Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/12112 |
Resumo: | The aim of this study was to compare the effect of expiratory positive airway pressure (EPAP) and flow-oriented incentive spirometry on pulmonary function after laparoscopic Roux-en-Y gastric bypass surgery. Twenty-eight non-smoking women, with no lung disease and body mass index of 35 to 50 kg/m², undergoing laparoscopic gastric bypass surgery (hospitalized for two days) were assessed by spirometry, thoracoabdominal cirtometry and as to diaphragmatic motion prior to, and on the second post-operative day. Before surgery patients were divided into two groups, SG - spirometer group (n=13), and EG - EPAP group (n=15). Motor physical therapy was standardized for both groups; respiratory therapy (both modalities) started on the day of surgery, in 15-minute sessions. Post-operative results showed similar reduction, in both groups, in the values of vital capacity, forced vital capacity, maximum voluntary ventilation, and inspiratory reserve volume. No changes were found in tidal volume values in SG, neither in expiratory reserve volume in EG. Diaphragmatic and thoracoabdominal motion were less harmed in SG. After bariatric surgery thus incentive spirometry had better effect in maintaining tidal volume, as well as on diaphragmatic and thoracoabdominal motion; while EPAP proved more efficient in re-establishing expiratory reserve volume in the postoperative period. |
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Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery Comparação entre inspirometria de incentivo e pressão positiva expiratória na função pulmonar após cirurgia bariátrica Cirurgia bariátricaExercícios respiratóriosFisioterapia (Especialidade)ObesidadeBariatric surgeryBreathing exercisesObesityPhysical therapy (Specialty) The aim of this study was to compare the effect of expiratory positive airway pressure (EPAP) and flow-oriented incentive spirometry on pulmonary function after laparoscopic Roux-en-Y gastric bypass surgery. Twenty-eight non-smoking women, with no lung disease and body mass index of 35 to 50 kg/m², undergoing laparoscopic gastric bypass surgery (hospitalized for two days) were assessed by spirometry, thoracoabdominal cirtometry and as to diaphragmatic motion prior to, and on the second post-operative day. Before surgery patients were divided into two groups, SG - spirometer group (n=13), and EG - EPAP group (n=15). Motor physical therapy was standardized for both groups; respiratory therapy (both modalities) started on the day of surgery, in 15-minute sessions. Post-operative results showed similar reduction, in both groups, in the values of vital capacity, forced vital capacity, maximum voluntary ventilation, and inspiratory reserve volume. No changes were found in tidal volume values in SG, neither in expiratory reserve volume in EG. Diaphragmatic and thoracoabdominal motion were less harmed in SG. After bariatric surgery thus incentive spirometry had better effect in maintaining tidal volume, as well as on diaphragmatic and thoracoabdominal motion; while EPAP proved more efficient in re-establishing expiratory reserve volume in the postoperative period. O objetivo deste estudo foi comparar o efeito da pressão positiva expiratória (EPAP, na sigla em inglês) e da inspirometria de incentivo a fluxo sobre a função pulmonar após o bypass gástrico em Y de Roux por videolaparoscopia. Participaram 28 mulheres, não-tabagistas e não-pneumopatas, com índice de massa corporal entre 35 e 50 kg/m², submetidas à cirurgia bariátrica. Todas foram avaliadas por espirometria, cirtometria toracoabdominal e quanto à mobilidade diafragmática no pré e segundo dia de pós-operatório (o tempo de internação foi de 2 dias). Foram divididas em dois grupos, GI - grupo inspirômetro (n=13) e GE, grupo EPAP (n=15). A fisioterapia foi iniciada no dia da cirurgia, cada técnica, inspirometria ou EPAP, com duração de 15 minutos; a fisioterapia motora foi padronizada para ambos os grupos. No pós-operatório, houve redução similar nos dois grupos das variáveis: capacidade vital, volume de reserva inspiratório, capacidade vital forçada e ventilação voluntária máxima. Não houve alteração nos valores do volume corrente no GI e volume de reserva expiratório no GE. A mobilidade diafragmática e a mobilidade toracoabdominal foram menos prejudicadas no GI. No pós-operatório da cirurgia bariátrica por videolaparoscopia, a inspirometria de incentivo a fluxo exerceu melhores efeitos na manutenção do volume corente, na mobilidade diafragmática e toracoabdominal, enquanto a EPAP foi mais eficaz no restabelecimento do volume de reserva expiratório. Universidade de São Paulo. Faculdade de Medicina2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/1211210.1590/S1809-29502009000200013Fisioterapia e Pesquisa; Vol. 16 No. 2 (2009); 166-172 Fisioterapia e Pesquisa; Vol. 16 Núm. 2 (2009); 166-172 Fisioterapia e Pesquisa; v. 16 n. 2 (2009); 166-172 2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/12112/13889Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessBarbalho-Moulim, Marcela C.Miguel, Gustavo Peixoto SoaresForti, Eli Maria PazzianottoCosta, Dirceu2012-05-13T15:58:01Zoai:revistas.usp.br:article/12112Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-05-13T15:58:01Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery Comparação entre inspirometria de incentivo e pressão positiva expiratória na função pulmonar após cirurgia bariátrica |
title |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
spellingShingle |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery Barbalho-Moulim, Marcela C. Cirurgia bariátrica Exercícios respiratórios Fisioterapia (Especialidade) Obesidade Bariatric surgery Breathing exercises Obesity Physical therapy (Specialty) |
title_short |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
title_full |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
title_fullStr |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
title_full_unstemmed |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
title_sort |
Comparison between incentive spirometry and expiratory positive airway pressure on pulmonary function after bariatric surgery |
author |
Barbalho-Moulim, Marcela C. |
author_facet |
Barbalho-Moulim, Marcela C. Miguel, Gustavo Peixoto Soares Forti, Eli Maria Pazzianotto Costa, Dirceu |
author_role |
author |
author2 |
Miguel, Gustavo Peixoto Soares Forti, Eli Maria Pazzianotto Costa, Dirceu |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Barbalho-Moulim, Marcela C. Miguel, Gustavo Peixoto Soares Forti, Eli Maria Pazzianotto Costa, Dirceu |
dc.subject.por.fl_str_mv |
Cirurgia bariátrica Exercícios respiratórios Fisioterapia (Especialidade) Obesidade Bariatric surgery Breathing exercises Obesity Physical therapy (Specialty) |
topic |
Cirurgia bariátrica Exercícios respiratórios Fisioterapia (Especialidade) Obesidade Bariatric surgery Breathing exercises Obesity Physical therapy (Specialty) |
description |
The aim of this study was to compare the effect of expiratory positive airway pressure (EPAP) and flow-oriented incentive spirometry on pulmonary function after laparoscopic Roux-en-Y gastric bypass surgery. Twenty-eight non-smoking women, with no lung disease and body mass index of 35 to 50 kg/m², undergoing laparoscopic gastric bypass surgery (hospitalized for two days) were assessed by spirometry, thoracoabdominal cirtometry and as to diaphragmatic motion prior to, and on the second post-operative day. Before surgery patients were divided into two groups, SG - spirometer group (n=13), and EG - EPAP group (n=15). Motor physical therapy was standardized for both groups; respiratory therapy (both modalities) started on the day of surgery, in 15-minute sessions. Post-operative results showed similar reduction, in both groups, in the values of vital capacity, forced vital capacity, maximum voluntary ventilation, and inspiratory reserve volume. No changes were found in tidal volume values in SG, neither in expiratory reserve volume in EG. Diaphragmatic and thoracoabdominal motion were less harmed in SG. After bariatric surgery thus incentive spirometry had better effect in maintaining tidal volume, as well as on diaphragmatic and thoracoabdominal motion; while EPAP proved more efficient in re-establishing expiratory reserve volume in the postoperative period. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12112 10.1590/S1809-29502009000200013 |
url |
https://www.revistas.usp.br/fpusp/article/view/12112 |
identifier_str_mv |
10.1590/S1809-29502009000200013 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12112/13889 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 16 No. 2 (2009); 166-172 Fisioterapia e Pesquisa; Vol. 16 Núm. 2 (2009); 166-172 Fisioterapia e Pesquisa; v. 16 n. 2 (2009); 166-172 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713737946300416 |