Abstract:
Introduction: Although the methods used in thoracic surgery have been developing rapidly over the last five decades,
postoperative pulmonary complications are seen in this field more than in other surgical branches. We aimed at comparing
the acute effects of incentive spirometry (IS) and breathing retraining exercises by a respiratory physiotherapist or
experienced physiotherapist.
Methods: Patients were randomized into two groups as spirometry and physiotherapist. Combined respiratory exercises
were implemented through IS inspirometry group and by a physiotherapist in physiotherapist group. Blood gas, respiratory
function tests, survey results of the Burford pain thermometer, discharge days, and cost analyses of both groups were
examined just before the beginning of physiotherapy and on the 3rd day of therapy.
Results: There were no statistical difference in first and last values of pH and PCO2
and also there were no difference between
groups (P > 0.05). Forced expiratory volume one second (FEV1
) values are statistically increased compared to basal levels in
both groups and mean difference in FEV1
values was statistically increased in physiotherapist group compared to spirometry
group (P < 0.001). Forced vital capacity (FVC), PO2
and SaO2 values are statistically increased compared to basal levels in
both groups but mean difference in FVC values was not statistically different between groups (P > 0.05). Cost analysis was
not statistically different, mean hospitalization day and mean pain score were statistically decreased in physiotherapist group.
Conclusions: Based on the outcome of this study, respiratory physiotherapy methods carried out by a respiratory
physiotherapist are more effective in acute cardiothoracic conditions after thoracotomy compared to IS by patients.
