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Effect of Routine Physiotherapy Vs early mobilization in preventing postoperative pulmonary complications in subjects with specific risk factors: A randomized controlled Study

Arijit Kumar Das , Arijit Kumar Das , Narasimman Swaminathan , Reshma Praveen , D’souza Vanita Vincent , Aithala Sathya Moorthi

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Physiotherapy and Occupational Therapy Journal 3(3):p 119-129, July - September 2010. | DOI:

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Abstract

This study compared the efficacy of Early Mobilization with routine Physiotherapy Technique (DBE + Splinted Cough) in 18 patients who had undergone upper abdominal surgery. Subjects were randomly allocated into two groups, following which one group received early mobilization and the other group received deep breathing exercises and splinted coughing. SpO2 was documented every day from the 1st to 3rd postoperative day of surgery. Forced Expiratory values (FVC, FEV1, and PEFR), Maximum Inspiratory Pressure and 2 minute walk test were measured on the 4th post operative day. All the parameters between two groups were compared and the results show similar values between two groups except PEFR which shows better results in Group 1. This study showed that early mobilization is as effective as routine physiotherapy in subject who underwent upper abdominal surgery and had a high risk of developing lung complications.

Key words: Early Mobilisation, Chest Physiotherapy, Pulmonary Complications, Upper Abdominal Surgery, General Anesthesia.

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