Chest Physiotherapy After Bariatric Aurgery - A Comparison Between Incentive Spirometry and Expiratory Positive Airway Pressure (Epap)

NCT00678678 | Completed

• 1 other identifier: 01/07
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To compare the effects of the EPAP and the incentive spirometry flow-oriented in the pulmonary function after bariatric surgery. Method: Twenty-eight women, non-smokers, with no lung disease and BMI of 35-49,99 kg/m2, undergoing bariatric surgery by laparoscopy, were studied. Before surgery the patients were divided in two groups: Spirometer Group (SG) (n=13) and EPAP Group (EG) (n=15). Pulmonary function was evaluated by spirometry, thoracoabdominal (cirtometry) and diaphragmatic motion, on the preoperative and on the second postoperative day. Physiotherapy started on the day of surgery, each modality (incentive spirometry or EPAP) performed lasting 15 minutes. The deambulation and active exercises of upper and lower limbs were standardized for groups.

Conditions

Obesity

Keywords

Physiotherapy; Breathing exercises; Bariatric Surgery; Laparoscopy

Outcome Measures

Primary Outcomes (1)

• spirometry, thoracoabdominal (cirtometry) and diaphragmatic motion

  preoperative and second postoperative day

Secondary Outcomes (1)

• Hospital stay and postoperative pulmonary complications

Study Arms (2)

I - Spirometer

ACTIVE COMPARATOR

Device: Incentive Spirometry - RESPIRON

II - Kit Epap®

ACTIVE COMPARATOR

Device with Spring load by mask,produced by Brazil (critical med)

Device: Kit Epap®:

Interventions

Incentive Spirometry - RESPIRON DEVICE

Device that stimulates the deep breathing, flow-oriented

I - Spirometer

Kit Epap®: DEVICE

Device that providing constant positive pressure during expiration, given by spring load (cmH2O), using a face mask as an interface

Also known as: EPAP - End positive airway pressure, Spring Load by mask

II - Kit Epap®

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Obese with body mass index between: 35 e 50 kg/m2
• Non-smokers
• No lung disease

You may not qualify if:

• Unable to perform the evaluation tests
• Not signed the consentment term

Sponsors & Collaborators

• Universidade Metodista de Piracicaba: lead

Study Sites (1)

Meridional Hospital

Cariacica, Espírito Santo, 29101-000, Brazil

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 29, 2008
• First Posted: May 15, 2008
• Last Updated: May 15, 2008

Record last verified: 2008-04

Locations

BR (1)