The Effect of Chest Physiotherapy After Bariatric Surgery
NCT ID: NCT03758898
Last Updated: 2019-05-23
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
148 participants
INTERVENTIONAL
2018-05-05
2019-04-15
Brief Summary
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Detailed Description
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Chest physiotherapy consisted of postural drainage (30-45 degree eleve), breathing exercises (deep breathing, diaphragm breathing, active breathing techniques cycle) and coughing techniques (huffing, controlled coughing, manual assisted coughing). In the chest physiotherapy program, diaphragmatic respiration, constrictive lip respiration, segmental respiration, incentive spirometry and coughing were performed on the 1st postoperative day. All respiratory exercises were repeated twice a day and percussion was added on the 2nd postoperative day. All respiratory exercises and percussion were repeated 2 times a day until the discharge of the post op day 4 until discharge, and the work with incentive spirometry was removed per hour. Patients were mobilized as early as possible by the physiotherapist. The patients in both groups were instructed to sit out of bed and stand up on the first postoperative day, walk 45 m in the corridor on the second day, walk freely (approximately 150-300 m) on the third and the fourth days.
All operations were laparoscopic, sleeve gastrectomy or Roux-en Y gastric bypass (21). Routine anesthesia was performed with desflurane and remifentanil. In all procedures, patients were treated with the split upward position (French position) and a semi-reclining position (anti-Trendelenburg position). All patients received prophylaxis against deep vein thrombosis for 2 weeks with pneumatic compression stocking and subcutaneous low molecular weight heparin. Perioperative antibiotics (cefazolin 2 g) were also routinely administered. The patients were discharged on the fourth postoperative day.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Treatment
Chest physiotherapy and mobilisation were applied on the patients for 4 days. The treatment of the patients was started on the first postoperative day and continued until the postoperative 4th day.
Treatment
Chest physiotherapy and mobilization were applied twice a day, 8 times in total.
Group 2
Only mobilization was applied twice a day, 8 times in total.
Group 2
only mobilisation was applied to the patients in the second group
Treatment
Chest physiotherapy and mobilization were applied twice a day, 8 times in total.
Group 2
Only mobilization was applied twice a day, 8 times in total.
Interventions
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Treatment
Chest physiotherapy and mobilization were applied twice a day, 8 times in total.
Group 2
Only mobilization was applied twice a day, 8 times in total.
Eligibility Criteria
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Inclusion Criteria
* aged between 30 and 50 years
Exclusion Criteria
* presence of chronic respiratory disease
* renal / hepatic dysfunction
* malignant hyperthermia
* regular alcohol
* smoking and drug use
* pregnancy.
30 Years
50 Years
ALL
No
Sponsors
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Istanbul Bilgi University
OTHER
Responsible Party
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TOMRIS DUYMAZ
Asst. Prof. Ph.D.
Principal Investigators
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Tomri̇s Duymaz
Role: PRINCIPAL_INVESTIGATOR
Istanbul Bilgi University
Locations
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Tomri̇s Duymaz
Istanbul, , Turkey (Türkiye)
Countries
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Other Identifiers
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IBU11.2018
Identifier Type: -
Identifier Source: org_study_id
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