| Grant number: | 13/06334-8 |
| Support Opportunities: | Regular Research Grants |
| Start date: | August 01, 2013 |
| End date: | July 31, 2015 |
| Field of knowledge: | Health Sciences - Physiotherapy and Occupational Therapy |
| Principal Investigator: | Eli Maria Pazzianotto Forti |
| Grantee: | Eli Maria Pazzianotto Forti |
| Host Institution: | Faculdade de Ciências da Saúde. Universidade Metodista de Piracicaba (UNIMEP). Piracicaba , SP, Brazil |
| City of the host institution: | Piracicaba |
Abstract
Obesity and especially morbid obesity, cause numerous effects on lung function and these can accentuate opposite surgical procedures, increasing respiratory complications risk. To apply respiratory physiotherapy before and after abdominal surgery is important to prevent complications of surgical procedures meanly in morbid obesity people. The objective of this study will be to investigate the effects of applying different resources of chest physiotherapy on pulmonary function, mobility abdominal-thoracic and prevalence of pulmonary complications in patients undergoing bariatric surgery. It will be a prospective study, randomized, interventional, comparative, approved by the ethics committee of the institution under the report 89/12, in which adult volunteer morbidly obese candidates for bariatric surgery elective, will undergo preoperative evaluations, procedures interventionists and re-evaluation, postoperatively. The assessment of lung volumes and capacities will be performed by spirometry, abdominal-thoracic mobility will be accomplished through cirtometry abdominal-thoracic and analysis of the prevalence of pulmonary complications will be effected through the reports of radiological issued by a radiologist. After the initial assessment the volunteers will be randomized into five groups. Each of these groups will receive in addition to conventional chest physiotherapy (CCP) a type of physical therapy during the hospital stay after surgery, being: Only CCP, CCP + continuous positive airway pressure (CPAP), CCP + expiratory positive airway pressure (EPAP), CCP + intermittent positive pressure breathing (IPPB) and CCP + bilevel positive airway pressure (BIPAP). The selection of the tests depends on the outcome of the statistical analysis of the data normality test in relation to the distribution found or not and the homogeneity of their variances. (AU)
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