Evaluation of Performance-based Functional Outcome Measures After Open Abdominal Surgery

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2024-07-30

Brief Summary

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A laparotomy is a surgical technique, the increasing rate of this surgical interventions and the subsequent need to evaluate the post-surgical recovery and rehabilitation process comprehensively. This study aims to provide essential insights into the reliability, validity, and responsiveness of such tests, enabling healthcare professionals to make informed decisions about patient recovery progress and the optimization of rehabilitation protocols.

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Detailed Description

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The significance of this research lies in its potential to enhance the quality of care and patient outcomes, reduce healthcare costs, and contribute to evidence-based decision-making in postsurgical rehabilitation, ultimately improving the overall well-being of surgical patients. This study is to evaluate the clinimetric properties of four distinct tools designed for assessing performance-based functional outcomes following open abdominal surgery. 6 Minute Walk Test (6MWT), 5 Times Sit to Stand test (5T STS), 2 minute Walk test (2MWT), and Timed Up and GO (TUG)will be assessed to determine any changes in their functionality and overall well-being on day 2 and on day of discharge.

Conditions

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Laparotomy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Functionality Assessment

Each participant will be provided with an informed consent form detailing the purpose of the study. After obtaining written consent, baseline data will be collected, including demographic information, medical history, and any pre-existing conditions. The participants will then undergo the post-laparotomy interventions as described. Throughout the intervention period, data will be collected using the tools mentioned: 6 minute Walk Test, 5 Times Sit to Stand test, 2 Minute walk Test, and Timed Up and GO to determine any changes in their functionality and overall well-being on post operative day 1 and before discharge. For reliability, tests will be conducted twice a day with a minimum gap of 2 hours, both on day 1 and on the day of discharge.

Group Type OTHER

Standardised Physiotherapy Plan

Intervention Type OTHER

Single session of coached deep breathing and coughing exercises. 10 supervised slow flow deep breaths to total lung capacity with a 3-5 second end inspiratory hold completed with 2 end inspiratory sniffs. 2-3 supported coughs or huffs. Repeated for another set. Patients instructed to perform independently hourly. Assisted ambulation according to the following protocol:

* Stage 1 of 2 minutes.
* Stage 2 of 0-1 minute.
* Stage 3 of 1 - 3 minutes.
* Stage 4 of 3 - 6 minutes.
* Stage 5 of 6 - 10 minutes.
* Stage 6 of 10 - 15 minutes.
* Stage 7 \> 15 minutes. Total session time is the accumulative work time.

Interventions

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Standardised Physiotherapy Plan

Single session of coached deep breathing and coughing exercises. 10 supervised slow flow deep breaths to total lung capacity with a 3-5 second end inspiratory hold completed with 2 end inspiratory sniffs. 2-3 supported coughs or huffs. Repeated for another set. Patients instructed to perform independently hourly. Assisted ambulation according to the following protocol:

* Stage 1 of 2 minutes.
* Stage 2 of 0-1 minute.
* Stage 3 of 1 - 3 minutes.
* Stage 4 of 3 - 6 minutes.
* Stage 5 of 6 - 10 minutes.
* Stage 6 of 10 - 15 minutes.
* Stage 7 \> 15 minutes. Total session time is the accumulative work time.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Post-laparotomy patients
* Hemodynamically stable
* Age between 30 to 60 years
* Ambulatory patients
* Patients score 1

Exclusion Criteria

* Incidence of adverse events through hemodynamic and medication data.
* Diagnosed cognitive dysfunction.
* Diagnosed neurologic or musculoskeletal disease (excluding osteoarthritis) adversely affecting gait or weight-bearing.
* History of Orthostatic intolerance.
* History of recent fractures, blunt trauma emergency laparotomy, carcinoma.

Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No