Effect of Early Mobilization and Routine Chest Physiotherapy on Ventilatory Functions in Open Heart Surgery Patients
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- Category: Vol. 88, March 2020
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Effect of Early Mobilization and Routine Chest Physiotherapy on Ventilatory Functions in Open Heart Surgery Patients, ALAA A.A. HEGAZY, AKRAM A. SAYED, LOTFY M. AISSA and MINA A.G. ELIAS
Abstract
Background: Open heart surgery induces a sharp post-operative decrease in respiratory function, a decrease which can lead to the development of post-operative pulmonary complications which remain the most significant cause of morbidity following open heart surgery. Aim of Study: The purpose of this study was to determine the efficacy of early mobilization on ventilatory functions in individuals undergoing open heart surgery. Subjects and Methods: Forty patients of both sexes (31 men and 9 women) who underwent open heart surgery were enrolled in that study for ten days. Their ages ranged from 45-65 years. They were randomly assigned into two groups, twenty in each group. Group I (intervention group) received early mobilization and routine chest physiotherapy; and Group II (control group) received only routine chest physiotherapy. The frequency and duration of treatment was two sessions for the first two pre and post-operative day and once per day on the third and up to the tenth post-operative day. All of them underwent evaluation of ventilatory functions with measurement of Forced Vital Capacity (FVC), forced expira-tory volume in the first second (FEV1) and Peak Expiratory Flow (PEF) pre treatment and after ten days post-operatively. Results: There was no significant difference were recorded between the two groups in the pre-treatment measured variables FVC, FEV1 and PEF (p>0.05), while there was a significant difference when comparing pre and post-treatment mean values of all measured variables FVC, FEV 1 and PEF in each group (p<0.01). When comparing post mean values between both groups, the results revealed a significant improvement in favor to Group I (p<0.01). Conclusions: Early mobilization is effective in improving ventilatory functions after open heart surgery.