Comparison of different respiratory exercise methods in patients fitted with a chest tube due to spontaneous pneumothorax

Bayram Metin; Şener Yıldırım; Yavuz Selim İntepe; Hüseyin Ede; Eylem Yıldırım; Mesut Sipahi; Meral Ekim; Hasan Ekim

doi:10.5606/tgkdc.dergisi.2016.12010

Bayram Metin¹, Şener Yıldırım¹, Yavuz Selim İntepe², Hüseyin Ede³, Eylem Yıldırım², Mesut Sipahi⁴, Meral Ekim⁵, Hasan Ekim⁶

¹Departments of Thoracic Surgery, Medical Faculty of Bozok University, Yozgat, Turkey
²Departments of Chest Diseases, Medical Faculty of Bozok University, Yozgat, Turkey
³Departments of Cardiology, Medical Faculty of Bozok University, Yozgat, Turkey
⁴Departments of General Surgery, Medical Faculty of Bozok University, Yozgat, Turkey
⁵Department of Nursing, Bozok University, School of Health Sciences, Yozgat, Turkey
⁶Departments of Cardiovascular Surgery, Medical Faculty of Bozok University, Yozgat, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.12010

Background: This study aims to investigate the effects of different respiratory expansion methods such as forced coughing, triflow exercise, balloon inflating, and walking on respiratory function tests including pulse rate, time to complete pulmonary expansion, and time to remove the chest tube in patients fitted with a chest tube due to primary spontaneous pneumothorax. Methods: This prospective study included 40 consecutive primary spontaneous pneumothorax patients (34 males, 6 females; mean age 26.6 years; range 16 to 60 years). All patients were performed tube thoracostomy between the midaxillary line and the sixth or seventh intercostal space. Patients were randomly divided into four groups with 10 patients in each as the triflow group, the balloon group, the treadmill group, and the control group. Different respiratory exercise methods were applied to obtain pulmonary expansion and adherence of parietal and visceral pleural layers.

Results: The groups were statistically similar in respect to age, sex, weight, height, body mass index, and side of pneumothorax. The groups' average time to complete pulmonary expansion and duration of air leakage were similar.

Conclusion: Our study results demonstrate no significant difference between administration of forced coughing alone and other respiratory exercises plus forced coughing in terms of respiratory function tests in patients fitted with a chest tube due to primary spontaneous pneumothorax.

Keywords : Balloon, breathing exercises, spontaneous pneumothorax, triflometer, tube thoracostomy

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