Volume 24, Issue 7 (10-2025)
JRUMS 2025, 24(7): 597-614 |
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Ethics code: IR.KMU.AH.REC.1402.012
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Lotfmohammadi N, Hashemian M, Amirbeigi A, Abolhasani Zadeh F. The Effect of Incentive Spirometry and Respiratory Physiotherapy on Improving Respiratory Function in Patients Following Chest Injuries: A Clinical Trial Study. JRUMS 2025; 24 (7) :597-614
URL: http://journal.rums.ac.ir/article-1-7379-en.html
URL: http://journal.rums.ac.ir/article-1-7379-en.html
Department of Surgery, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Abstract: (37 Views)
Background and Objectives: Incentive spirometry is an effective approach in chest physiotherapy for enhancing respiratory function in patients with chest injuries. This study aimed to evaluate the effect of using incentive spirometry on respiratory function and potential complications following chest tube insertion in patients at Shahid Bahonar Hospital, Kerman, in 2023.
Materials and Methods: In this clinical trial, 64 patients requiring chest tube insertion due to penetrating and non-penetrating injuries were divided into intervention (n=32) and control (n=32) groups. The intervention group received incentive spirometry in addition to respiratory physiotherapy, while the control group received only respiratory physiotherapy. Arterial blood gas, pulmonary function before and after the intervention, respiratory complications, and patient recovery rates were assessed over three days. Data were analyzed using chi-square test, Fisher's exact test, and independent t-test.
Results: The study demonstrated a significant increase in forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and the FEV1/FVC ratio in the incentive spirometry group, regardless of injury type (p<0.05). Using incentive spirometry significantly reduced the incidence of atelectasis (p=0.028) and increased arterial oxygen saturation (p=0.042) and arterial oxygen levels (p=0.031) in the non-penetrating injury group. In contrast, incentive spirometry significantly increased arterial oxygen levels in the penetrating injury group (p=0.044). No significant difference was observed in respiratory complications irrespective of the injury type (p>0.05).
Conclusion: Given the efficacy and safety of incentive spirometry, it can be recommended as an effective adjunct therapy for patients with chest injuries.
Keywords: Incentive spirometry, Chest physiotherapy, Thoracostomy tube, Lung function
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics committee of Kerman University of Medical Sciences, Kerman, Iran, approved the study (IR.KMU.AH.REC.1402.012).
Authors’ contributions
- Conceptualization: Firoozeh Abolhasani Zadeh, Negar Lotf Mohammadi
- Methodology: Firoozeh Abolhasani Zadeh, Alireza Amirbeigi
- Data collection: Negar Lotf Mohammadi
- Formal analysis: Independent statistician
- Supervision: Firoozeh Abolhasani Zadeh, Alireza Amirbeigi, Morteza Hashemian
- Project administration: Firoozeh Abolhasani Zadeh
- Writing – original draft: Negar Lotf Mohammadi, Firoozeh Abolhasani Zadeh
- Writing – review & editing: Firoozeh Abolhasani Zadeh
Materials and Methods: In this clinical trial, 64 patients requiring chest tube insertion due to penetrating and non-penetrating injuries were divided into intervention (n=32) and control (n=32) groups. The intervention group received incentive spirometry in addition to respiratory physiotherapy, while the control group received only respiratory physiotherapy. Arterial blood gas, pulmonary function before and after the intervention, respiratory complications, and patient recovery rates were assessed over three days. Data were analyzed using chi-square test, Fisher's exact test, and independent t-test.
Results: The study demonstrated a significant increase in forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and the FEV1/FVC ratio in the incentive spirometry group, regardless of injury type (p<0.05). Using incentive spirometry significantly reduced the incidence of atelectasis (p=0.028) and increased arterial oxygen saturation (p=0.042) and arterial oxygen levels (p=0.031) in the non-penetrating injury group. In contrast, incentive spirometry significantly increased arterial oxygen levels in the penetrating injury group (p=0.044). No significant difference was observed in respiratory complications irrespective of the injury type (p>0.05).
Conclusion: Given the efficacy and safety of incentive spirometry, it can be recommended as an effective adjunct therapy for patients with chest injuries.
Keywords: Incentive spirometry, Chest physiotherapy, Thoracostomy tube, Lung function
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics committee of Kerman University of Medical Sciences, Kerman, Iran, approved the study (IR.KMU.AH.REC.1402.012).
Authors’ contributions
- Conceptualization: Firoozeh Abolhasani Zadeh, Negar Lotf Mohammadi
- Methodology: Firoozeh Abolhasani Zadeh, Alireza Amirbeigi
- Data collection: Negar Lotf Mohammadi
- Formal analysis: Independent statistician
- Supervision: Firoozeh Abolhasani Zadeh, Alireza Amirbeigi, Morteza Hashemian
- Project administration: Firoozeh Abolhasani Zadeh
- Writing – original draft: Negar Lotf Mohammadi, Firoozeh Abolhasani Zadeh
- Writing – review & editing: Firoozeh Abolhasani Zadeh
Type of Study: Research |
Subject:
Surgery
Received: 2024/05/4 | Accepted: 2025/09/8 | Published: 2025/10/18
Received: 2024/05/4 | Accepted: 2025/09/8 | Published: 2025/10/18
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