Abstract
Background: Mitral valve replacement was done in 80% of cases with valvular heart diseases (Gummer et al., 2008). Despite advances in reparative techniques, valve replacement surgery is considered as treatment option to restore proper heart function in people with mitral valve disease (Alain Pratt et al., 2001). Mitral valve replacement were accomplished in 1960 by harken and Starr. Diseases of the heart valves constitute a major cause of cardiovascular morbidity and mortality worldwide with an enormous burden on healthcare resources.
Specific Objective: To compare the effect of Threshold inspiratory muscle training device along with Conventional physiotherapy on the endurance capacity and quality of life in mitral valve replacement.
Design: Pre-test and Post-test experimental study design
Study Settings: Department of Physiotherapy, Narayana hospital, Nellore.
Intervention: 30 patients were selected and divided in to two groups Group –A was given with conventional physiotherapy and Group –B was given with Threshold inspiratory muscle training .and total duration was 8 weeks and 3 session per week and 30 -40 min per session.
Out cum measures: six minute walk test, short form – 36 questionnaire
Result & Conclusion: The purpose of the study is to find out the effect of analyze the efficacy of Threshold Inspiratory Muscle Training Device Compare with Conventional Breathing Exercises on Improving endurance capacity and Quality of Life in Mitral Valve Replacement. Based on this statistical analysis the Group B participants show a marked improvement in the six minute walk test and the quality of life questionnaire when compared to Group A participants. Therefore, this study strongly suggests that inspiratory muscle training when added to conventional physiotherapy program proved to be significantly effective in improving endurance capacity and quality of life as compared to conventional physiotherapy alone in mitral valve replacement
Keywords: MVR,, Threshhold inspiratory muscle training.
References
- Akansha Dixit, Shashwat Prakash. Effects of threshold inspiratory muscle training versus conventional physiotherapy on the weaning period of mechanically ventilated patients: a comparative study. Int J Physiother Res 2014;2(2):424-28.
- Akhtar R , Jalwan J , Mukherjee S, To Compare the Immediate Effect of Deep Breathing Exercise and Incentive Spirometry on ABG after Mitral Valve Replacement Surgery. IJOPT; 2012; Vol 6, No 4; 12-17
- Alain Pratt: Rest and exercise in the treatment of heart disease. South Med J, pp. 481-485
- Alfredo josé rodrigues Paulo eduardo gomes ferreira, paulo roberto barboza évora: Effects of an Inspiratory Muscle Rehabilitation Program in the Postoperative Period of Cardiac Surgery, (Arq Bras Cardiol 2009;92(4):261- 268).
- Ambler G, Omer RZ, Royston P, Kinsman R, Keogh BE, Taylor KM: Generic, simple risk stratification model for heart valve surgery. Circulation. 2005 jul 12; 112(2); 224-31. Epub 2005 jul
- American Heart Association: measuring and improving quality of care,( CIR.101:1483-1493.12.1483)
- Andell P, Martinsson A, Andersson C, Stagmo M: epidemiology of valvular heart disease in a Swedish nationwide hospital based register study. Heart. 2017 nov; 103(21); 1696-1703.
- Andrew B. Goldstone, Peter Chiu, Michael Baiocchi: Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement. n engl j med 377;19 nejm.org November 9, 2017
- André Luiz Lisboa Cordeiro, Thiago Araújo de Melo: Inspiratory Muscle Training and Functional Capacity in Patients Undergoing Cardiac Surgery. Braz J Cardiovasc Surg 2016;31(2):140-4
- Bender J: Heart valve disease. In: Zaret BL, Moser M, Cohen LS, Yale University School of Medicine Heart Book. New York NY: Harper Collins; 2002: chap 13.
- Bernie M Bisset, I Anne Leditschke: Protocol: Inspiratory muscle training for promoting recovery and outcomes in ventilated patients,(BMJ,2012;2:e000813. 10.1136/bmjopen-2012-000813).
- Bissett B, Leditschke IA, Neeman T, Boots R, Paratz J. Weaned but weary: one third of adult intensive care patients mechanically ventilated for 7 days or more have impaired inspiratory muscle endurance after successful weaning. Heart Lung. 2015;44(1):15-20.
- Brasher PA, McClelland KH, Denehy L and Story I: Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes, (Australian Journal of Physiotherapy 49: 165-173).
- Carlos Gomez-Dumn, George J. Red, Jr: Indications for Heart Valve Replacement by Age Group. Kluwer Academic Publishers, Norwell, MA (1988)
- Constantina Lomi and Elisabeth Westerdahl: Physical Therapy Treatment after Cardiac Surgery : A National Survey of Practice in Greece. J Clin Exp Cardiolog 2013, S7 DOI: 10.4172/2155-9880.S7-004
Corresponding Author
Dr V. Kiran M.P.T Professor in Physiotherapy