Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

MU Yan-xi; YAO Ya-long; LI Jin-zhou; WANG Wen-jie; HUANG Ze-ping; CHEN Kang; DONG Peng; CHEN Xiao

doi:10.16766/j.cnki.issn.1674-4152.002826

Volume 21 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2023 > 21(1): 118-122

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

Citation:

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

Citation:

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

PDF( 531 KB)

Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002826

1.
The Second Clinical Medical College of Lanzhou University, Lanzhou, Gansu 730000, China

Funds:

2020B-048

CYXZ2020-16

2020-ZD-88

CY2019-BJ06

Received Date: 2022-02-01
Available Online: 2023-04-07

Abstract

Abstract

Pulmonary complications, as one of the most common complications after abdominal surgery, not only increase the length of hospital stay and hospital costs but also seriously affect the prognosis and quality of life of patients. With the development of minimally invasive surgical techniques and anaesthetic techniques, the incidence of postoperative pulmonary complications (PPCs) has decreased. However, PPCs are still considered common complications after abdominal surgery. The commonly used clinical methods to prevent PPCs include balloon blowing, abdominal breathing and lip reduction breathing. However, the implementation and efficacy of these methods cannot be guaranteed because they cannot be set at a specific training intensity, and healthcare professionals cannot effectively assess the patient' s mastery of these methods. Several studies have shown that preoperative inspiratory muscle training (IMT) can improve the muscle strength and endurance of inspiratory muscles, improve the lung function of patients and reduce the incidence of PPCs in abdominal surgery patients. The advantage is that the specific training intensity can be set according to the patient' s condition, and the training intensity can be gradually increased from low to high according to the patient' s condition to achieve individualised training. However, IMT for abdominal surgery patients in China is still in the initial exploration stage, which deprives the preoperative IMT of unified and standardised exercise prescription. In addition, whether IMT is effective in reducing PPCs in abdominal surgery patients is still controversial. Therefore, in this paper, we searched the literature on the effects of preoperative IMT on PPCs in abdominal surgery patients in Chinese and English databases and the grey literature of major clinical registries and reviewed the value of preoperative IMT in abdominal surgery in combination with relevant clinical trials being conducted by our research team. Our purpose is to present different research perspectives and viewpoints from various aspects, so as to provide reference for clinical work and future clinical research and benefit more patients.
- Abdominal surgery,
- Inspiratory muscle training,
- Postoperative pulmonary complications

FullText(HTML)

References(40)

References

[1]	JIN L, ZHANG X C, DENG L, et al. Analysis of risk factors for concurrent pulmonary infection after operation for colon cancer[J]. J BUON, 2019, 24(2): 436-441.
[2]	BODEN I, SKINNER E H, BROWNING L, et al. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial[J]. BMJ, 2018, 360: j5916. DOI: 10.1136/bmj.j5916.
[3]	GE X Q, WANG W J, HOU L, et al. Inspiratory muscle training is associated with decreased postoperative pulmonary complications: evidence from randomized trials[J]. J Thorac Cardiovasc Surg, 2018, 156(3): 1290-1300. e5. DOI: 10.1016/j.jtcvs.2018.02.105.
[4]	CHAI J, SANG A M, TAN M Y, et al. Identification of the risk factors of postoperative pulmonary complications in elderly patients undergoing elective colorectal surgery[J]. Am Surg, 2021, 87(5): 777-783. doi: 10.1177/0003134820950304
[5]	SEO K, CHO M. The effects of a balloon-blowing exercise in a 90/90 bridge position using a ball on the pulmonary function of females in their twenties[J]. J Phys Ther Sci, 2018, 30(10): 1267-1270. doi: 10.1589/jpts.30.1267
[6]	YAU K K, LOKE A Y. Effects of diaphragmatic deep breathing exercises on prehypertensive or hypertensive adults: a literature review[J]. Complement Ther Clin Pract, 2021, 43: 101315. DOI: 10.1016/j.ctcp.2021.101315.
[7]	QIN P P, JIN J Y, WANG W J, et al. Perioperative breathing training to prevent postoperative pulmonary complications in patients undergoing laparoscopic colorectal surgery: a randomized controlled trial[J]. Clin Rehabil, 2021, 35(5): 692-702. doi: 10.1177/0269215520972648
[8]	杭燕萍, 赵明明, 张希龙. 三球式呼吸训练器在老年慢性阻塞性肺疾病急性加重期患者早期肺康复中的应用价值[J]. 中华老年多器官疾病杂志, 2019, 18(5): 336-340. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG201905005.htm HANG Y P, ZHAO M M, ZHANG X L. Efficacy of medical Tri-Ball respiratory exerciser in early pulmonary rehabilitation of the elderly with acute exacerbation of chronic obstructive pulmonary disease[J]. Chin J Geriatric Multiorgan Disease, 2019, 18(5): 336-340. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG201905005.htm
[9]	李梅, 董文, 文双, 等. 系统化呼吸训练在开胸手术患者快速康复中的应用效果评价[J]. 实用医学杂志, 2017, 33(17): 2956-2959. doi: 10.3969/j.issn.1006-5725.2017.17.038 LI M, DONG W, WEN S, et al. Effect of systematic breathing training on rapid recovery of patients undergoing thoracotomy[J]. Journal of Practical Medicine, 2017, 33(17): 2956-2959. doi: 10.3969/j.issn.1006-5725.2017.17.038
[10]	沈毅, 王祥安, 何弢, 等. 体质指数与肺癌术后并发症及死亡率的关系研究[J]. 四川医学, 2018, 39(10): 1151-1155. doi: 10.16252/j.cnki.issn1004-0501-2018.10.015 SHEN Y, WANG X A, HE T, et al. Relationship between Body Mass Index and Postoperative Complications and Mortality in Lung Cancer[J]. Sichuan Med, 2018, 39(10): 1151-1155. doi: 10.16252/j.cnki.issn1004-0501-2018.10.015
[11]	吴荷花. 吸气肌训练对脑卒中患者上肢运动功能及日常生活能力影响的临床研究[D]. 南昌: 南昌大学, 2019. WU H H. A clinical study on the influence of inspiratory muscle training on upper limb motor function and daily living ability of stroke patients[D]. Nanchang: Nanchang University, 2019.
[12]	SAKA S, GURSES H N, BAYRAM M. Effect of inspiratory muscle training on dyspnea-related kinesiophobia in chronic obstructive pulmonary disease: a randomized controlled trial[J]. Complement Ther Clin Pract, 2021, 44: 101418. DOI: 10.1016/j.ctcp.2021.101418.
[13]	ABODONYA A M, ABDELBASSET W K, AWAD E A, et al. Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation: a pilot control clinical study[J]. Medicine (Baltimore), 2021, 100(13): e25339. DOI: 10.1097/MD.0000000000025339.
[14]	CHUNG Y, HUANG T Y, LIAO Y H, et al. 12-Week inspiratory muscle training improves respiratory muscle strength in adult patients with stable asthma: a randomized controlled trial[J]. Int J Environ Res Public Health, 2021. DOI: 10.3390/ijerph18063267.
[15]	LIU Y H, DAI Y N, LIU Z, et al. The safety and efficacy of inspiratory muscle training for patients with acute myocardial infarction undergoing percutaneous coronary intervention: study protocol for a randomized controlled trial[J]. Front Cardiovasc Med, 2020, 7: 598054. DOI: 10.3389/fcvm.2020.598054.
[16]	CARGNIN C, KARSTEN M, GUARAGNA J, et al. Inspiratory muscle training after heart valve replacement surgery improves inspiratory muscle strength, lung function, and functional capacity: a randomized controlled trial[J]. J Cardiopulm Rehabil Prev, 2019, 39(5): E1-E7. doi: 10.1097/HCR.0000000000000409
[17]	TURQUETTO A, DOS SANTOS M R, AGOSTINHO D R, et al. Aerobic exercise and inspiratory muscle training increase functional capacity in patients with univentricular physiology after Fontan operation: a randomized controlled trial[J]. Int J Cardiol, 2021, 330: 50-58. doi: 10.1016/j.ijcard.2021.01.058
[18]	MOFFA A, OLIVETO G, MATTEO F D, et al. Modified inspiratory muscle training (m-IMT) as promising treatment for gastro-oesophageal reflux disease (GERD)[J]. Acta Otorrinolaringol Esp (Engl Ed), 2020, 71(2): 65-69. doi: 10.1016/j.otorri.2019.01.003
[19]	VALKENET K, TRAPPENBURG J, RUURDA J P, et al. Multicentre randomized clinical trial of inspiratory muscle training versus usual care before surgery for oesophageal cancer[J]. Br J Surg, 2018, 105(5): 502-511. doi: 10.1002/bjs.10803
[20]	KHYATI S, AMARAVDI S K, RAJAN SAMUEL S, et al. Effectiveness of inspiratory muscle training (IMT) on pulmonary function and functional capacity in chronic smoker' s v/s non-smokers patients undergoing open abdominal surgery: a study protocol[J]. Int J Surg Protoc, 2020, 24: 31-35. doi: 10.1016/j.isjp.2020.10.005
[21]	CARBONERA R P, BARBOSA A, NORMANN T C, et al. Home-based inspiratory muscle training in pediatric patients after kidney transplantation: a randomized clinical trial[J]. Pediatr Nephrol, 2020, 35(8): 1507-1516. doi: 10.1007/s00467-020-04539-x
[22]	MANIFIELD J, WINNARD A, HUME E, et al. Inspiratory muscle training for improving inspiratory muscle strength and functional capacity in older adults: a systematic review and meta-analysis[J]. Age Ageing, 2021, 50(3): 716-724. doi: 10.1093/ageing/afaa221
[23]	CHANG Y C, CHANG H Y, HO C C, et al. Effects of 4-week inspiratory muscle training on sport performance in college 800-meter track runners[J]. Medicina(Kaunas), 2021. DOI: 10.3390/medicina57010072.
[24]	华玲, 王志, 许忠梅, 等. 阈值压力负荷吸气肌训练对帕金森病患者呼吸功能的影响[J]. 中国康复, 2021, 36(9): 538-541. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202109009.htm HUA L, WANG Z, XU ZM, et al. Effect of threshold pressure-loaded inspiratory muscle training on respiratory function in patients with Parkinson' s disease[J]. Chin J Rehabilitation, 2021, 36(9): 538-541. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202109009.htm
[25]	刘伟利, 张晓晓, 李飞翔, 等. 阈值压力负荷呼吸肌训练在脑外伤患者呼吸功能康复中的应用研究[J]. 中华全科医学, 2021, 19(8): 1367-1369, 1381. doi: 10.16766/j.cnki.issn.1674-4152.002062 LIU W L, ZHANG X X, LI F X, et al. Clinical study of the effects of threshold pressure load respiratory muscle training on respiratory function rehabilitation in patients with brain trauma[J]. Chin J General Practice, 2021, 19(8): 1367-1369, 1381. doi: 10.16766/j.cnki.issn.1674-4152.002062
[26]	王璐, 程怡慧, 张秀, 等. 吸气肌训练对亚急性脑卒中患者肺功能及膈肌运动的影响[J]. 中华物理医学与康复杂志, 2020, 42(11): 987-991. doi: 10.3760/cma.j.issn.0254-1424.2020.11.006 WANG L, CHENG Y H, ZHANG X, et al. The effect of inspiratory muscle training on pulmonary function and diaphragm movement after stroke[J]. Chin J Physical Medicine and Rehabilitation, 2020, 42(11): 987-991. doi: 10.3760/cma.j.issn.0254-1424.2020.11.006
[27]	VAZ L O, ALMEIDA J C, FROES K, et al. Effects of inspiratory muscle training on walking capacity of individuals after stroke: a double-blind randomized trial[J]. Clin Rehabil, 2021, 35(9): 1247-1256. doi: 10.1177/0269215521999591
[28]	MARTIN-SANCHEZ C, CALVO-ARENILLAS J I, BARBERO-IGLESIAS F J, et al. Effects of 12-week inspiratory muscle training with low resistance in patients with multiple sclerosis: a non-randomised, double-blind, controlled trial[J]. Mult Scler Relat Disord, 2020, 46: 102574. DOI: 10.1016/j.msard.2020.102574.
[29]	PINTO M B, BOCK P M, SCHEIN A, et al. Inspiratory muscle training on glucose control in diabetes: a randomized clinical trial[J]. Int J Sport Nutr Exerc Metab, 2021, 31(1): 21-31. doi: 10.1123/ijsnem.2020-0175
[30]	MCCREERY J L, MACKINTOSH K A, MILLS-BENNETT R, et al. The effect of a high-intensity PrO₂Fit inspiratory muscle training intervention on physiological and psychological health in adults with bronchiectasis: a mixed-methods study[J]. Int J Environ Res Public Health, 2021, 18(6). DOI: 10.3390/ijerph18063051.
[31]	FERNÁNDEZ-LÁZARO D, GALLEGO-GALLEGO D, CORCHETE LA, et al. Inspiratory muscle training program using the PowerBreath^®: does it have ergogenic potential for respiratory and/or athletic performance? A systematic review with meta-analysis[J]. Int J Environ Res Public Health, 2021. DOI: 10.3390/ijerph18136703.
[32]	TYSON A F, KENDIG C E, MABEDI C, et al. The effect of incentive spirometry on postoperative pulmonary function following laparotomy: a randomized clinical trial[J]. JAMA Surg, 2015, 150(3): 229-236. doi: 10.1001/jamasurg.2014.1846
[33]	SOARES S M, NUCCI L B, DA SILVA M M, et al. Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial[J]. Clin Rehabil, 2013, 27(7): 616-627. doi: 10.1177/0269215512471063
[34]	XU W H, LI R, GUAN L L, et al. Combination of inspiratory and expiratory muscle training in same respiratory cycle versus different cycles in COPD patients: a randomized trial[J]. Respir Res, 2018, 19(1): 225. doi: 10.1186/s12931-018-0917-6
[35]	ONERUP A, ANDERSSON J, ANGENETE E, et al. Effect of short-term homebased pre- and postoperative exercise on recovery after colorectal cancer surgery (PHYSSURG-C): a randomized clinical trial[J]. Ann Surg, 2022, 275(3): 448-455. doi: 10.1097/SLA.0000000000004901
[36]	ONERUP A, THÖRN S E, ANGENETE E, et al. Effects of a home-based exercise program on the insulin-like growth factor axis in patients operated for colorectal cancer in Sweden: results from the randomised controlled trial PHYSSURG-C[J]. Growth Horm IGF Res, 2020, 51: 27-33. doi: 10.1016/j.ghir.2020.01.005
[37]	KARLSSON E, FARAHNAK P, FRANZÉN E, et al. Feasibility of preoperative supervised home-based exercise in older adults undergoing colorectal cancer surgery: a randomized controlled design[J]. PLoS One, 2019, 14(7): e0219158. DOI: 10.1371/journal.pone.0219158.
[38]	ONERUP A, ANGENETE E, BOCK D, et al. The effect of pre- and post-operative physical activity on recovery after colorectal cancer surgery (PHYSSURG-C): study protocol for a randomised controlled trial[J]. Trials, 2017, 18(1): 212. doi: 10.1186/s13063-017-1949-9
[39]	CHUANG H Y, CHANG H Y, FANG Y Y, et al. The effects of threshold inspiratory muscle training in patients with chronic obstructive pulmonary disease: a randomised experimental study[J]. J Clin Nurs, 2017, 26(23-24): 4830-4838. doi: 10.1111/jocn.13841
[40]	DRONKERS J, VELDMAN A, HOBERG E, et al. Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study[J]. Clin Rehabil, 2008, 22(2): 134-142. doi: 10.1177/0269215507081574

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(1) / Tables(3)

Get Citation

PDF

XML

Article Metrics

Article views (249) PDF downloads(8)

Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002826

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002826

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content