The aim was to investigate whether 2 weeks of inspiratory muscle training (IMT) could preserve respiratory strength in high-risk patients referred for pulmonary resection on the suspicion or confirmed lung cancer. Secondarily, we investigated effect intervention incidence postoperative complications. study a single-centre, parallel-group, randomized trial with assessor blinding and intention-to-treat analysis. group (IG, n = 34) underwent IMT twice daily × 30 breaths target intensity 30%...

Limited published data are available on how patients mobilized and exercised during the postoperative hospital stay following cardiac surgery. The aim of this survey was to determine current practice physiotherapy-supervised mobilization exercise surgery in Sweden. A prospective carried out among physiotherapists treating adult patients. total population sample identified postal questionnaires were sent 33 currently working at departments thoracic In total, 29 (response rate 88%) from eight...

Patients undergoing lung cancer surgery are routinely offered physiotherapy. Despite its routine use, effects on postoperative physical recovery have yet not been demonstrated. The aim of this study was to investigate whether physiotherapy could improve in-hospital activity level and capacity.Single-blind randomized controlled trial.Thoracic department at a University Hospital.Patients elective thoracic (n=94) for confirmed or suspected were assessed during hospital stay.Daily physiotherapy,...

Pulmonary function is severely reduced in the early period after cardiac surgery, and impairments have been described up to 4–6 months surgery. Evaluation of pulmonary a longer perspective lacking. In this prospective study health-related quality life were investigated 1 year measurements, (SF-36), dyspnoea, subjective breathing coughing ability pain evaluated before surgery 150 patients undergoing coronary artery bypass grafting, valve or combined One forced vital capacity expiratory volume...

Rationale Patients with COPD on long″term oxygen therapy (LTOT) have an unmet need for adjustments during sleep, rest, and activity, documented by continuous monitoring of saturation. While emerging technology enables automated adjustments, its feasibility in home settings remains uncertain. This randomized crossover trial evaluated the preliminary effects titration homes patients LTOT. Methods The intervention involved four days targeting a SpO₂ 90-94% using Bluetooth-connected electronic...

The present study included the first patients with COPD on long-term oxygen therapy who experienced second-by-second adjustments in their homes based saturation. A device capable of automatically titrating patient's was installed patients' home aiming at increasing time spent within target We explored experiences this automated titration, focusing how maintaining saturation affected daily life. Semi-structured interviews were conducted eight men and four women after installation. Systematic...

Objective—To investigate the effects of deep breathing performed on second postoperative day after coronary artery bypass graft surgery. Design—The immediate 30 breaths without a mechanical device (n = 21), with blow bottle 20) and an inspiratory resistance‐positive expiratory pressure mask were studied. Spiral computed tomography arterial blood gas analyses immediately before intervention. Results—Deep caused significant decrease in atelectatic area from 12.3 ± 7.3% to 10.2 6.7% (p <...

The aim of this study was to examine and compare the effect two alternative instructions when measuring chest expansion. In 100 healthy subjects, expansion measured using a circumference tape. 30 by Respiratory Movement Measuring Instrument (RMMI). Both measurements were made at level fourth rib xiphoid process. evaluated traditional one: "breathe in maximally" out maximally", which compared with new one maximally make yourself as big possible" small possible". addition "make big/small...

Background. Various chest physiotherapy techniques are recommended after cardiac surgery around the world. There is limited published data on what breathing exercises actually to patients in Europe. The aim of this national survey was establish current practice and for adult following Sweden. Methods. A postal questionnaire sent a total population sample 33 Swedish physiotherapists working at departments cardiothoracic December 2007 January 2008. Results. In total, 29 replies (88%) were...

An increasing number of patients are suffering from stress-related symptoms and diagnoses. The purpose this study was to evaluate the medical yoga treatment in with diagnoses primary health care. A randomized controlled performed at a care centre Sweden March June, 2011. Patients were randomly allocated control group receiving standard or treated for 1 hour, once week, over 12-week period addition total 37 men women, mean age of<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"...

Background. Lung cancer is the most frequently diagnosed and one of leading causes deaths. Surgery primary approach for curative treatment. Postoperative complications are common, physiotherapy often routinely provided their prevention treatment, even though evidence limited. The aim this study was to examine effect in-hospital on postoperative physical capacity, activity, lung function among patients undergoing surgery. Methods. A total 107 elective thoracic surgery were included in a...

In addition to early mobilisation, a variety of breathing exercises are used prevent postoperative pulmonary complications after cardiac surgery. The optimal duration the treatment is not well evaluated. aim this study was determine effect 30 versus 10 deep breaths hourly, while awake, with positive expiratory pressure on oxygenation and function first days surgery.A total 181 patients, undergoing surgery, were randomised into group, performing hourly days, or control group hourly. main...

Reduced lung volumes and atelectasis are common after open-heart surgery, pronounced restrictive volume impairment has been found. The aim of this study was to investigate factors influencing on the second postoperative day. Open-heart surgery patients (n = 107, 68 yrs, 80% male) performed spirometry both before decrease in were investigated with univariate multivariate analyses. Associations between pain (measured by numeric rating scale) calculated Spearman rank correlation test. Lung...

Postoperative pulmonary impairments are significant complications after cardiac surgery. Decreased respiratory muscle strength could be one reason for impaired lung function in the postoperative period. The primary aim of this study was to describe before and two months A secondary possible associations between function. In prospective observational 36 adult surgery patients (67 ± 10 years) were studied. Respiratory measured Pre- accordance with predicted values; MIP 78 24 cmH2O...

Objectives Knowledge of clinical practice regarding mobilisation after surgery is lacking. This study therefore aimed to reveal current routines abdominal and cardiothoracic identify factors associated with within 6 hours postoperatively. Design A prospective observational national multicentre study. Setting 18 different hospitals in Sweden. Participants 1492 adult patients undergoing duration anaesthesia&gt;2 hours. Primary secondary outcomes outcome was time first postoperative...

Respiratory deficits are common following curative intent lung cancer surgery and may reduce the patient's ability to be physically active. We evaluated influence of on pulmonary function, respiratory muscle strength physical performance after resection. Pulmonary (maximal inspiratory/expiratory pressure) 6-min walk test (6MWT) were assessed pre-operatively, 2 weeks post-operatively 6 months in 80 patients (age 68±9 years). Video-assisted thoracoscopic was performed 58% cases. Two...

Objectives. To describe postoperative self-reported physical activity (PA) level and assess the effects of 2 weeks inspiratory muscle training (IMT) in patients at high risk for pulmonary complications following lung resection. Methods. This is a descriptive study reporting supplementary data from randomized controlled trial that included 68 (mean age = 70 ± 8 years), to an intervention group (IG; n 34) or control (CG; 34). The IG underwent IMT added standard physiotherapy given both groups....

There is considerable global variability in clinical practice regarding the prescription of airway clearance techniques (ACTs) for patients with acute exacerbations chronic obstructive pulmonary disease (AECOPD). Little known about physical therapy practice, and no international guidelines are available. The aim this survey was to identify current ACT AECOPD Sweden. A cross-sectional, descriptive study conducted via a Web-based questionnaire, sent all (n = 70) hospitals that offer service...

Abstract Aim The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and categorize these into those making errors related devices, inhalation technique both. Design Observational study. Methods COPD nurses used a checklist assess the inhalers by spirometry‐verified ( N = 183) from healthcare centres. STROBE has been used. Results mean age 71 SD 9) years. Almost half them (45%) made at least one error; these, 50% 31%...