COMPARISON OF THE EFFECT OF PHYSIOTHERAPY ON INCREMENTAL SHUTTLE WALK DISTANCE IN LOBECTOMY PATIENTS WITH VATS AND THORACOTOMY

Authors

  • Sukalya Kritsnakriengkrai Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Napaporn Vaewthong Department of Physical Therapy, Central Chest Institute of Thailand.
  • Oraphan Donkaew Department of Physical Therapy, Central Chest Institute of Thailand.
  • Jaturong Chimpalee Department of Physical Therapy, Central Chest Institute of Thailand.
  • Jirawat klungthumnium Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Thanthai Kaweemaythee Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Pharadorn Sriphol Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Vachiravit Songtanin Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Voradorn Horbut Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.
  • Yachuravej Thusombat Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University.

Keywords:

Walking Test, Lobectomy, VATS, Thoracotomy

Abstract

The evidence studies of the effect of physiotherapy on incremental shuttle walk distance in lobectomy patients are limited. The purposes of this study were to examine the effect of physiotherapy on the change in shuttle walk distance after lobectomy and to compare shuttle walk distance between lobectomy with video-assisted thoracoscopic surgery (VATS) and lobectomy with Thoracotomy groups. This retrospective study included patients who underwent lobectomy via VATS or Thoracotomy and received physical therapy treatment including breathing training, cough training, and exercise, between April 2015 and December 2020 at the Central Chest Institute of Thailand. The incremental shuttle walk test (ISWT) was investigated at preoperative, postoperative discharge day, and at 2 weeks follow-up. The data of shuttle walk distances between VATS and Thoracotomy groups in each time period were analyzed using Two-way Mixed ANOVA. The results showed that there were 190 eligible patients who underwent lobectomy via VATS (n=125) or Thoracotomy (n=65) and received physical therapy treatment. The shuttle walk distances were significantly decreased at discharge day when compared to preoperative values (p<0.001) and were returned to the preoperative level at 2 weeks follow-up. When comparing between VATS and Thoracotomy groups on discharge day, the shuttle walk distance in VATS was decreased less than in Thoracotomy groups, and both groups recovered within 2 weeks of follow-up. The conclusion was that patients undergoing lobectomy via VATS or Thoracotomy and receiving physical therapy treatment had a significant postoperative reduction of shuttle walk distance, however, they recovered to the preoperative levels within 2 weeks of follow-up.

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References

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Published

2024-10-07

How to Cite

Kritsnakriengkrai, S., Vaewthong, N., Donkaew, O., Chimpalee, J., klungthumnium, J., Kaweemaythee, T., Sriphol, P., Songtanin, V., Horbut, V., & Thusombat, Y. (2024). COMPARISON OF THE EFFECT OF PHYSIOTHERAPY ON INCREMENTAL SHUTTLE WALK DISTANCE IN LOBECTOMY PATIENTS WITH VATS AND THORACOTOMY. Srinakharinwirot University Journal of Sciences and Technology, 16(32, July-December), 1–12, Article 256019. Retrieved from https://ph02.tci-thaijo.org/index.php/swujournal/article/view/256019