Effects of the Breath Stacking Technique After Upper Abdominal Surgery

Universidade Federal de Santa Maria

Status: Completed

Conditions: Abdominal Surgery

Treatments: Device: Breath Stacking

Study type: Interventional

Funder types: Other

Identifiers

NCT04418700

11041019.0.0000.5346

Details and patient eligibility

About

This study evaluates the effects of the breath stacking technique in patients after upper abdominal surgery. Half of the patients receive routine physical therapy associated with the Breath Stacking technique, while the other half will receive only routine physical therapy.

Full description

This randomized controlled study aims to evaluate the effects of the Breath Stacking technique in patients undergoing upper abdominal surgery on clinical, physiological and cardiopulmonary variables. These individuals were randomized to compose the control group (CG) and the intervention group (GBS). The routine physical therapy was performed in both groups and in the GBS two daily sessions of up to 20 minutes of Breath Stacking technique were applied. To verify the effect of this intervention, before and after the protocol, patients underwent the following evaluations: algometry, cirtometry in the axillary line , umbilical line and the xiphoid process, ventilometry, spirometry and manovacuometry.

Enrollment: 32 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing a surgical procedure that involves in an incision in the upper quadrants of the abdominal region.

Exclusion criteria

• Intolerance to the use of BS mask.
• Chronic obstructive pulmonary disease (COPD), Asthma, Chron's disease.
• Liver trauma severe with hemodynamic repercussions.
• Patients undergoing esophagectomy.
• Sepsis with complications postoperative hemodynamics.
• Need for surgical reintervention.
• Forwarded to Intensive Care Unit or need for mechanical ventilation after discharge from the anesthetic recovery.
• Cognitive dysfunction that makes it impossible to understand and execute evaluations and intervention.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Breath Stacking technique

Experimental group

Description:

The intervention group will receive routine physical therapy associated with the Breath Stacking technique in 2 daily sessions of up to 20 minutes. The technique consists of an Instrument composed of a one-way valve coupled to a face mask to promote the accumulation of successive inspiratory volumes.

Treatment:

Device: Breath Stacking

Routine physical therapy

No Intervention group

Description:

The control group will receive only routine physical therapy. Routine physiotherapy consists of breathing exercises, using techniques bronchial hygiene and pulmonary reexpansion, and motor physiotherapy through exercise passive, active-assisted or active mobilization, stretching, training activities of daily living, positioning and removal of the bed and guidelines for post-discharge.