Respiratory muscle strength is not decreased in patients undergoing cardiac surgery

Urell, Charlotte; Emtner, Margareta; Hedenström, Hans; Westerdahl, Elisabeth

doi:10.1186/s13019-016-0433-z

Cited by 28 publications

(26 citation statements)

References 31 publications

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“…The results of this study coincided with the results achieved by Charlotte et al, [17] who concluded that respiratory muscle strength was not impaired, either before or two months after cardiac surgery. The reason for post-operative lung function alteration is not yet known.…”

Section: Discussionsupporting

confidence: 91%

The Impact of Myofascial Release on Vital Capacity and Diaphragmatic Excursion in Postsurgical Pleural Effusion

Obaya¹,

El-Batanoni

2018

The Medical Journal of Cairo University

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Background: Accumulation of fluid in pleural space may affect on function of respiratory muscles primarily because of increase of chest wall volume. Force-length relationship of respiratory muscles indicate that for a given neural activation, the pressure developed by muscles decrease with decreasing length. An increase of chest wall volume decrease length of respiratory muscles mainly diaphragm and increase of expiratory muscles length. It follows that with pleural effusion, all else being the same for a given, neural activation, pressure developed by the inspiratory and expiratory muscles should decrease and increase, respectively. So, the aim of the study to maintain flexibility of the diaphragm and intercostal muscles in order to get the optimum action of theses muscles, increase chest expansion, improve the respiratory function of these patients. Aim of Study:To evaluate the effect of of myofascial release for diaphragm and intercostal muscles on vital capacity and diaphragmatic excursion in post surgical pleural effusion.Subject and Methods: Forty subjects (male only) were randomly assigned into two groups equal in number. (Study group A): Consisted of 20 patients was enrolled in the myofascial release protocol in addition to traditional physical therapy program for pleural effusion. (Study group B): Consisted of 20 patients was enrolled in the traditional physical therapy program for pleural effusion only. Their vital capacity and diaphragmatic excursion were measured before and after 8 weeks of training program for both groups. The myofascial release protocol performed a 1-hour session 3 times a week for 8 weeks.Results: Group (A) myofascial release group, showed a statistical significant improvement in vital capacity and diaphragmatic excursion, that was 13.49%, more than the improvement in group (B) traditional physical therapy group, that was 8.68%. Conclusions:The myofascial release for diaphragm and intercostal muscles is effective on vital capacity and diaphragmatic excursion in post surgical pleural effusion.

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Section: Discussionsupporting

confidence: 91%

The Impact of Myofascial Release on Vital Capacity and Diaphragmatic Excursion in Postsurgical Pleural Effusion

Obaya¹,

El-Batanoni

2018

The Medical Journal of Cairo University

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“…Corroborating in part the results of the current study, Roncada et al (23) concluded that after coronary artery bypass grafting surgery, there was a major reduction in pulmonary function, which the author attributed to changes in circulatory factors that affect the synthesis of muscle proteins. In contrast, Urell et al (9) observed that RMS was not reduced at two months after cardiac surgery. However, the authors did not evaluate patients in the immediate postoperative period; this may be particularly relevant because pain would have needed to be considered.…”

Section: Discussionmentioning

confidence: 88%

“…Corroborating our study, Urell et al showed that RMS was not impaired, neither before nor two months after cardiac surgery. (9)…”

Section: Discussionmentioning

confidence: 99%

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Comparisons and correlations of pain intensity and respiratory and peripheral muscle strength in the pre- and postoperative periods of cardiac surgery

Menezes¹,

Bassi²,

Cavalcanti³

et al. 2018

Revista Brasileira De Terapia Intensiva

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ObjectiveTo evaluate respiratory and peripheral muscle strength after cardiac surgery. Additionally, we compared the changes in these variables on the third and sixth postoperative days.MethodsForty-six patients were recruited, including 17 women and 29 men, with a mean age of 60.50 years (SD = 9.20). Myocardial revascularization surgery was performed in 36 patients, replacement of the aortic valve in 5 patients, and replacement of the mitral valve in 5 patients.ResultsA significant reduction in respiratory and peripheral muscle strength and a significant increase in pain intensity were observed on the third and sixth postoperative days (p < 0.05), except for the variable maximal inspiratory pressure; on the sixth postoperative day, maximal inspiratory pressure values were already similar to the preoperative and predicted values (p > 0.05). There was an association between peripheral muscle strength, specifically between maximal expiratory pressure preoperatively (rs = 0.383; p = 0.009), on the third postoperative day (rs = 0.468; p = 0.001) and on the sixth postoperative day (rs = 0.311; p = 0.037). The effect sizes were consistently moderate-to-large for respiratory muscle strength, the Medical Research Council scale and the visual analog scale, in particular between preoperative assessment and the sixth postoperative day.ConclusionThere is a decrease in respiratory and peripheral muscle strength after cardiac surgery. In addition, maximal expiratory pressure is the variable that is most associated with peripheral muscle strength. These variables, especially respiratory and peripheral muscle strength, should be considered by professionals working in the intensive care setting.

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“…Concerning the relation between respiratory muscle strength and lung function, it should be noted that the study of Urell C. et al determined that respiratory muscle strength is restored and does not reduce two months after CS, unlike lung function. Therefore, the researchers emphasize that interventions aimed at restoring optimal postoperative lung function should focus on other interventions rather than respiratory muscle strength training (Urell et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

Al-Hawamdeh

Лазарєва

Vitomskyi

2020

jhse

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Objective: To investigate the effect of using Tri-Ball breathing exerciser on the results of the pulmonary function test in the patients undergoing cardiac surgery. Design: prospective randomized controlled trial. Setting: hospitalized care. Participants: 66 patients of both sexes were randomly divided into control group (CG) and training group (TG). Interventions: Both groups received standardized physical therapy (early mobilization; therapeutic exercises; chest wall vibrations; percussions; coughing; calm deep breathing without simultaneous movements of the limbs or other parts of the body to rest between therapeutic exercises and reduce respiratory and heart rates). TG patients also used Tri-Ball breathing exerciser to train inspiratory muscles. Main Outcome Measures: the results of the pulmonary function test before the surgery and on the 7 postoperative day. Results: pulmonary function had no statistical difference in CG and TG patients both before the surgery and on the 7 postoperative day. Vital capacity reduced from 103.81 ± 13.20% to 76.84 ± 14.65% in CG and from 104.18 ± 13.20% to 76.38 ± 16.18% in TG. The reduction of peak expiratory flow was less pronounced in both groups: from 96.91 ± 14.05% to 79.19 ± 18.08% in CG and from 98.77 ± 19.38% to 82.03 ± 20.75% in TG. Inspiratory indicators (forced inspiratory vital capacity, forced inspiratory volume in one second, peak inspiratory flow) also did not confirm any additional benefit of using Tri-Ball breathing exercises, despite the fact that it is aimed to train deep, strong and quick inhalation. Tiffeneau index had no statistical changes in CG (p = .257), though it showed statistical improvement in TG (p = .031). Conclusions: The study did not confirm any benefits of using Tri-Ball breathing exercises in the physical therapy program.

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Respiratory muscle strength is not decreased in patients undergoing cardiac surgery

Cited by 28 publications

References 31 publications

The Impact of Myofascial Release on Vital Capacity and Diaphragmatic Excursion in Postsurgical Pleural Effusion

The Impact of Myofascial Release on Vital Capacity and Diaphragmatic Excursion in Postsurgical Pleural Effusion

Comparisons and correlations of pain intensity and respiratory and peripheral muscle strength in the pre- and postoperative periods of cardiac surgery

The efficacy of using Tri-Ball breathing exerciser in respiratory function recovery of the patients undergoing cardiac surgery

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