The Effects of Early Mobilization Protocol on Pre and Post Operative Functional Performance for Individuals with Post Abdominal Surgery

Abstract

Background: The post surgical period of abdominal incision was accompanied with respiratory muscle dysfunctionand diminished physical capability. Limited upright mobilisation, exhaustion, and restricted lung abnormalities,among other functional issues, are linked to the early postoperative days. Improving pre-operative levels ofphysical functioning in individuals might be beneficial for post operative outcome.Aim: Aim of the study was to find out on which post-operative day the abdominal surgery participants get to thesame functional status as pre-operative status.Method: 40 Individuals hospitalized for abdominal surgery at Saveetha Medical College and Hospital werechosen for the study based on the inclusion and exclusion criteria. The selected participants were treated withdiaphragmatic breathing exercise, Incentive spirometry, thoracic expansion exercise, splinted coughing technique,active range of motion exercise for upper extremity and lower extremity for pre-operative abdominal surgeryparticipants. Post operative participants were treated with physiotherapy from POD 1 till the time their functionalstatus become same as the pre-operative status. Six- minute walk test, hospital anxiety and depression scale wereused in this study. Their scores were calculated and analysed.Result: Similar pre-operative mean (365.25±25.92) was attained at POD-7 (350.75±25.46). Day of POD-5, the HADSscore was normal (0 to7) in depression.Conclusion: This study shows the post-operative status is attained back on POD-7 with using 6MWT. Depressionwas relieved at POD-5 with a value of mean and standard deviation in HADS.