الفهرس 
Title : Effect of inspiratory muscle trainer on selected pulmonary function testing in patients post liver transplantation
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Abstract
Purpose: This study was conducted to determine the effect of inspiratory trainer on selected pulmonary function testing specially (DLCO) in patients post liver transplantation. Subjects: Thirty-three patients of both sexes (10 women and 23 men) with age ranged from 35-45 yrs post liver transplantation surgery participated in this study, received inspiratory muscle training by IMT plus traditional physical therapy program which include deep breathing exercise in form of diaphragmatic, apical and costal breathing, training about right way of cough and early ambulation from bed twice daily for 4 weeks. Blood gases were measured (pH, Pa0₂, PaCO₂ , HCO₃ , DLCOI HCO₃ , Blood lactate and Base excess) before the study and after 4 weeks. Results: The results of the present study showed that inspiratory muscle trainer has a significant effect on some parameters of the measured blood gases post liver transplantation, showed in significant decrease of HCO₃ by 18.27%, lactate level by 26.14% and increased DLco by 6.5%. While the other parameters showed non-significant results appeared in a percentage of change of Pa02 by 3.5%, PaCO₂ by 4.52%, pH by 0.14% and Bx by 11.32%, after training. Conclusion: Inspiratory muscle training is an effective modality added to traditional physical therapy methods post liver transplantation, as an attempt to modulate the diffusion capacity, which considered an important transfer factor for this important operation