Incentive spirometer versus resisted breathing exercises on vital capacity and diaphragmatic excursion post-liver transplantation / Mona Ahmed Ahmed Abdul Mohsen ; Supervised Hala Mohamed Ezz Eldeen , Esam Anwar Morsy , Samah Mahmoud Ismail

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmomary and Geriatrics Disorders

This study was conducted to compare the efficacy of incentive spirometer versus resisted breathing exercises on vital capacity and diaphragmatic excursion post-liver transplantation. Forty patients of both sexes (25 men,15 women) underwent liver transplantation surgery with age ranged from 40 to 50 years participated in this study, they were recruited from liver transplant unit of Elsahel teaching hospital and were divided randomly into two groups with equal numbers. The study was performed at the incubated ICU of liver transplantation. Both groups received routine post-operative chest physical therapy in the form of breathing exercises (diaphragmatic), coughing and early ambulation (walking), in addition to incentive spirometer (I.S) for group A and resisted diaphragmatic breathing exercises for group B,the study program was 3 days/week for 8 weeks. The vital capacity and diaphragmatic excursion were measured for the two groups before and after the treatment. There was a significant increase of the vital capacity and the diaphragmatic excursion (p<0.001) in liver transplant patients. The vital capacity results of incetive spirometer (group A) and resisted diaphragmatic breathing (group B) were 57.74% and 45.07% respectively. The diaphragm excursion results of incetive spirometer (group A) and resisted diaphragmatic breathing (group B) were 76.64 % and 91.24 % respectively. The incentive spirometer training and resisted breathing exercises are considered effective rehabilitation methods that increase the vital capacity and diaphragmatic excursion in post liver transplantation patients

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