呼吸道肌肉伸展运动对胸部扩张和胸切术后肩部移动性的影响:一项随机对照试验
Saikaew Chuachan1, Rerknapat Jitmana2, Umpira Promsri3
1Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110, Songkhla, Thailand. saikaew.ch@psu.ac.th.
Journal of cardiothoracic surgery
|December 2, 2025
概括
呼吸道肌肉伸展运动 (RMSE) 与物理治疗相结合,改善了胸部运动,肺功能和胸切除术后的肩部运动. 然而,益处并不显著地大于单独使用常规疗法.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 胸部手术 康复 恢复
- 物理治疗的创新 物理治疗的创新
背景情况:
- 胸切除术经常导致呼吸道肌肉损伤,胸壁扩张减少,肺体积减少和肩膀运动范围 (ROM) 受到限制.
- 建议进行呼吸道肌肉伸展运动 (RMSE),以增强胸部膨胀并帮助恢复.
- 这项研究比较了RMSE加上常规物理治疗与单独的常规治疗在接受选择性胸切除术的患者中.
研究的目的:
- 评估将呼吸肌肉伸展运动 (RMSE) 与常规物理治疗用于胸切除术后恢复的有效性.
- 为了比较干预和对照组之间的胸壁移动性,肺体积和肩部运动范围 (ROM) 的改善.
主要方法:
- 一个单一中心随机对照试验,涉及23名接受选择性胸切除术的患者 (平均年龄为47.1岁).
- 参与者被随机分配到干预组 (RMSE加常规疗法,n=12) 或对照组 (仅常规疗法,n=11).
- 主要结局包括中部和下部胸部扩张 (MCE,LCE),缓慢的生命能力 (SVC) 和肩膀曲/绑架ROM,在手术前和手术后的第二天和第八天进行评估.
主要成果:
- 这两组从第二天到第八天的MCE,LCE,SVC和肩膀ROM显著改善.
- 干预组显示MCE (1.46厘米),LCE (1.75厘米),SVC (438毫升),肩膀曲 (48.3°) 和绑架 (38.8°) 的增加.
- 对于任何主要结果,干预组和对照组之间没有发现统计学上显著的差异.
结论:
- 呼吸道肌肉伸展运动 (RMSE) 与常规疗法相结合,在胸切除术后显著改善了胸壁的移动性,肺体积和肩部运动.
- 然而,RMSE的附加益处并不明显大于单独使用常规疗法.
- RMSE是一种可行的和安全的干预措施,可以被视为标准胸切除术后护理的辅助.
更多相关视频
07:10Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
10.3K
09:37Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment RMCA in Individuals with Chronic Spinal Cord Injury
Published on: July 19, 2013
10.7K
相关概念视频
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.6K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.6K
01:23Assessment of Respiration
1.8K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.8K
01:24Chest Physiotherapy
1.4K
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.4K
01:21Mechanism of Breathing III: The Accessory Muscles
4.1K
The Role of Accessory Muscles in the Respiratory System
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
4.1K
01:26Flail Chest-II
493
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
493
01:27Pneumothorax-II
856
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
856