Impact of manual diaphragmatic release technique on diaphragmatic excursion post partial pancreaticoduodenectomy | ||
| Egyptian Journal of Physical Therapy and Rehabilitation | ||
| Volume 4, Issue 1, February 2025, Pages 11-18 PDF (1 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejptr.2024.293638.1010 | ||
| Authors | ||
| Nancy Mahmoud Ali Hegazy* 1; Khadra Mohamed Ali1; Islam Ismail Ayoub2; Intsar Salim Waked3; Marwa Mahdy Abd EL-Hameed1 | ||
| 1Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt. | ||
| 2Department of Hepato-pancreato-biliary surgery, National Liver Institute, Menoufia University, Shebin El-kom, Egypt. | ||
| 3Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt. Department of Physical Therapy, College of Applied Medical Sciences, Buraydah Private Colleges, Buraydah, KSA. | ||
| Abstract | ||
| Purpose: To detect the impact of manual diaphragmatic release technique on diaphragmatic excursion post partial pancreaticoduodenectomy. Materials and Methods: A total of 60 participants who are from 35 to 55 years old, undergone partial pancreaticoduodenectomy. The individuals were randomized into two groups the experimental group(n=30), were administered a manual diaphragmatic release technique with traditional physiotherapy program while the control group(n=30), were administered traditional physiotherapy program. The treatment interventions were administered 3 sessions per week one hour per session for a duration of four weeks. The diaphragmatic excursion was assessed by ultrasonography which were taken both before and after a four-week period of interventions. Results: following 4 weeks of treatment, both groups exhibited a statistically substantial difference in diaphragmatic excursion on the right and left sides compared with pretreatment. No statistically significant difference was seen between the two groups before the treatment (p > 0.05). A statistically significant difference was found between groups A and B after treatment in terms of axillary as well as clavicular diaphragmatic excursion on the right as well as left sides (p < 0.01). Conclusion: Adding manual diaphragmatic release technique to complete traditional physiotherapy program may have a greater efficacy on improving diaphragmatic excursion for patients post pancreaticoduodenectomy. | ||
| Keywords | ||
| Manual diaphragmatic release technique; Diaphragmatic excursion; Ultrasonography; Partial Pancreaticoduodenectomy | ||
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