Effect of preoperative upper limb functional exercise combined with respiratory function training on the range of motion of the shoulder joint and lung function in patients undergoing thoracic surgery
WANG Fen DAI Xiujuan
Department of Thoracic Surgery, Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province, Nantong 226000, China
Abstract：Objective To explore the effect of preoperative upper limb function exercise combined with respiratory function training on the range of motion of the shoulder joint and lung function in patients undergoing thoracic surgery. Methods A total of 96 thoracic surgery patients admitted to Nantong Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2017 to December 2018 were selected and divided into intervention group of 50 cases and control group of 46 cases according to the random number table method. Patients in both groups were given postoperative upper limb functional exercises and respiratory function training, while the intervention group combined preoperative upper limb functional exercises and respiratory function training. The indexes of shoulder joint range of motion, lung function and quality of life were compared between the two groups when they were discharged from the hospital. Results At discharge, the angles of lift, extension, and external rotation of the two groups were significantly smaller than before the intervention, and the maximum angles of lift, extension, and external rotation of the patients in the intervention group were significantly more than those of the control group, and the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01). The forced vital capacity (FVC), forced expiratory volume in first second (FEV1), and maximal voluntary ventilation (MVV) of the two groups were significantly lower than those at admission, while the FVC, FEV1, and MVV of the intervention group were significantly higher than those of the control group, and the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01). The symptoms, activity limitation, and the impact on quality of life score of intervention group were significantly lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Preoperative upper limb function exercise combined with respiratory function training can help to promote the recovery of upper limb function and lung function of thoracic surgery patients, and improve the quality of life of patients.
王芬 戴秀娟. 术前上肢功能锻炼联合呼吸功能训练对胸外科手术患者肩关节活动度及肺功能的影响[J]. 中国医药导报, 2021, 18(13): 172-175.
WANG Fen DAI Xiujuan. Effect of preoperative upper limb functional exercise combined with respiratory function training on the range of motion of the shoulder joint and lung function in patients undergoing thoracic surgery. 中国医药导报, 2021, 18(13): 172-175.
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