Post-Laparotomy Pulmonary Complications in Blow Bottle versus Interdigital Breathing Technique: A Quasi-Experimental Study

Huda Anjum; Naima Farooq; Saman Sheraz; Ghulam Saqulain; Haddiqa Adnan

doi:10.51253/pafmj.v74i4.6715

Authors

Huda Anjum Department of Rehabilitation Sciences, Shifa Tameer-e-Millat University, Islamabad, Pakistan
Naima Farooq Department of Rehabilitation Sciences, Shifa Tameer-e-Millat University, Islamabad, Pakistan
Saman Sheraz Department of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan
Ghulam Saqulain Department of Otolaryngology, Capital Hospital, Postgraduate Medical Institute, CDA Islamabad Pakistan
Haddiqa Adnan Department of Physical therapy, Islamabad Medical & Dental College, Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.6715

Keywords:

Blow bottle, Breathing, Interdigital, Laparotomy, Spirometry.

Abstract

Objective: To analyze the impact of interdigital versus blow-bottle breathing exercises on spirometry, pulse oximetry and respiratory rate in post-laparotomy patients.

Study Design: Quasi-experimental study.

Place and Duration of Study: Riphah College of Rehabilitation Sciences, Riphah International University and Capital Hospital, Islamabad, Pakistan, from Apr to Aug 2018.

Methodology: This quasi experimental study recruited 27 post laparotomy patients, male and female, aged between 25-45 years. Along with conventional treatment for both groups, Group-A (n=14) received interdigital breathing exercises and Group-B (n=13) was given blow-bottle breathing therapy. Effect on spirometry, pulse oximetry tests and respiratory rate on Day 1, 3 and 6 were recorded.

Results: On 6^thDay post-laparotomy, interdigital group (Group A) showed significantly higher median and mean ranks for oxygen saturation (OS) (p<0.001), rate of peek expiratory flow (p=0.000), forced expiratory volume (1 second) (p=0.018), forced vital capacity (p<0.001) and lower respiratory rate (p<0.001). Blow bottle breathing therapy revealed significantly higher mean for forced vital capacity (p=0.017), but was lower for Oxygen saturation (p<0.001) and respiratory rate (p<0.001).

Conclusion: Our findings lead us to conclude that interdigital technique provides more benefit to post-laparotomy patient compared to blow bottle technique in effective management of pulmonary complications.

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