,随机对照试验
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