International Journal For Multidisciplinary Research

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Effect Of Conventional Physiotherapy V/S Acapella On PEFR In Atelectasis In Upper Abdominal Surgeries – A Comparative Study

Author(s) Dr. Aashvee Japthapi
Country India
Abstract ABSTRACT

BACKGROUND
Postoperative pulmonary complications are most commonly occurring complications after the upper abdominal surgeries in which alters the pulmonary functions very severely and this in turn turns out to be prolonged hospital stays, longer recovery time after the surgery. Due to restricted thoracic movements, pain patients do not breath properly and due to the effect of anesthesia inspiratory muscles get affected, this also a cause for not being able to breath properly and reduce capacity of coughing. All these factors predispose the infection in lungs, reducing ventilation perfusion. Due to which there is reduced lung PEFR and SPO2 postoperatively. With the acapella device this study aims to improve PEFR and SPO2 after the surgery, and hence give early improvement and recovery from the surgery, and short hospital stay, and to prevent further pulmonary infections due to the retention of cough. And to clear the chest, maintain oxygen level in blood.

AIM OF THE STUDY
The objective of the study was to determine the effect of acapella devices on PEFR and SPO2 when compared with conventional physiotherapy treatment in patients with upper abdominal surgeries.

METHODOLOGY
A comparative study was conducted in Sri Aurobindo Institute Of Allied Health And Paramedical Sciences, Indore. 30 samples of both male and female between age 20-70 years upper abdominal surgeries, who have developed atelectasis , who fulfill inclusion criteria were randomly selected and assigned into two groups. Group A was treated with acapella device therapy and Group B was treated with conventional physiotherapy treatment. The patients were assessed and evaluated for their oxygen saturation and peak expiratory flow rate on the first day after surgery and final assessment and evaluation was done at the day of discharge.

RESULT
The data was evaluated by statistical analysis and found that the mean value of O2 and PEFR in the experimental group after treatment were 97.8% and 216.7% and before treatment 91.9% and 76.7 % respectively. In control group after treatment were 96.9% and 122.0% and before treatment were 90.8% and 74.7% respective
CONCLUSION
The study reveals that acapella device therapy shows improvement in SPO2 and PEFR in atelectasis in upper abdominal surgeries.
Keywords KEYWORDS Physiotherapy, Acapella, Atelectasis, Postoperative pulmonary complications, PEFR, SPO2, Conventional physiotherapy, Peak flow meter.
Field Medical / Pharmacy
Published In Volume 7, Issue 3, May-June 2025
Published On 2025-06-11
DOI https://doi.org/10.36948/ijfmr.2025.v07i03.47229
Short DOI https://doi.org/g9pzxp
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