“Effect Of Lung Flute And Musical Flute Therapy With Conventional Chest Physiotherapy Among Bypass Graft Patients: An Experimental Study”

  • Pratibha
  • Dr.Deepak Raghav
  • Dr.Bhawna
Keywords: Coronary Artery Bypass Graft, Conventional Chest Physiotherapy, Musical Flute Therapy, Lung Flute Therapy, FVC Forced Vital Capacity, Peak Respiratory Flow Rate, Pulmonary Function Test

Abstract

Background: Pulmonary complications after bypass-grafting surgery are usually seen in patients who have a very long period of immobility and under anaesthesia followed by surgical stress. Traditional chest physiotherapy (CCPT) remains the most widely accepted form of treatment for such conditions. Still, with emerging adjuncts like lung flute and musical flute therapy, additional measures can now enhance respiratory function recovery processes. Lung flute therapy uses sound vibrations to loosen mucus and thus improves airway clearance, while musical flute uses combination of controlled breathing and emotional relaxation to improve the strength of lung capacity. This study aims to compare the efficacy of lung flute therapy, musical flute therapy, and conventional chest physiotherapy in improving respiratory outcomes among bypass graft patients.
Methods: This randomized control trial involved recruiting 90 patients who had undergone CABG surgery and randomizing them into three groups: (1) Lung Flute Therapy (LFT), (2) Musical Flute Therapy (MFT), and (3) Conventional Chest Physiotherapy (CCPT). Interventions were carried out twice a day over two weeks following surgery. Pre-and post intervention results were collected for pulmonary function tests (PFTs), including forced expiratory volume (FEV1), forced vital capacity (FVC), and peak expiratory flow rate (PEFR). Moreover, subjective measures involving dyspnoea scale scores as well as quality of life (QOL) reported by patients were explored.
Results: At the conclusion of the two-week intervention, all the three groups demonstrated statistically significant enhancements in PFTs and QOL scores (p < 0.05). The extent of improvement, however, was group dependent. Conclusion: Musical flute and lung flute therapy as adjuncts to physical chest therapy gives significant gains in respiratory recovery for patients who have been subjected to CABG surgery. Lung flute is mucus clearance and patency in the airway, while musical flute therapy induces relaxation and good functionality of the lungs. Therefore, the two therapiesprovidecomplementaryadvantagestoCCPTandmightbeusedasadjunctstherapyoptions within the pulmonary rehabilitation protocols set for bypass graft patients. These outcomes need to be validated with larger sample sizes and long-term benefits studies.

Author Biographies

Pratibha

MPT, Department Of Physiotherapy, Santosh Paramedical College, Hospital, Ghaziabad

Dr.Deepak Raghav

Professor/Principal, Department Of Physiotherapy, Santosh Paramedical College, Hospital, Ghaziabad

Dr.Bhawna

Assistant Professor, Department Of Physiotherapy, Santosh Paramedical College, Hospital, Ghaziabad

References

1) Yánez-BrageI,Pita-FernándezS,Juffé-SteinA,Martínez-GonzálezU,Pértega-DíazS,Mauleón-GarcíaÁ. Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study. BMC pulmonary medicine. 2009 Dec;9:1-0.
2) KolkailahAA,DelValFR, KanekoT,ArankiSF.Coronaryarterybypassgraft.Comprehensivecardiovascular medicine in the primary care setting. 2019:291-310.
3) DönertaşE.IDENTIFYINGPOTENTIALDESIGNINTERVENTIONSFORHEARTLUNGMACHINES(Master's thesis,MiddleEastTechnicalUniversity).BrazilduringtheCOVID-19pandemic.FisioterapiaemMovimento. 2021 Feb 26;34:e34103.
4) IbrahimAA,HusseinHM,HakamiHA,AlrawailiSM,NambiG,AbdelbassetWK.Physicalandpsychological response to physical rehabilitation in Coronavirus Disease19 patient: A case report. Science. 2021;25(111):1117-22.
5) 4.Anjuman N,LiN,GuarneraM,StassSA,JiangF.Evaluationoflungfluteinsputumsamplesfor molecular analysis of lung cancer. Clin Transl Med 2013; 2:15.
6) KouZ,JiaJ,LiuX,LuoT,XinX, GongJ,Zhang J,Sun D,JiangF,Gao R.Epidemiologicalcharacteristicsand spatial-temporal clusters of hand, foot, and mouth disease in Qingdao City, China, 2013-2018. PloS one. 2020 Jun 5;15(6):e0233914.
7) Chan,M.F.,Wong,O.C.,Chan,H.L.,Fong,M.C.,Lai,S.Y.,Lo,C.W.,Ho,S.M.,Ng,S.Y.,&Leung,S.K. (2006).EffectsofmusiconpatientsundergoingaC-clampprocedureafterpercutaneouscoronary interventions.
8) GugnaniA.EFFECTS()FBREATHINGEXERCISESANDINCENTIVESPIR()METRYINIMPROVINGLUNG(CAPACITY()N INDIVIDUALS VVITH LUNG PIP3 R () S IS.
9) HoughA.Physiotherapyinrespiratorycare:aproblem-solvingapproachtorespiratoryandcardiacmanagement. Springer; 2013 Nov 11.
10) HeZ,WangY, HanL,HuY,CongX.The mechanism and application of traditional Chinese medicine extracts in the treatment of lung cancer and other lung-related diseases. Frontiers in Pharmacology. 2023 Dec 6;14:1330518.
11) ChiangJ,AminR. Respiratory care considerations for children with medical complexity. Children.2017May 19;4(5):41.
12) ShaikhS,GDVV. Effect of Lung Flute Device versus Autogenic Drainage in Pulmonary Tuberculosis-AComparative Study. tuberculosis.;10:11.
13) GallartL,CanetJ.Post-operativepulmonarycomplications:understandingdefinitionsandriskassessment.Best practice & research Clinical anaesthesiology. 2015 Sep 1;29(3):315-30.
14) Dsilva C, Gatty A, Mascarenhas D,Jean-Pierre B, Dsouza F, Sidhpuria S. Comparing effects ofinspiratory muscle trainerandlungfluteonsputumclearanceinchronicobstructivepulmonarydisease: Arandomizedcontrolledtrial. Physiotherapy Practice and Research. 2024 Jun 19;45(1):41-7.
15) WilliamsC,HineT. Aninvestigationintotheuseofrecordedmusicasasurgicalintervention:asystematic,critical review of methodologies used in recent adult controlled trials. Complementary therapies in medicine. 2018 Apr 1;37:110-26.
16) DaynesE.SymptomManagementofChronicObstructivePulmonaryDiseaseUsingHighFrequencyAirway Oscillations (Doctoral dissertation, University of Leicester).
Published
2024-12-28
How to Cite
Pratibha, Dr.Deepak Raghav, & Dr.Bhawna. (2024). “Effect Of Lung Flute And Musical Flute Therapy With Conventional Chest Physiotherapy Among Bypass Graft Patients: An Experimental Study”. Revista Electronica De Veterinaria, 25(2), 785-790. https://doi.org/10.69980/redvet.v25i2.1529