Comparative Effects of Incentive Spirometer versus Inspiratory Muscle Trainer on Diaphragmatic Excursion Post-Coronary Artery Bypass Graft Surgery | ||
| International Physical Therapy Conference - Cairo University | ||
| Volume 4, Issue 1 - Serial Number 20251, 2025, Pages 292-299 PDF (735.83 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/iptccu.2025.443807 | ||
| Authors | ||
| Mohamed Ali Ahmed Mohamed* 1; Nagwa Mohamed Hamed Badr2; Heba Ali Abdelghaffar3; Ibrahim Mostafa Helmi4 | ||
| 1Physical therapist/ National heart Institute Egypt | ||
| 2Prof. of physical therapy /faculty of physical therapy /Cairo University | ||
| 3Assist. Prof of physical therapy /faculty of physical therapy /Cairo University | ||
| 4Assist. Prof. Of Radiology/General Organization for Teaching hospitals and institutes | ||
| Abstract | ||
| Aims: This study aimed to compare the effectiveness of Incentive Spirometry (IS) and Inspiratory Muscle Training (IMT) on diaphragmatic excursion in patients undergone coronary artery bypass graft (CABG) surgery. Methods: Fifty-two patients scheduled for elective CABG were randomized into two groups. Group A received conventional physiotherapy with IS, while Group B underwent physiotherapy with IMT. Diaphragmatic excursion was assessed pre- and post-intervention using ultrasound imaging. Results: Both groups showed significant improvement in diaphragmatic excursion (IS: 3.6 ± 0.5 cm to 4.8 ± 0.9 cm, IMT: 3.7 ± 0.7 cm to 5.05 ± 0.7 cm; p < 0.001 within groups). No statistically significant difference was found between the groups post-treatment (p = 0.31). Conclusion: Both IS and IMT significantly improve diaphragmatic excursion following CABG surgery. Either modality can be effectively implemented based on clinical and logistical considerations. | ||
| Keywords | ||
| Coronary artery bypass graft; incentive spirometry; inspiratory muscle training; diaphragmatic excursion; postoperative rehabilitation | ||
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