Noha M. Kassem, Nesreen G. El- Nahas, Azza A. Abdel Hady, Hazem A. Mohsen

Noha M. Kassem, Nesreen G. El- Nahas, Azza A. Abdel Hady, Hazem A. Mohsen – Effect of Inspiratory Muscle Trainer on Selected Pulmonary Function Testing in Patients Post Liver Transplantation. Fizjoterapia Polska 2020; 20(2); 88-93

Abstract
Purpose. This study was conducted to determine the effect of inspiratory trainer on selected pulmonary function testing specially (DLCO) in patients post liver transplantation. Subjects. Thirty-three patients of both sexes (10 women and 23 men) with age ranged from 35-45 years post liver transplantation surgery participated in this study, received inspiratory muscle training by IMT plus traditional physical therapy program which include deep breathing exercise in form of diaphragmatic, apical and costal breathing, training about right way of cough and early ambulation from bed twice daily for 4 weeks. Blood gases were measured (pH, PaO2, PaCO2, HCO3 , DLCO/ HCO3, Blood lactate and Base excess) at the beginning of the study and after 4 weeks. Results. The results of the present study showed that inspiratory muscle trainer has a significant effect on some parameters of the measured blood gases post liver transplantation, showed in significant decrease of HCO3 by 18.27%, lactate level by 26.14% and increased DLCO by 6.5%. While the other parameters showed non-significant results appeared in a percentage of change of PaO2 by 3.5%, PaCO2 by 4.52%, pH by 0.14% and Bx by 11.32%, after training. Conclusion. Inspiratory muscle training is an effective modality added to traditional physical therapy methods post liver transplantation, as an attempt to modulate the diffusion capacity, which considered an important transfer factor for this important operation.

Key words:
Liver transplantation, Blood gases, Diffusion capacity, inspiratory trainer

 

Pobierz/Download/下載/Cкачиваете

Besplatno preuzmi članak na engleskom jeziku