Physiotherapy Practice Patterns for Management of Patients Undergoing Thoracic Surgeries in India: A Survey

Sultanpuram, Sagarika and Alaparthi, Gopala Krishna and *, Shyam Krishnan Krishnakumar and *, Zulfeequer C.P (2016) Physiotherapy Practice Patterns for Management of Patients Undergoing Thoracic Surgeries in India: A Survey. Surgery Research and Practice, 2016 (971748). pp. 1-11.

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Abstract

Aim.The aim of the current study is to determine the practice patterns of physiotherapists for patients undergoing thoracic surgeries in India. Materials and Methodology. A cross-sectional survey was conducted across India in which 600 questionnaires were sent in emails to physiotherapists. The questionnaire addressed assessment and treatment techniques of thoracic surgery. Results. A total of 234 completed questionnaires were returned with a response rate of 39%, with the majority of responses received from Telangana, Karnataka, and Andhra Pradesh. More than 90% of the responders practiced physical examination, chest expansion, chest X-ray, ABG analysis, pulmonary function test, and SpO2 (oxygen saturation) as the assessmentmeasures in both the pre- and the postoperative phase. Breathing exercises, incentive spirometry, thoracic expansion exercises, coughing and huffing, positioning, andmodified postural drainage are found to be commonly used physiotherapy interventions, both pre- and postoperatively, with a response rate ofmore than 90%.Aresponse rate ofmore than 84.6% indicated that patients aremade to dangle their lower limbs over the edge of the bed on the 1st postoperative day.Mobilization, such as walking up to a chair, sit to stand exercises, and perambulation within the patient’s room, was started on the 2nd postoperative day, as stated by more than 65% of the physiotherapists. Staircase climbing was started on the 5th postoperative day.Themost commonly used functional evaluation prior to discharge was 6-minute walk test. This was, in fact, practiced by 77.4% of the physiotherapists in their clinical settings. Conclusion.Themost predominantly employed assessment measures included were physical examination, chest expansion, ABGanalysis, pulmonary function test, chest X-ray, SpO2 (oxygen saturation), peripheralmuscle strength, and cardiopulmonary exercise. The physiotherapy interventions most commonly used were breathing exercises, thoracic expansion exercises, incentive spirometry, and coughing and huffing techniques, in both the pre- and the postoperative phase.

Item Type: Article
Subjects: Allied Health > Mangalore Campus > Physiotherapy
Depositing User: KMCMLR User
Date Deposited: 03 Nov 2016 09:58
Last Modified: 03 Nov 2016 09:58
URI: http://eprints.manipal.edu/id/eprint/147462

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