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Inspiratory muscle training and bariatric surgery

Sjaak Pouwels, Marieke Kools-Aarts, Mohammed Said, Joep A W Teijink, Frank W J M Smeenk, Simon W Nienhuijs
BACKGROUND: The respiratory function is affected by obesity due to an increased deposition of fat on the chest wall. The objective of this study was to investigate the strength of the inspiratory respiratory muscles of obese individuals and the possible influence of bariatric surgery on it by measuring the maximum inspiratory pressure (MIP). METHODS: Patients referred to a bariatric centre between the 3rd of October 2011 and the 3rd of May 2012 were screened preoperatively by a multidisciplinary team...
2015: SpringerPlus
Marcela Cangussu Barbalho-Moulim, Gustavo Peixoto Soares Miguel, Eli Maria Pazzianotto Forti, Flavio do Amaral Campos, Dirceu Costa
OBJECTIVE: To determine whether preoperative inspiratory muscle training is able to attenuate the impact of surgical trauma on the respiratory muscle strength, in the lung volumes, and diaphragmatic excursion in obese women undergoing open bariatric surgery. DESIGN: Randomized controlled trial. SETTING: Meridional Hospital, Cariacica/ES, Brazil. SUBJECTS: Thirty-two obese women undergoing elective open bariatric surgery were randomly assigned to receive preoperative inspiratory muscle training (inspiratory muscle training group) or usual care (control group)...
2011: Clinics
Carla Cristine Cunha Casali, Ana Paula Manfio Pereira, José Antônio Baddini Martinez, Hugo Celso Dutra de Souza, Ada Clarice Gastaldi
BACKGROUND: This study seeks to assess the effect of inspiratory muscle training (IMT) on pulmonary function, respiratory muscle strength, and endurance in morbidly obese patients submitted to bariatric surgery. METHODS: Thirty patients were randomly assigned to sham muscular training, or to IMT with a threshold device (40% of maximum inspiratory pressure, MIP), for 30 min/day, from the 2nd until 30th postoperative (PO) day. All of them were submitted to a standard respiratory kinesiotherapy and early deambulation protocol...
September 2011: Obesity Surgery
Gerald W Smetana
Postoperative pulmonary complications are common, serious, and expensive. Important predictors of risk are advanced age, poor health as assessed by American Society of Anesthesiologists class, and surgery near the diaphragm. Effective strategies to reduce risk include postoperative lung expansion techniques, preoperative intensive inspiratory muscle training, postoperative thoracic epidural analgesia, selective rather than routine use of nasogastric tubes, and laparoscopic rather than open bariatric surgery...
November 2009: Cleveland Clinic Journal of Medicine
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