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Efficacy of thoracic mobility and breathing exercises on chest expansion and pulmonary function values in post intra-cardiac repair surgery patients
Nair S, Kazi A
Journal of Pharmaceutical Sciences and Research 2019 Oct;11(10):3458-3461
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Post intra-cardiac repair (ICR) surgery patients are prone to have incision or suture site pain that will interfere with the thoracic wall mobility thereby resulting in reduced pulmonary function. Thoracic mobility and Breathing exercises along with conventional chest physiotherapy have been widely demonstrated to decrease the post (ICR) pain, to increase chest expansion and increase the pulmonary functions in phase I intra cardiac rehabilitation program. OBJECTIVE(S): To determine the efficacy of thoracic mobility and breathing exercises in chest expansion and pulmonary function values in post (ICR) surgery patients. MATERIAL(S) AND METHOD(S): Total 24 participants were discovered to be eligible as per inclusion criteria that were included in this study. Participants were randomly selected and assigned in 2 groups, group A (n = 12) received thoracic mobility and various breathing exercises along with conventional chest physiotherapy and group B (n = 12) received conventional chest physiotherapy including percussions and vibrations. Pre and post pain on NPRS, chest expansion at axillary and xphisternum level and pulmonary function values for FVC, FEV1 and FEV1/FVC were recorded. Readings obtained on 5th and 18th post-operative day was compared. RESULT(S): The results were significant for all outcome measures except FEV1/FVC, which was not significant, when the two groups were compared. CONCLUSION(S): The study concludes that thoracic mobility and breathing exercises were beneficial in reducing the postoperative pain and improving the chest expansion and pulmonary function values in post (ICR) surgery patients and the results were significant in both groups (group A and B).

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