Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

Valkenet, Karin; Trappenburg, Jaap C.A.; Hulzebos, Erik H.J.; Meeteren, N.L.U. van; Backx, Frank

doi:10.1016/j.physio.2016.02.007

Cited by 29 publications

(53 citation statements)

References 47 publications

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“…In a recent study, Gomes Neto et al 16 demonstrated preand postoperative IMT to be a beneficial intervention in the treatment of patients undergoing cardiac surgery. Studies also reported a significant increase in MEP after IMT using the Threshold device, which is consistent with the results found in this work 14 .…”

Section: ■ Discussionsupporting

confidence: 92%

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Combination of preoperative pulmonary and nutritional preparation for esophagectomy

et al. 2018

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Purpose: To compare pulmonary and nutritional parameters before and after inspiratory muscle training (IMT) and enteral feeding support in patients with esophageal disease undergoing preoperative outpatient follow-up. Methods: Thirty patients with a mean age of 55.83 years, 16 men and 14 women, were included. Pulmonary assessment consisted of the measurement of MIP, MEP, and spirometry. Anthropometric measurements and laboratory tests were performed for nutritional assessment. After preoperative evaluation, inspiratory muscle training and enteral nutrition support were started. A p<0.05 was considered statistically significant. Results: After an outpatient follow-up period of 4 weeks, a significant increase in MIP (-62.20 ± 25.78 to -81.53 ± 23.09), MEP (73.4 ± 31.95 to 90.33 ± 28.39), and FVC (94.86 ± 16.77 to 98.56 ± 17.44) was observed. Regarding the anthropometric variables, a significant increase was also observed in BMI (20.18 ± 5.04 to 20.40 ± 4.69), arm circumference (23.38 ± 3.28 to 25.08 ± 4.55), arm muscle circumference (21.48 ± 3.00 to 22.07 ± 3.36), and triceps skinfold thickness (5.62 ± 2.68 to 8.33 ± 6.59). Conclusion: Pulmonary and nutritional preparation can improve respiratory muscle strength, FVC and anthropometric parameters. However, further studies are needed to confirm the effectiveness of this preoperative preparation.

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Section: ■ Discussionsupporting

confidence: 92%

“…Preoperative IMT has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery 14 . The authors used the same load percentage for IMT as employed in the present study.…”

Section: ■ Discussionmentioning

confidence: 99%

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

et al. 2018

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“…Conversely, Valkenet et al, 2016 [19] , study showed that pre-operative inspiratory muscle training decreased incidence of pneumonia and length of hospital stay in trial group but did not find any improvements in functional capacity due to the preoperative home-based inspiratory muscle training program.…”

Section: Discussionmentioning

confidence: 94%

Efficacy of Inspiratory Muscles Training on Functional Capacity for Patients on Chemotherapy

Mohamed

Ismail

2019

The Medical Journal of Cairo University

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Background: Cancer is a major public health problem that gives an economical burden on the patient and government. The incidence of different types of cell tumors are increasing nowadays. Aim of Study: To investigate the effect of inspiratory muscles training on functional capacity for patients on chemotherapy. Material and Methods: Forty male patients on chemotherapy from at least one cycle and their mean ages 37.1 ± 4.89 years. The patients were selected from National Cancer Institute, Cairo (inpatient ward). The study lasted from March 2018 to June 2018. Patients were randomly assigned into two groups. Group A (30 patients) who received inspiratory muscles training for 4 successive weeks, 5 sessions/week; and Group B (10 patients) acted as a control group on chemotherapy only. Data obtained from both groups regarding forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC ratio and 2min walk test were statistically analyzed and compared. Results: After 4 weeks of management for both groups the results showed that in FVC in the study group a significant increase by 33.44% while in control group, a significant decrease by 37.3%. FVE1 increased by 34.52% in the study group while it decreased by 34.09% in the control group. However, it was shown that no significant difference in the FEV 1/FVC ratio. Also results related to 2min walk test distance showed increase by 17.29% in group A while decrease by 15.48% in group B. Conclusion: It can be concluded that inspiratory muscles training can be adjunctive to the rehabilitation program for patients on chemotherapy aiming for enhancing their functional capacity.

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“…Patients undergoing cardiac surgery may have postoperative functional impairment significantly compromising their recovery capacity and level of autonomy and generally leading to pulmonary dysfunction and to reduced tolerance to exercise related to sternotomy, to cardiopulmonary bypass and reduced physical activity [13,14]. The benefits of post-surgical rehabilitation have been well documented; however, less is known about the role that a preoperative rehabilitation protocol may have on the postoperative outcome of patients undergoing cardiac surgery [15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

The benefit of a preoperative respiratory protocol and musculoskeletal exercise in patients undergoing cardiac surgery

Nardi

Pisano

Altieri

et al. 2020

kitp

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Introduction: Loss of physical activity and pulmonary dysfunction with its associated complications represent two of the most important causes of morbidity and mortality following cardiac surgery. Aim: To evaluate whether a physiotherapy program based on respiratory training with or without musculoskeletal mobilization, started preoperatively, may provide a significant improvement in pulmonary and musculoskeletal recovery postoperatively in a sufficiently large sample of patients undergoing elective cardiac surgery. Material and methods: One-hundred and two patients with similar baseline and preoperative characteristics were assigned to a preoperative respiratory physiotherapy protocol (group R, n = 34), a preoperative respiratory and motor physiotherapy protocol (group R + M, n = 34), or no preoperative specific physiotherapy protocol but only a simplified perioperative standard physiotherapy protocol (control group, C, n = 34). Data on 6-minute walking test, peak expiratory flow, and from blood gas analysis were retrospectively analyzed. Results: As compared with group C, a statistically significant improvement was observed in the two preoperatively treated groups in terms of 1) better pre-(+0.7-0.8 Lt/min, p < 0.05) and postoperative (+1 Lt/min, p < 0.01) peak expiratory flow values; 2) longer pre-(+50-100 m, p < 0.01) and postoperative (+65-170 m, p < 0.01) distance traveled in the 6-minute walking test; 3) better PaO 2 , SaO 2 , pH value in postoperative blood gas measurements (p < 0.05, for all comparisons); 4) reduction of postoperative length of in-hospital stay (p < 0.05). Conclusions: A benefit of combined respiratory and motor physiotherapy protocols can be expected in the groups of patients preoperatively treated, especially with the respiratory one, either before or after cardiac surgery with a faster recovery of physical-functional activities.

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Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

Cited by 29 publications

References 47 publications

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

Efficacy of Inspiratory Muscles Training on Functional Capacity for Patients on Chemotherapy

The benefit of a preoperative respiratory protocol and musculoskeletal exercise in patients undergoing cardiac surgery

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