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The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life

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Abstract

Purpose

The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life.

Methods

The patients were randomized and divided into two groups each comprising 74 patients. CP and mobilization was applied to the patients in the first group, and only mobilization was applied to the patients in the second group. The treatment of the patients was started on the first postoperative day and continued until the postoperative 4th day. CP and mobilization were applied twice a day, 8 times in total. The following parameters were evaluated: arterial blood gas, oxygen saturation, respiratory function test for pulmonary functions, pulmonary artery pressure for pulmonary hypertension, Borg dyspnea score for severity of dyspnea, 6-min walk test(6MWT) for functional capacity, Nottingham Health Profile for quality of life.

Results

The mean age of the patients was 38.00 ± 7.04 years. Compared with pretreatment and posttreatment dyspnea score, 6MWT, oxygen saturation, vital capacity, tidal volume, PEF, pulmonary arterial pressure, and quality of life were significantly higher in patients who underwent CP compared with the control group(p = 0.008, 0.004, 0.005, 0.027, 0.029, 0.028, 0.007, 0.012).There was a significant improvement in all the parameters of the patients who underwent chest physiotherapy when compared with the intragroup comparisons, whereas in the control group, only 6MWT and quality of life score showed a significant improvement in the border (p = 0.037, 0.046).

Conclusion

Postoperative CP applied to patients who had bariatric surgery showed that the patients improved their respiratory functions, regulated arterial blood gases, increased oxygen saturation, functional capacity and quality of life, and decreased dyspnea levels.

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References

  1. Wei YF, Wu HD. Candidates for bariatric surgery: morbidly obese patients with pulmonary dysfunction. J Obes. 2012;1:1–6.

    Article  Google Scholar 

  2. Rabec C, Ramos PL, Veale D. Respiratory complications of obesity. Arch Bronconeumol. 2011;47:252–61.

    Article  Google Scholar 

  3. van Huisstede A, Biter LU, Luitwieler R, et al. Pulmonary function testing and complications of laparoscopic bariatric surgery. Obes Surg. 2013;23(10):1596–603. https://doi.org/10.1007/s11695-013-0928-9.

    Article  PubMed  Google Scholar 

  4. Veloso APLR, Cusmanich KG. Evaluation of the thoracoabdominal mobility of obese subjects in pre-bariatric surgery. Arq Bras Cir Dig. 2016;29:1:39–42.

    Article  Google Scholar 

  5. Forti E, Ike D, Barbalho-Moulim M, et al. Effects of chest physiotherapy on the respiratory function of postoperative gastroplasty patients. Clinics (Sao Paulo). 2009;64(7):683–9. https://doi.org/10.1590/S1807-59322009000700013.

    Article  Google Scholar 

  6. Ries AL. Pulmonary rehabilitation: summary of an evidence-based guideline. Respir Care. 2008;53(9):1203–7.

    PubMed  Google Scholar 

  7. ATS statement. Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111–7. https://doi.org/10.1164/ajrccm.166.1.at1102.

    Article  Google Scholar 

  8. Khair RM, Nwaneri C, Damico RL, et al. The minimal important difference in Borg dyspnea score in pulmonary arterial hypertension. Ann Am Thorac Soc. 2016;13(6):842–9.

    Article  Google Scholar 

  9. Hunt SM, McKenna SP, McEwen J, et al. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A. 1981;15(3 Pt 1):221–9.

    CAS  PubMed  Google Scholar 

  10. Kücükdeveci AA, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31–8. https://doi.org/10.1097/00004356-200023010-00004.

    Article  PubMed  Google Scholar 

  11. Piskin O, Altinsoy B, Cimencan M, et al. The effect of bariatric anaesthesia on postoperative pulmonary functions. J Pak Med Assoc. 2017;67(4):561–7.

    PubMed  Google Scholar 

  12. Oliveira JJJ, Freitas ACT, Almeida AA. Postoperative effect of physicaltherapy related to functional capacity and respiratory muscle strength in patients submitted to bariatric surgery. Arq Bras Cir Dig. 2016;29(1):43–7.

    Article  Google Scholar 

  13. Guimarães C, Martins MV, Santos JM. Pulmonary function tests in obese people candidate to bariatric surgery. Rev Port Pneumol. 2012;18(3):115–9. https://doi.org/10.1016/j.rppneu.2012.01.005.

    Article  PubMed  Google Scholar 

  14. Wei YF, Tseng WK, Huang CK, et al. Surgically induced weight loss, including reduction in waist circumference, is associated with improved pulmonary function in obese patients. Surg Obes Relat Dis. 2011;7(5):599–604. https://doi.org/10.1016/j.soard.2011.04.221.

    Article  PubMed  Google Scholar 

  15. Hedenstierna G, Edmark L. The effects of anesthesia and muscle paralysis on the respiratory system. Intensive Care Med. 2005;31:1327–35. https://doi.org/10.1007/s00134-005-2761-7.

    Article  PubMed  Google Scholar 

  16. von Ungern-Sternberg BS, Regli A, Reber A, et al. Comparison of perioperative spirometric data following spinal or general anaesthesia in normal-weight and overweight gynaecological patients. Acta Anaesthesiol Scand. 2005;49:940–8. https://doi.org/10.1111/j.1399-6576.2005.00754.x.

    Article  Google Scholar 

  17. Borges-Santos E, Genz IC, Longo AF, et al. Pulmonary function, respiratory muscle strength and quality of life in patients submitted to elective thoracotomies. Rev Col Bras Cir. 2012;39:4–9. https://doi.org/10.1590/S0100-69912012000100003.

    Article  PubMed  Google Scholar 

  18. Baltieri L, Santos LA, Rasera-Junior I, et al. Use of positive pressure in pre and intraoperative of bariatric surgery and its effect on the time of extubation. Rev Bras Anestesiol. 2015;65(2):130–5.

    Article  Google Scholar 

  19. Franco AM, Torres FCC, Simin ISL, et al. Assessment of non invasive ventilation with two levels of positive airway pressure in patients after cardiac surgery. Rev Bras Cir Cardiovasc. 2011;26(4):582–90. https://doi.org/10.5935/1678-9741.20110048.

    Article  PubMed  Google Scholar 

  20. Casali CCC, Pereira APM, Martinez JAB, et al. Effects of inspiratory muscle training on muscular and pulmonary function after bariatric surgery in obese patients. Obes Surg. 2011;21:1389–94. https://doi.org/10.1007/s11695-010-0349-y.

    Article  PubMed  Google Scholar 

  21. Rocha MRS, Souza S, Costa CM, et al. Airway positive pressure vs. exercises with inspiratory loading focused on pulmonary and respiratory muscular functions in the postoperative period of bariatric surgery. Arq Bras Cir Dig. 2018;31(2):e1363. https://doi.org/10.1590/0102-672020180001e1363.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Lloréns J, Rovira L, Ballester M, et al. Preoperative inspiratory muscular training to prevent postoperative hypoxemia in morbidly obese patients undergoing laparoscopic bariatric surgery. A randomized clinical trial. Obes Surg. 2015;25:1003–9. https://doi.org/10.1007/s11695-014-1487-4.

    Article  PubMed  Google Scholar 

  23. de Souza SA, Faintuch J, Fabris SM, et al. Six-minute walk test: functional capacity of severely obese before and after bariatric surgery. Surg Obes Relat Dis. 2009;5(5):540–3. https://doi.org/10.1016/j.soard.2009.05.003.

    Article  PubMed  Google Scholar 

  24. Villiot-Danger JC, Villiot-Danger E, Borel JC, et al. Respiratory muscle endurance training in obese patients. Int J Obes. 2011;35:692–9. https://doi.org/10.1038/ijo.2010.191.

    Article  Google Scholar 

  25. Xavier MA, Ceneviva R, Terra Filho J, et al. Pulmonary function and quality of life in patients with morbid obesity six months after bariatric surgery. Acta Cir Bras. 2010;25(5):407–15. https://doi.org/10.1590/S0102-86502010000500005.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Bilgi University, Hacı Ahmet Mh. Pir Hüsamettin Sk. No:20, Beyoğlu, 34440, Istanbul, Turkey

    Tomris Duymaz

  2. Department of General Surgery, Yedikule Surp Pırgiç Ermeni Hospital, Zakirbaşı Sokak No:32, Kazlıçeşme, 34020, Istanbul, Turkey

    Onder Karabay

  3. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Beykent University, Cumhuriyet Mah. Beykent Üniversitesi Büyükçekmece, Külliyesi, Büyükçekmece, 34500, Istanbul, Turkey

    Ibrahim Halil Ural

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  1. Tomris Duymaz
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  3. Ibrahim Halil Ural
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Correspondence to Tomris Duymaz.

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Duymaz, T., Karabay, O. & Ural, I.H. The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life. OBES SURG 30, 189–194 (2020). https://doi.org/10.1007/s11695-019-04165-z

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