Association of Chartered Physiotherapists in Respiratory Care scoping review: Post-operative physiotherapy in people undergoing thoracic surgery

Allaina Eden, Nikki Gilbert, Amy Bendall, Izzie Easton, Agnieszka Lewko, Alicia Page, Chloe Tait, Una Jones

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

Introduction
This scoping review was produced by the ACPRC editorial board. Following a preliminary scoping day,
surgery was considered 1 of 5 key priorities for review.
Surgery was subsequently separated into specialities.
Objective
The objective of this scoping review was to report the
extent and methodological type of evidence associated with post-operative physiotherapy in people who underwent thoracic surgery. Inclusion criteria
Studies with adult patients undergoing thoracic surgery and published between 2014 and 2020 were included. The thoracic procedure undertaken required
post-operative physiotherapy intervention as part of the recovery process. Quality was assessed and data was extracted using the
relevant tools dependent on study methodology.
Results
Initially, 1809 articles were retrieved from which 28articles were included in this scoping review, including a total of 6265 participants. Studies were randomised control trials (n = 10), observational studies (n = 7)and systematic review or meta-analysis (n = 5).
The quality of the articles was good with the studies
having structured protocols and blinding of subjects where appropriate, however there were some
methodical flaws, including being underpowered.
The variability in clinical physiotherapy practice between countries was highlighted.
The quality of the articles was good with the studies
having structured protocols and blinding of subjects where appropriate, however there were some
methodical flaws, including being underpowered.
The variability in clinical physiotherapy practice between countries was highlighted.
Conclusion
The scoping review included 28 studies with a range
of methodologies providing evidence that supports
post-operative physiotherapy intervention in people
who undergo thoracic surgery. Future research should
aim to clarify which respiratory physiotherapy techniques impact recovery and expand the diversity of
methodologies to include more qualitative research.





Original languageEnglish
Pages (from-to)89-113
Number of pages25
JournalJournal of ACPRC
Volume54
Issue number1
Publication statusPublished - 2 Feb 2022
Externally publishedYes

Keywords

  • In-patient
  • mobilisation
  • post-operative
  • respiratory physiotherapy
  • thoracic surgery

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