THE INFLUENCE OF PHYSICAL THERAPY ON THE FUNCTION OF EXTERNAL BREATHING IN ELDERLY PATIENTS AFTER LAPAROSCOPIC CHOLECYSTECTOMY IN THE ACUTE PERIOD OF REHABILITATION
DOI:
https://doi.org/10.32782/2522-1795.2023.16.2Keywords:
physical therapy, cholecystectomy, old age, respiratory function, rehabilitation.Abstract
Purpose is to determine the effect of physical therapy on the function of external breathing in elderly patients after laparoscopic cholecystectomy at the acute stage of rehabilitation. Materials. The study included 40 patients with calculous cholecystitis who underwent laparoscopic cholecystectomy. Patients was randomized by a simple random selection method with a draw into control group, which underwent early mobilization and group in which patients had early mobilization and performed diaphragmatic breathing exercises. The forced vital capacity, forced expiratory volume in the first second, and peak expiratory flow were assessed. Methods of mathematical statistics: Student’s t-test was used, significance level p < 0.05. Results. It has been established that laparoscopic cholecystectomy leads to a statistically significant decrease in the parameters of forced vital capacity, forced expiratory volume per second and peak expiratory flow. After surgery, patients were mobilized early. They performed breathing and therapeutic exercises for stretching the intercostal muscles, breathing exercises with diaphragmatic breathing. The use of diaphragmatic breathing exercises in combination with early mobilization leads to a statistically significant increase in the parameters of forced vital capacity, forced expiratory volume per second and peak expiratory flow compared with the values on the day of discharge and on the first day after surgery. In elderly patients who performed diaphragmatic exercises, the parameters of forced vital capacity, forced expiratory volume per second and peak expiratory flow on the day of discharge did not statistically differ from those before surgery, that is, they almost reached the preoperative level. Conclusions. The use of diaphragmatic breathing exercises in combination with early mobilization of the system is effective and can be used in the acute and subacute stages of rehabilitation in elderly patients after laparoscopic cholecystectomy in order to restore respiratory function.
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