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Chest physiotherapy after coronary artery bypass graft surgery: a comparison of three different deep breathing techniques
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Physiotherapy, Örebro Medical Centre Hospital, Örebro, Sweden .
Department of Neuroscience, Section of Physiotherapy, University Hospital, Uppsala, Sweden .
Department of Thoracic Surgery, Örebro Medical Centre Hospital, Örebro, Sweden .
Department of Thoracic Anaesthesia and Clinical Psychology, Section of Physiotherapy, University Hospital, Uppsala, Sweden .
2001 (Engelska)Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 33, nr 2, s. 79-84Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The effectiveness of three deep breathing techniques was evaluated in 98 male patients after coronary artery bypass graft surgery in a randomized trial. The techniques examined were deep breathing with a blow bottle-device, an inspiratory resistance-positive expiratory pressure mask (IR-PEP) and performed with no mechanical device. Pulmonary function and roentgenological changes were evaluated. Four days post-operatively there were significantly decreased vital capacity, inspiratory capacity, forced expiratory volume in 1 second, functional residual capacity, total lung capacity and single-breath carbon monoxide diffusing capacity in all three groups (p < 0.0001). No major differences between the treatment groups were found, but the impairment in pulmonary function tended to be less marked using the blow bottle technique. The Blow bottle group had significantly less reduction in total lung capacity (p = 0.01) compared to the Deep breathing group, while the IR-PEP group did not significantly differ from the other two groups.

Ort, förlag, år, upplaga, sidor
2001. Vol. 33, nr 2, s. 79-84
Nyckelord [en]
Coronary artery bypass; Physical therapy; Positive-pressure respiration; Post-operative complications; Respiratory function tests; Thoracic surgery
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URN: urn:nbn:se:oru:diva-34056DOI: 10.1080/165019701750098920ISI: 000167583400005PubMedID: 11474953Scopus ID: 2-s2.0-0035046484OAI: oai:DiVA.org:oru-34056DiVA, id: diva2:702994
Tillgänglig från: 2014-03-05 Skapad: 2014-03-05 Senast uppdaterad: 2017-12-05Bibliografiskt granskad

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Westerdahl, Elisabeth

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