Effectiveness of application of occlusive dressing in protection of Percutaneous Endoscopic Gastrostomy in Aquatic Therapy

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.35867

Keywords:

Percutaneous Endoscopic Gastrostomy; Aquatic Therapy; Occlusive dressing.

Abstract

Percutaneous Endoscopic Gastrostomy (PEG) is a method that has been widely used as an alternative feeding method for patients who have impaired mastication and swallowing. The study aimed to verify whether the application of waterproof adhesive dressing is effective in preventing water infiltration at the site of the GEP feeding stoma in the therapeutic pool, simulating a real aquatic rehabilitation situation. This is a cross-sectional study in which cotton samples that were inside the dressing were tested and were compared in two weighings after the participant entered the therapeutic pool, the first weighing performed immediately after passive and active immersion and the second weighing after a period of drying in the oven. Ninety procedures were performed, with the participation of 45 healthy volunteers of both sexes, aged between 18 and 60 years. The weighing values ​​were statistically significant for the confirmation of water infiltration inside the dressing in 1/5 of the cases, with the participants in the active modality having the highest proportion of infiltration. When performing the analysis for BMI and presence of hair in the abdominal region, there was no statistically significant difference between the results previously obtained. The occlusive dressing is effective to prevent water infiltration during patient immersion in the therapeutic pool in 80% of cases.

References

Chaves e Xavier A.C., et al. (2012). Doenças neuromusculares: atuação da fisioterapia: Guia teórico e prático. Roca.

Dietrich, C. G., & Schoppmeyer, K. (2020). Percutaneous endoscopic gastrostomy–Too often? Too late? Who are the right patients for gastrostomy? World Journal of Gastroenterology, 26(20), 2464.

Dunlap E., Gobert D. Taxa de sucesso à prova d'água de curativos de filme transparente com e sem preparação especial da pele em um ambiente de terapia aquática: um estudo piloto (2017). J Aquatic Phys Ther., 25, 3-8.

Fernanda C., Andressa F.B., Fernanda S.A., Karoline B.V..(2019) Guia prático aplicado à fisioterapia aquática. UFCSPA.

Giesecke, C. (2000). Reabilitação aquática de pacientes com lesão da medula espinhal. Ruoti RG, Morris DM, Cole A J. Reabilitação aquática. São Paulo, 141-162.

Gali, J. C., Adad, M. A. H., & Mod, M. S. B. (2002). Reconstruçäo do ligamento cruzado anterior com tendões flexores quádruplos e parafusos de interferência metálicos. Rev. bras. ortop, 240-246.

Fertelli, T. K., Mollaoglu, M., & Sahin, O. (2019). Aquatic exercise program for individuals with osteoarthritis: Pain, stiffness, physical function, self-efficacy. Rehabilitation Nursing Journal, 44(5), 290-299.

Katzberg, H. D., & Benatar, M. (2011). Enteral tube feeding for amyotrophic lateral sclerosis/motor neuron disease. Cochrane database of systematic reviews, (1).

Lucendo, A. J., & Friginal-Ruiz, A. B. (2014). Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care. Rev Esp Enferm Dig, 106(8), 529-39.

Wajchemberg, M., Pires, L., Rodrigues, R. C., Mano, K. S., Sottomaior, M. D. S., Cohen, M., ... & Puertas, E. B. (2002). Reabilitação precoce de atletas utilizando hidroterapia após o tratamento cirúrgico de hérnia discal lombar: relato preliminar de 3 casos. Acta Ortopédica Brasileira, 10, 48-57.

Mello, G.; Mansur, G. Gastrostomia Endoscópica Percutânea: Técnicas e aplicações (2012). 1.ed. Rio de Janeiro: Rúbio.

Mello, G. F. S. (2011). Avaliação da gastrostomia endoscópica percutânea como procedimento ambulatorial em pacientes com câncer de cabeça e pescoço: viabilidade, complicações e impacto clínico do momento da realização pré, per ou póstratamento. Rio Janeiro: Instituto Nacional de Câncer.

Meneghelli, U. G., & Martinelli, A. L. (2004). Princípios de semiotécnica e de interpretação do exame clínico do abdômen. Medicina (Ribeirão Preto), 37(3/4), 267-285.

Moran, C., & O’Mahony, S. (2015). When is feeding via a percutaneous endoscopic gastrostomy indicated? Current opinion in gastroenterology, 31(2), 137-142.

Orsini, M., de Freitas, M. R., de Sá, M. R. C., de Mello, M. P., Botelho, J. P., de Souza Antonioli, R., ... & de Freitas, G. R. (2008). Uma revisão das principais abordagens fisioterapêuticas nas atrofias musculares espinhais. Revista Neurociências, 16(1), 46-52.

Saúde, P., SC. (2017). http://scsaude.sea.sc.gov.br/rol-de-procedimentos-backup/

Torres-Ronda, L., & i del Alcázar, X. S. (2014). The properties of water and their applications for training. Journal of human kinetics, 44, 237.

Villela, E. L. (2013). Avaliação da durabilidade dos diferentes modelos de sondas de troca de gastrostomia (Doctoral dissertation, Universidade de São Paulo).

Wilcock, I. M., Cronin, J. B., & Hing, W. A. (2006). Physiological response to water immersion: a method for sport recovery?. Sports medicine (Auckland, N.Z.), 36(9), 747–765. https://doi.org/10.2165/00007256-200636090-00003

Zorrón, R., Flores, D., Meyer, C. A. F., Castro, L. M. D., Madureira, F. A. V., & Madureira Filho, D. (2005). Gastrostomia de incisão única como alternativa para o procedimento endoscópico. Revista do Colégio Brasileiro de Cirurgiões, 32, 153-156.

Published

18/10/2022

How to Cite

CASTRO, E. G. A. Z. de .; AMORIM, A. L. .; KÜMPEL, C. .; PORTO, E. F.; PACHECO, B. R.; QUADROS, A. A. J. Effectiveness of application of occlusive dressing in protection of Percutaneous Endoscopic Gastrostomy in Aquatic Therapy. Research, Society and Development, [S. l.], v. 11, n. 14, p. e23111435867, 2022. DOI: 10.33448/rsd-v11i14.35867. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35867. Acesso em: 24 apr. 2024.

Issue

Section

Health Sciences