Effect of Pre-operative physiotherapy education and Post-operative physiotherapy in children with abdominal surgery
Description
Aim: The aim of the study is to determine the effects of preoperative physiotherapy education (POPE) in preserving lung function in children undergoing open abdominal surgery Design: The study was an open label, Non randomized controlled trial of two group pretest- posttest design Study Setting: The study was performed in a pediatric surgery ward, Department of pediatric surgery, tertiary care teaching hospital Participants: 21 Children with open abdominal surgery were recruited into the study Methods: After obtaining ethical approval, children were divided into two groups by open label method. Preoperative physiotherapy education is given to the POPE group only. After surgery, Postoperative physiotherapy (POP) was given to both the groups for five days. Follow-up measurements was taken on baseline and on postoperative POD5, Spirometry (FVC, FEV1, FEV1/FVC, PEFR), TUGT, 10mWT, Chest expansion, 6MWT, 9SCT and chest expansion were used as outcome measure. Results: Independent t-test and Mann whitney u test was used to compare the outcome measures between the groups. Repeated Measure ANOVA, Wilcoxon sign test and paired t-test was used among the groups. Improvement in all the outcome measures accepts 9SCT in POPE group when compared to POPE. While, Statistical significance is noted in the chest expansion at T2 and T4 level and 9SCT. This might be attributed due to small sample size. Conclusion: Preoperative physiotherapy education along with postoperative physiotherapy might helps in improving pulmonary function and functional capacity after open abdominal surgery