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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06029556
Other study ID # REC/01373 Sarmad
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date December 1, 2022
Est. completion date October 1, 2023

Study information

Verified date September 2023
Source Riphah International University
Contact Sumaiyah Obaid, MS
Phone +923212683462
Email sumaiyah.obaid@riphah.edu.pk
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

In this study the investigator aim to find the effects of early mobility on different physical activity protocols in post CABG patients. Physical activity, functional status, functional capacity, Kinesiophobia, ICU mortality, heart rate, blood pressure, oxygen saturation, length of hospital stay and sternal instability. To compare the physical activity protocol used by physical therapist.


Description:

Current study will compare two different early mobility protocols and will help in assessing best protocol to be use in cardiac ICU for better outcomes of patients.


Recruitment information / eligibility

Status Recruiting
Enrollment 70
Est. completion date October 1, 2023
Est. primary completion date September 30, 2023
Accepts healthy volunteers No
Gender All
Age group 40 Years to 70 Years
Eligibility Inclusion Criteria: - Age 40-70 years - Both Genders - Extubated patients with no Complication - Post CABG (Elective) - Vitally stable - 1st CABG - Selective CABG surgeries Exclusion Criteria: - Post anesthesia Psychosis - Corrective surgeries - Post CABG Stroke - Infectious wound - Participants with a physical disability - Intra-aortic balloon pump (IABP)

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Mobility out of Bed
Active upper limb exercises will be conducted (flexion-extension and adduction-abduction) of large joints (shoulder, elbow and wrist) Associated with upper limb exercises, patients will undergo a series of exercises ergometer with lower limb (LL). The mobilization will be conduct on a cycle ergometer in an active, lasting 20 minutes, divided into three steps: heat 5 minutes; 10 minutes of low-intensity exercise, with a speed of 30 revolutions per minute (rpm); and 5 minutes recovery. The patient remains in the supine position with the head of the bed elevated to 45 degrees, while the lower limbs will remain planned
Ergometry in Bed
Ankle pumps (5*2), knee extension (5*2), breathing exercises with elbow flexion and extension(5*2), spirometry and progressive early ambulation (from bed to wheelchair and wheelchair to standing and from standing to few steps), and conventional chest physical activity (5 minutes on precursor)

Locations

Country Name City State
Pakistan Rehman Medical Institute Peshawar KPK

Sponsors (1)

Lead Sponsor Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Functional Status score Questionnaire Five item scale measures the physical performance of patients in ICU.The Functional Status Score for the Intensive Care Unit (FSS-ICU) is a 5-item performance-based measure that utilizes an 8 point, ordinal scale to measure physical function for patients in the intensive care unit setting. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Primary BAECK PHYSICAL ACTIVITY QUESTIONNAIRE Evaluates the physical activity over the past 12 months. The MBPAQ (BHPAQ) evaluates habitual physical activities in individuals. Activities are scored on a scale of 1-5. A score of 5 indicates the most activity and 1 indicates the least activity for each index. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Primary 6 minute walk Test Sub-maximal test evaluates the aerobic endurance. The 6-minute walk test (6MWT) assesses distance walked over 6 minutes as a sub-maximal test of aerobic capacity/endurance. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Primary Tampa Scale of Kinesiophobia Evaluate the fear of movement during activity ,17 items a self-reporting questionnaire based on evaluation of fear of movement, fear of physical activity, and fear avoidance. Individual item scores range from 1-4, with the negatively worded items (4,8,12,16) having a reverse scoring (4-1). The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible kinesiophobia, and the higher scores indicate an increasing degree of kinesiophobia. Changes will be measured at baseline and at completion of 4th week Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Secondary STERNAL INSTABILITY SCALE: The sternal instability scale (SIS) is a non-invasive manual assessment tool used to detect early bony non-union or instability. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Secondary BORG RATING OF PERCEIVED EXERTION The Borg RPE Scale is a 15-point scale (6 to 20) used to rate subjective experiences during physical exertion. This subjective load scale can help estimate load symptoms, such as the degree of exertion, the degree of load and fatigue. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
Secondary Length of Hospital stay Total number of days stay in hospital average of days in both group. Pre Operative (Baseline), 1st Assessment (0 Week) and 2nd Assessment (4 week)
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