The Effects of Early Mobilization Protocol on Pre and Post Operative Functional Performance for Individuals with Post Abdominal Surgery
Keywords:Abdominal surgery, Functional status, Six- minute walk test.
Background: The post surgical period of abdominal incision was accompanied with respiratory muscle dysfunction
and diminished physical capability. Limited upright mobilisation, exhaustion, and restricted lung abnormalities,
among other functional issues, are linked to the early postoperative days. Improving pre-operative levels of
physical functioning in individuals might be beneficial for post operative outcome.
Aim: Aim of the study was to find out on which post-operative day the abdominal surgery participants get to the
same functional status as pre-operative status.
Method: 40 Individuals hospitalized for abdominal surgery at Saveetha Medical College and Hospital were
chosen for the study based on the inclusion and exclusion criteria. The selected participants were treated with
diaphragmatic breathing exercise, Incentive spirometry, thoracic expansion exercise, splinted coughing technique,
active range of motion exercise for upper extremity and lower extremity for pre-operative abdominal surgery
participants. Post operative participants were treated with physiotherapy from POD 1 till the time their functional
status become same as the pre-operative status. Six- minute walk test, hospital anxiety and depression scale were
used in this study. Their scores were calculated and analysed.
Result: Similar pre-operative mean (365.25±25.92) was attained at POD-7 (350.75±25.46). Day of POD-5, the HADS
score was normal (0 to7) in depression.
Conclusion: This study shows the post-operative status is attained back on POD-7 with using 6MWT. Depression
was relieved at POD-5 with a value of mean and standard deviation in HADS.
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