Pre-operative and Post-operative Physiotherapy in Children With Abdominal Surgery
NCT ID: NCT03543904
Last Updated: 2020-04-28
Study Results
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Basic Information
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COMPLETED
NA
21 participants
INTERVENTIONAL
2018-08-01
2019-03-16
Brief Summary
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Detailed Description
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Pursed lip breathing exercises × 10 repetitions Diaphragmatic breathing exercises × 10 repetitions Leg ROM (active hip and knee flexion, extension and abduction exercises) and ankle toe movements exercises × 10 repititions
Post- op. physiotherapy will be given to both the experimental groups. it includes- On Post operative day 1
Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic breathing exercises (5 repetitions × 2 sets)
Segmental breathing exercises × 5 repetitions × 2 sets Incentive spirometer 10 breaths up to 600 cc (In three sets) per session Leg Range of motion exercises (active hip and knee flexion and extension exercises) × 5 repetitions × 2 sets Ankle and toe movements× 10 repetitions × 2 sets Ambulation program High sitting minimum of 2 min Static March for 1 min Walk for 5 min. every 2 hourly
Post operative day 2 Deep breathing exercises- Pursed lip breathing exercises × Diaphragmatic breathing exercises (5 repetitions × 2 sets) Segmental breathing exercises × 5 repetitions × 2 sets Incentive spirometer 10 breaths upto 600 cc (In three sets) per sessionThoracic expansion exercises- ACBT (Active cycles of breathing techniques)
Diaphragmatic breathing (10 rep.), deep breathing (5 sec. hold), huffing x 2 repetitions twice a day Walk for 10 min. every 2 hourly
Post operative day 3 Pursed lip breathing exercises x 10 repetitions x 2 sets Incentive spirometer 10 breaths upto 900cc (In three sets) per session Thoracic expansion exercises- ACBT Diaphragmatic breathing (5-10 rep.), deep breathing (5 sec. hold), huffing x 2 repetitions twice a day Walk for 15 min. every 2 hourly
Post operative day 4 Incentive spirometer/ 10breaths upto 900cc (In three sets) per session Walk for 20 min. every 4 hourly
Post operative day 5 Incentive spirometer / 10breaths upto 1000cc (In three sets) per session Stair climbing up to 9 steps in ascending and descending pattern for 5 minutes rest in between
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Pre-operative physiotherapy education
Pre-operative education regarding post-operative physiotherapy intervention and post-operative physiotherapy intervention in children with abdominal surgery
Pre-operative physiotherapy education
Pre-operative education regarding post-operative physiotherapy intervention in children with abdominal surgery which includes,
1. Deep breathing exercises
2. Pursed lip breathing exercises
3. Diaphragmatic breathing exercises
4. Leg ROM (active hip and knee flexion, extension and abduction exercises)
5. Ankle toe movements exercises
Post-operative physiotherapy intervention
Post-operative physiotherapy intervention which includes,
1. Deep breathing exercises
2. Pursed lip breathing exercises
3. Diaphragmatic breathing exercises
4. Leg ROM (active hip and knee flexion, extension and abduction exercises)
5. Ankle toe movements exercises
Post-OP PT without Pre-OP education
Post-operative physiotherapy intervention without pre-operative education in children with abdominal surgery
Post-operative physiotherapy intervention
Post-operative physiotherapy intervention which includes,
1. Deep breathing exercises
2. Pursed lip breathing exercises
3. Diaphragmatic breathing exercises
4. Leg ROM (active hip and knee flexion, extension and abduction exercises)
5. Ankle toe movements exercises
Interventions
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Pre-operative physiotherapy education
Pre-operative education regarding post-operative physiotherapy intervention in children with abdominal surgery which includes,
1. Deep breathing exercises
2. Pursed lip breathing exercises
3. Diaphragmatic breathing exercises
4. Leg ROM (active hip and knee flexion, extension and abduction exercises)
5. Ankle toe movements exercises
Post-operative physiotherapy intervention
Post-operative physiotherapy intervention which includes,
1. Deep breathing exercises
2. Pursed lip breathing exercises
3. Diaphragmatic breathing exercises
4. Leg ROM (active hip and knee flexion, extension and abduction exercises)
5. Ankle toe movements exercises
Eligibility Criteria
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Inclusion Criteria
* Between ages of 5 to 17 years
* Who follows and obeys the commands
* Children who is willing to participate in the study
Exclusion Criteria
* With mental retardation
* With physical disability
5 Years
17 Years
ALL
No
Sponsors
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Asir John Samuel
OTHER
Responsible Party
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Asir John Samuel
Associate Professor and Research Scholar
Principal Investigators
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Neha Sharma, BPT, MPT
Role: PRINCIPAL_INVESTIGATOR
Maharishi Markandeshwar institute of physiotherapy and Rehabilitation, MM(DU)
Satya Sree, MS, MCh
Role: STUDY_DIRECTOR
HOD, Department of Pediatric surgery, MMIMSR, MM(DU), Mullana, Haryana
Locations
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Pediatric surgery ward, Maharishi Markandeshwar Hospital, Mullana
Ambāla, Haryana, India
Countries
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References
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Boden I, Skinner EH, Browning L, Reeve J, Anderson L, Hill C, Robertson IK, Story D, Denehy L. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ. 2018 Jan 24;360:j5916. doi: 10.1136/bmj.j5916.
Soares SM, Nucci LB, da Silva MM, Campacci TC. Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial. Clin Rehabil. 2013 Jul;27(7):616-27. doi: 10.1177/0269215512471063. Epub 2013 Feb 12.
Boden I, Browning L, Skinner EH, Reeve J, El-Ansary D, Robertson IK, Denehy L. The LIPPSMAck POP (Lung Infection Prevention Post Surgery - Major Abdominal - with Pre-Operative Physiotherapy) trial: study protocol for a multi-centre randomised controlled trial. Trials. 2015 Dec 15;16:573. doi: 10.1186/s13063-015-1090-6.
Katsura M, Kuriyama A, Takeshima T, Fukuhara S, Furukawa TA. Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database Syst Rev. 2015 Oct 5;2015(10):CD010356. doi: 10.1002/14651858.CD010356.pub2.
Study Documents
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Document Type: Pilot study
Preserving pulmonary function and functional capacity in children undergoing open abdominal surgery: A one group pretest-posttest, quasiexperimental pilot trial
View DocumentDocument Type: Individual Participant Data Set
Effect of Pre-operative physiotherapy education and Post-operative physiotherapy in children with abdominal surgery", Mendeley Data, v1 http://dx.doi.org/10.17632/skkt9tsjd3.1
View DocumentDocument Type: Clinical Study Report
A randomized clinical trial in improving pulmonary function and functional capacity in paediatric open abdominal surgery
View DocumentRelated Links
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Preserving pulmonary function and functional capacity in children undergoing open abdominal surgery: A one group pretest-posttest, quasiexperimental pilot trial
Other Identifiers
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U1111-1213-2267
Identifier Type: REGISTRY
Identifier Source: secondary_id
L-79385/2018
Identifier Type: OTHER
Identifier Source: secondary_id
MMDU/IEC/1189
Identifier Type: -
Identifier Source: org_study_id
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