Immobility and pain are modifiable risk factors for development of venous thromboembolism and pulmonary morbidity after major abdominal surgery (MAS). The purpose of this study was to investigate the effect of abdominal incision support with an elasticized abdominal binder on postoperative walk performance (mobility), perceived distress, pain, and pulmonary function in patients following MAS.Seventy-five patients scheduled to undergo MAS via laparotomy were randomized to experimental (binder) or control (no binder) groups. Sixty (33 male, 27 female; mean age 58±14.9 years) completed the study. Preoperative measurements of 6-minute walk test (6MWT) distance, perceived distress, pain, and pulmonary function were repeated 1, 3, and 5 days after surgery.Surgery was associated with marked postoperative reductions (p<0.001) in walk distance (∼75-78
作者:Oren, Cheifetz;S Deborah, Lucy;Tom J, Overend;Jean, Crowe
来源:Physiotherapy Canada. Physiotherapie Canada 2010 年 62卷 3期