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Effects of preoperative physiotherapy in cardio-respiratory conditions and physical functioning of patients undergoing abdominal surgery

Grant number: 10/02341-1
Support type:Regular Research Grants
Duration: November 01, 2010 - October 31, 2012
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Silvia Maria de Toledo Piza Soares
Grantee:Silvia Maria de Toledo Piza Soares
Home Institution: Faculdade de Fisioterapia. Pontifícia Universidade Católica de Campinas (PUC-CAMP). Campinas , SP, Brazil
Assoc. researchers:Mario Augusto Paschoal


Pulmonary complications are common in patients undergoing surgery in the upper abdomen due to diaphragmatic dysfunction, pain, impaired cough, among others. Physical therapy is recommended in the treatment of postoperative complications, however it started in the pre-operative can take better results. Objective: To investigate the effects of preoperative physiotherapy in the physical-functional status, respiratory and cardiac system of patients undergoing elective upper abdominal surgery, before and after surgery. Method: Thirty patients will be randomized into control and treatment group. The control group remains in preoperative care routine in the institution and the treatment group will undergo to physical therapy for two to three weeks before surgery. In the postoperative period, all patients will be submitted to the same protocol of physiotherapy. Five stages of evaluation are defined: i) baseline (pre-randomization) and ii) pre-operative (hospital), iii) post-operative (iiia. the first day after surgery and iiib. the seventh day after surgery, or hospital discharge, length of stay is less than seven days) and iv) thirty days after surgery. The evaluation measures are: vital signs, pulmonary function test, strength and respiratory muscle endurance test, six-minute walk and functional independence measure. Statistical analysis will be used descriptive analysis for continuous variables and analysis of variance (ANOVA) for repeated measures. The level of significance will be applied alpha equal to 0.05, ie between the data compared, considered to be statistically significant when p <0.05. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
DE TOLEDO PIZA SOARES, SILVIA MARIA; NUCCI, LUCIANA BERTOLDI; DE CARVALHO DA SILVA, MARCELA MARIA; CAMPACCI, THAIS COLOMBINI. Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial. CLINICAL REHABILITATION, v. 27, n. 7, p. 616-627, JUL 2013. Web of Science Citations: 23.

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