Effect of Flow Versus Volume Incentive Spirometry on Chest Expansion in Coronary Artery Bypass Graft Surgery Patients: a Comparative Study
Corresponding Author(s) : Kaushaljeet Gill
kaushal.gill93@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 2 (2020): 2020 Volume 8- Issue -2
Abstract
Introduction
Cardiac Surgeries lead to cardiac and pulmonary complications due to lack of lung inflation which include respiratory dysfunction, pleural effusion, lung collapse etc. Chest expansion measurements are used to evaluate the patient’s baseline status, treatment effectiveness and progression of respiratory disease with regards to chest wall mobility and respiratory muscle function.
Aim
To evaluate the effects of flow and volume incentive spirometer on chest expansion in CABG surgery patients.
Materials and method
Fifty six sample sizes were undergone CABG surgery which was randomly divided as follows: 18 subjects performed flow oriented incentive spirometer group, and other 18 subjects performed volume oriented incentive spirometer group. All of them underwent evaluations and Data was obtained by measuring chest expansion with chest exposed and with the help of an non stretchable inch tape the chest expansion was measured at three levels that is 2nd intercostal space (Axilla level), 4th intercostal space (Nipple level), and xiphoid process.
Conclusion
The study concluded that,” Volume incentive spirometry is more effective than Flow incentive spirometry in improving chest expansion in CABG surgery patients.”
Keywords
Incentive Spirometry
CABG Surgery
Flow Incentive Spirometry
Chest Expansion
Volume Incentive Spirometry
1.
Kaushaljeet Gill. Effect of Flow Versus Volume Incentive Spirometry on Chest Expansion in Coronary Artery Bypass Graft Surgery Patients: a Comparative Study. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Aug. 15 [cited 2026 May 2];8(2):411-23. Available from: https://ijamscr.com/ijamscr/article/view/880
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References
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[1]. Carvalho Celso R. F, Paisani Denise M, Lunardi Adriana C. Incentive spirometry in major surgeries: a systematic review. Rev. Bras. Fisioter, 15(5), 2011, 343-50.
[2]. Kapoor G, Gupta S, Khan A F to study the effect of post- operative Physiotherapy Management in post CABG patients. J Nurs Health Stud, 2(13). Doi:10.21767/2574-2825.100019.
[3]. Amaravadi Sampath Kumar, Gopala Krishna Alaparthi, Alfred Augustine, Zulfeequer Chundaanveetil. Pazhaottayil, Anand Ramakrishna, Shyam Krishnakumar Comparison of flow and volume incentivespirometry on pulmonary function and exercise tolerance in open abdominal surgery: A randomized clinical trial. Journal of clinical and diagnostic research, 10(1), 2016, KC01-KC06.
[4]. Neves FH, Carmona MJ, Auler JOC Jr, Rodrigues RR, Rouby JJ, Malbouisson LMS Cardiac Compression of Lung Lower Lobes after Coronary Artery Bypass Graft with Cardiopulmonary Bypass. PLoS ONE 8(11), 2013, e78643. doi:10.1371/journal.pone.0078643.
[5]. John E Heffner, V Courtney Broaddus, Geraldine Finlay. Pleural effusions following cardiac surgery. uptodate.com 2017.
[6]. Rajini S. Pagare, Ratnaprabha B. Pedhambker. Assessment of values of chest expansion among healthy adults in pune, India int J Physiotherapy Res, 5(1), 2017, 1819/1823. DOI: 10.16965/ijpr.2016.197.
[7]. Gopala Krishna Alaparthi, Alfred Joseph Augustine, Anand R, Ajith Mahale. Comparison of flow and volume oriented incentive spirometry on lung function and diaphragm movement after laparoscopic abdominal surgery. A randomized clinical pilot trial. Int J Physiother Res, 05, 2013, 274-78.
[8]. Ruben D Restrepon, Richard Wettstein, Leo Wittnebel, and Michael Tracy. Incentive Spirometry: respiratory care, 56(10), 2011.
[9]. Upendra Kaul & Vineet Bhatia. Perspective on coronary interventions & cardiac surgeries in India. Indian J Med Res, 132, 2010, 543-548.
[10]. Gunjal SB, Shinde NK, Kazi AH. Effectiveness of deep breathing versus segmental breathing exercises on chest expansion in pleural effusion. Int J Health Sci Re, 5(7), 2015, 234-240.
[11]. Denise de Moraes Paisani PhD, Adriana Claudia Lunardi PhD, Volume rather than flow incentive spirometry is effective in improving chest wall expansion and abdominal displacement using optoelectronic plethysmography. Respir Care, 58(8), 2013, 1360 –1366. Daedalus Enterprises.
[12]. Chuter TAM, Weissman C, Starker PM, Gump FE. Effect of incentive spirometry on diaphragmatic function after surgery. Surgery, 105(4), 1989, 488-493.
[13]. Parreira VF, Tomich VM, Brito RR, Sampaio RF. Assessment of tidal volume and thoracoabdominal motion using volume and flow oriented incentive spirometers in healthy subjects. Braz J Medical Biol Res, 38(7), 2005, 1105-1112.
References
[1]. Carvalho Celso R. F, Paisani Denise M, Lunardi Adriana C. Incentive spirometry in major surgeries: a systematic review. Rev. Bras. Fisioter, 15(5), 2011, 343-50.
[2]. Kapoor G, Gupta S, Khan A F to study the effect of post- operative Physiotherapy Management in post CABG patients. J Nurs Health Stud, 2(13). Doi:10.21767/2574-2825.100019.
[3]. Amaravadi Sampath Kumar, Gopala Krishna Alaparthi, Alfred Augustine, Zulfeequer Chundaanveetil. Pazhaottayil, Anand Ramakrishna, Shyam Krishnakumar Comparison of flow and volume incentivespirometry on pulmonary function and exercise tolerance in open abdominal surgery: A randomized clinical trial. Journal of clinical and diagnostic research, 10(1), 2016, KC01-KC06.
[4]. Neves FH, Carmona MJ, Auler JOC Jr, Rodrigues RR, Rouby JJ, Malbouisson LMS Cardiac Compression of Lung Lower Lobes after Coronary Artery Bypass Graft with Cardiopulmonary Bypass. PLoS ONE 8(11), 2013, e78643. doi:10.1371/journal.pone.0078643.
[5]. John E Heffner, V Courtney Broaddus, Geraldine Finlay. Pleural effusions following cardiac surgery. uptodate.com 2017.
[6]. Rajini S. Pagare, Ratnaprabha B. Pedhambker. Assessment of values of chest expansion among healthy adults in pune, India int J Physiotherapy Res, 5(1), 2017, 1819/1823. DOI: 10.16965/ijpr.2016.197.
[7]. Gopala Krishna Alaparthi, Alfred Joseph Augustine, Anand R, Ajith Mahale. Comparison of flow and volume oriented incentive spirometry on lung function and diaphragm movement after laparoscopic abdominal surgery. A randomized clinical pilot trial. Int J Physiother Res, 05, 2013, 274-78.
[8]. Ruben D Restrepon, Richard Wettstein, Leo Wittnebel, and Michael Tracy. Incentive Spirometry: respiratory care, 56(10), 2011.
[9]. Upendra Kaul & Vineet Bhatia. Perspective on coronary interventions & cardiac surgeries in India. Indian J Med Res, 132, 2010, 543-548.
[10]. Gunjal SB, Shinde NK, Kazi AH. Effectiveness of deep breathing versus segmental breathing exercises on chest expansion in pleural effusion. Int J Health Sci Re, 5(7), 2015, 234-240.
[11]. Denise de Moraes Paisani PhD, Adriana Claudia Lunardi PhD, Volume rather than flow incentive spirometry is effective in improving chest wall expansion and abdominal displacement using optoelectronic plethysmography. Respir Care, 58(8), 2013, 1360 –1366. Daedalus Enterprises.
[12]. Chuter TAM, Weissman C, Starker PM, Gump FE. Effect of incentive spirometry on diaphragmatic function after surgery. Surgery, 105(4), 1989, 488-493.
[13]. Parreira VF, Tomich VM, Brito RR, Sampaio RF. Assessment of tidal volume and thoracoabdominal motion using volume and flow oriented incentive spirometers in healthy subjects. Braz J Medical Biol Res, 38(7), 2005, 1105-1112.
[2]. Kapoor G, Gupta S, Khan A F to study the effect of post- operative Physiotherapy Management in post CABG patients. J Nurs Health Stud, 2(13). Doi:10.21767/2574-2825.100019.
[3]. Amaravadi Sampath Kumar, Gopala Krishna Alaparthi, Alfred Augustine, Zulfeequer Chundaanveetil. Pazhaottayil, Anand Ramakrishna, Shyam Krishnakumar Comparison of flow and volume incentivespirometry on pulmonary function and exercise tolerance in open abdominal surgery: A randomized clinical trial. Journal of clinical and diagnostic research, 10(1), 2016, KC01-KC06.
[4]. Neves FH, Carmona MJ, Auler JOC Jr, Rodrigues RR, Rouby JJ, Malbouisson LMS Cardiac Compression of Lung Lower Lobes after Coronary Artery Bypass Graft with Cardiopulmonary Bypass. PLoS ONE 8(11), 2013, e78643. doi:10.1371/journal.pone.0078643.
[5]. John E Heffner, V Courtney Broaddus, Geraldine Finlay. Pleural effusions following cardiac surgery. uptodate.com 2017.
[6]. Rajini S. Pagare, Ratnaprabha B. Pedhambker. Assessment of values of chest expansion among healthy adults in pune, India int J Physiotherapy Res, 5(1), 2017, 1819/1823. DOI: 10.16965/ijpr.2016.197.
[7]. Gopala Krishna Alaparthi, Alfred Joseph Augustine, Anand R, Ajith Mahale. Comparison of flow and volume oriented incentive spirometry on lung function and diaphragm movement after laparoscopic abdominal surgery. A randomized clinical pilot trial. Int J Physiother Res, 05, 2013, 274-78.
[8]. Ruben D Restrepon, Richard Wettstein, Leo Wittnebel, and Michael Tracy. Incentive Spirometry: respiratory care, 56(10), 2011.
[9]. Upendra Kaul & Vineet Bhatia. Perspective on coronary interventions & cardiac surgeries in India. Indian J Med Res, 132, 2010, 543-548.
[10]. Gunjal SB, Shinde NK, Kazi AH. Effectiveness of deep breathing versus segmental breathing exercises on chest expansion in pleural effusion. Int J Health Sci Re, 5(7), 2015, 234-240.
[11]. Denise de Moraes Paisani PhD, Adriana Claudia Lunardi PhD, Volume rather than flow incentive spirometry is effective in improving chest wall expansion and abdominal displacement using optoelectronic plethysmography. Respir Care, 58(8), 2013, 1360 –1366. Daedalus Enterprises.
[12]. Chuter TAM, Weissman C, Starker PM, Gump FE. Effect of incentive spirometry on diaphragmatic function after surgery. Surgery, 105(4), 1989, 488-493.
[13]. Parreira VF, Tomich VM, Brito RR, Sampaio RF. Assessment of tidal volume and thoracoabdominal motion using volume and flow oriented incentive spirometers in healthy subjects. Braz J Medical Biol Res, 38(7), 2005, 1105-1112.