NCT03543904

Pre-operative and Post-operative Physiotherapy in Children With Abdominal Surgery

Effects of Pre- Operative Physiotherapy Education and Post Operative Physiotherapy in Children With Abdominal Surgery

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 21 (actual)
• Sponsor: Asir John Samuel · Academic / Other
• Sex: All
• Age: 5 Years – 17 Years
• Healthy volunteers: Not accepted

Summary

The study will be conducted in a pediatric surgery ward, department of pediatrics. Children between the ages of 5 to 17 years who underwent for abdominal surgery will be recruited by simple random sampling. Parents of all the potential participants will receive a written explanation of the trial and given written informed consent forms to be signed prior to their child being involved in the trial. Pre- op physiotherapy education is given to one experimental group and after surgery post operative treatment is given to both the experimental groups. spirometery, 6 minute walk test, 10 meter walk test, Timed up and go test and Nine star stair climbing test will be used for data collection.

Detailed description

Pre- operative education is given to the experimental group 1 only. Pre- op. physiotherapy education includes- 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

• Abdominal Surgery

Interventions

Type	Name	Description
PROCEDURE	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
PROCEDURE	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

Timeline

• Start date: 2018-08-01
• Primary completion: 2019-03-04
• Completion: 2019-03-16
• First posted: 2018-06-01
• Last updated: 2020-04-28

Locations

1 site across 1 country: India