الفهرس Only 14 pages are availabe for public view
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Abstract
Background: Decortication is a surgical procedure that consists in restoring the ventilatory function of the lung by removing the constricting membrane that compresses it over the mediastinum. The diaphragmatic dysfunction is a major factor in the etiology of postoperative pulmonary complications after lung decortications. The objective of this study: was to establish the efficacy of inspiratory muscle training versus aerobic exercise on diaphragmatic muscle strength, excursion and pulmonary functions post lung decortication. Results: In this study, the measuring variables showed no significant differences in between both groups at the baseline (P< 0.05). The results showed that both IMT and AE increased significantly, maximum inspiratory pressure (MIP) within each group, Significant differences of the post treatment mean values between both groups in favor of group IMT were recorded (p<0.05).and increased significantly diaphragmatic excursion, FVC, FEV1, MVV within each group, Significant differences of the post treatment mean values between both groups in favor of group AE were recorded (p<0.05).but had no significant effect (P>0.05) on FEV1/FVC ratio within each group or on comparing the two groups. Conclusion: Both IMT and AE provided a statistically significant improvement in the ventilatory functions, diaphragmatic strength and excursion due to increasing the respiratory muscles strength and endurance .These findings advocate for application of IMT and AE in thoracic surgery rehabilitation programmes