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January 1, 1990Physiotherapy Theory and Practice

A comparison of breathing exercises, incentive spirometry and mobilisation after coronary artery surgery

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Key result

Adding breathing exercises or incentive spirometry to early mobilisation and huffing/coughing instruction did not significantly improve lung function or prevent chest infection after CABG.

Why the study?

Does the addition of breathing exercises or incentive spirometry to early mobilisation improve lung function or prevent chest infection in male patients undergoing CABG?

Population

131 male patients undergoing coronary artery bypass grafting

Comparison

Breathing exercises or incentive spirometry… vs Early mobilisation and instruction in huffing…

Design

RCT, Randomly allocated to receive one of the three treatments

Follow-up

5 post-operative days

Authors

SJSusan JenkinsSSS A SoutarJLJulia M. Loukota

Discussion

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Member takes

Overview

Early mobilisation with huffing/coughing suffices after CABG; confirms no added benefit from breathing exercises or incentive spirometry.

Study Design

Type

RCT (n=131)

Randomization

Randomly allocated

Structured PICO

Does the addition of breathing exercises or incentive spirometry to early mobilisation improve lung function or prevent chest infection in male patients undergoing CABG?

P
Population
131 male patients undergoing coronary artery bypass grafting, evaluated for lung function and chest infection over 5 post-operative days.
I
Intervention
Breathing exercises or incentive spirometry added to early mobilisation (sitting in a chair and walking on the second post-operative day) and instruction in huffing and coughing
C
Comparator
Early mobilisation and instruction in huffing and coughing alone
O
Outcome
Restoration of lung function (functional residual capacity, vital capacity, blood gas tensions) and prevention of chest infectionsurrogate

The addition of breathing exercises or incentive spirometry to early mobilization and coughing instructions does not provide additional benefit for restoring lung function or preventing chest infection after CABG.

Cite This Study

Jenkins et al. (1990) conducted an RCT in Coronary artery bypass grafting (n=131). Breathing exercises or incentive spirometry added to early mobilisation and huffing/coughing vs. Early mobilisation and huffing/coughing alone was evaluated on Restoration of lung function to pre-operative values and prevention of chest infection. Adding breathing exercises or incentive spirometry to early mobilisation and huffing/coughing instruction did not significantly improve lung function or prevent chest infection after CABG.

synapsesocial.com/papers/6a9c66de5a5fa79ae810f9cahttps://doi.org/10.3109/09593989009037789
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Physiotherapy after coronary artery surgery: are breathing exercises necessary?1989 · 125 citations
  2. 2The Effect of Incentive Spirometer Verses Conventional Chest Physiotherapy on Pulmonary Complications in Coronary Artery Bypass Grafting Patients.2022
  3. 3The Effect of Method of Administering Incentive Spirometry on Postoperative Pulmonary Complications in Coronary Artery Bypass Patients1988
  4. 4Effect of preoperative respiratory rehabilitation on post operative outcomes in coronary artery bypass graft patients: a randomized clinical trail2024
  5. 5The Effect of Breathing Exercises on Respiratory Condition After Coronary Artery Bypass Surgery2023 · 5 citations