Open Heart Surgery Clinical Trial
Official title:
Comparison of the Effects of Different Physiotherapy and Rehabilitation Methods in Phase I Following Open Heart Surgery
The aim of this study is to compare the effects of different physiotherapy and rehabilitation
methods in hospitalization after Open Heart Surgery (OHS). In this context, it is planned
that patients undergoing OHS surgery will be randomly divided into 3 groups.
1. Group routine cardiac rehabilitation program (RCRP)
2. Group RCRP and inspiratory muscle training
3. Group RCRP and virtual reality application Treatment of patients will be administered
twice daily during their stay in the hospital. The patients will be evaluated by
clinical measurements and scales based on patient notification and before and after the
treatment and their effectiveness and superiority over each other will be determined.
Purpose of our study Comparison of the effects of different physiotherapy and rehabilitation
methods in hospitalization after Open Heart Surgery (OHS).
Expected results: Routine cardiac rehabilitation program (RCRP) + virtual reality group and
RCRP + inspiratory muscle training group pain, dyspnea, anxiety, depression, quality of life,
respiratory muscle strength We believe that there will be good progress in pulmonary
function, 6 minutes walking distance evaluation results, and best developments will occur in
RCRP + virtual reality + inspiratory muscle training group.
In this context, it is planned that patients undergoing OHS surgery will be randomly divided
into 3 groups. Group 1 routine cardiac rehabilitation program (RCRP) 2. Group RCRP and
inspiratory muscle training 3. Group RCRP and virtual reality application Treatment of
patients will be administered twice daily during their stay in the hospital. The patients
will be evaluated by clinical measurements and scales based on patient notification and
before and after the treatment and their effectiveness and superiority over each other will
be determined.
Literature summary:
Open Heart Surgery is one of the most effective and reliable treatment options in coronary
artery diseases and the most common coronary artery bypass surgery in the world is used to
prolong the life expectancy of patients and reduce symptoms. Patients undergoing cardiac
rehabilitation program after Open Heart Surgery are extremely important and the benefits of
cardiac rehabilitation; reduction in symptoms, exercise tolerance and increase in workforce,
improvement in blood lipid and general risk profile, decrease in smoking, stress management
and self-improvement, atherosclerotic status, new coronary attacks, hospitalizations,
decreases in morbidity and mortality.Despite the well-known positive effects of open heart
surgery, respiratory complications are common in patients with decreased respiratory muscle
strength in the postoperative period.
Inspiratory muscle training with yararlı Threshold iştir performed after open heart surgery
helps to increase respiratory muscle strength and endurance, and potential beneficial effects
have been demonstrated in cardiac patients undergoing coronary artery bypass surgery.
In a randomized controlled trial of 38 patients undergoing coronary artery bypass surgery,
respiratory muscle training has been shown to provide improvements in maximum inspiratory
pressure, maximum expiratory pressure, peak flow rate, and tidal volume results. In another
randomized controlled trial of 47 patients with coronary artery bypass surgery, the patients'
postoperative ventilation capacity and respiratory muscle strength decreased. It was reported
that inspiratory muscle training increased the tidal volume and vital capacity parameters.
Hospitalization is an experience that increases the anxiety and anxiety of the individual.
Individual in the hospital environment; they may feel threatened, feel fear and insecurity.
Using virtual reality glasses can help patients to feel different in a different environment.
This may be beneficial to the patient in eliminating the negative emotions brought by the
hospital environment and may positively affect their participation in the treatment.
Virtual reality applications, which have gained importance in many areas of medicine, have
shown that improved exercise programs and enriched environment provide better functional
performance in patients undergoing cardiac surgery. After reviewing the literature related to
virtual reality combined rehabilitation applications after coronary artery bypass surgery,
there are only three studies in the form of walking and exercise training in virtual
environment.
In a randomized controlled trial of 60 patients undergoing coronary artery bypass surgery,
the patients were divided into two groups: the traditional cardiac rehabilitation group and
the additional virtual reality group of traditional cardiac rehabilitation. The patients were
evaluated on the day of preoperative, postoperative first, third and discharge days with
Functional Independence Measurement (FIM), 6 Minute Walk Test and Nottigham Health Profile.
Traditional cardiac rehabilitation program applied to both groups twice a day was determined
as breathing exercises, airway cleaning techniques, metabolic and motor exercise training. In
the study group, motor exercises in traditional cardiac rehabilitation program were performed
twice a day using virtual reality and kinesiotherapy. As a result of evaluations, cardiac
rehabilitation combined with virtual reality application has been shown to provide better
functional performance in patients.
In 2006, 20 patients who had undergone coronary artery bypass surgery were included. It has
been shown that a rehabilitation program with virtual reality applications is useful to
improve the physical capacity of patients. In another study conducted on 32 patients
undergoing coronary artery bypass surgery in 2005, it was reported that the inclusion of a
virtual reality environment in cardiac rehabilitation programs would accelerate the maximum
recovery of patients' cardiovascular functions.
In the literature, there is no study in which the inspiratory muscle training was performed
in a virtual environment created by virtual reality glasses.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06203184 -
The Effect of Video Game-Based Exercises After Open Heart Surgery
|
N/A | |
Not yet recruiting |
NCT03806413 -
Post-surgical Delirium in Patients Undergoing Open Heart Surgery.
|
||
Recruiting |
NCT04670367 -
The Effects of Baduanjin Exercise on Meridian Energy and Heart Rate Variability in Patients Undergoing Cardiac Sugery
|
N/A | |
Completed |
NCT05316207 -
Tele-Nursing Follow-Up After Open Heart Surgery
|
N/A | |
Terminated |
NCT04506762 -
Benefit of Peri-operative Bilateral ESP Catheters for Enhanced Recovery for Cardiac Surgery (ERCS)
|
N/A | |
Completed |
NCT06436872 -
The Effect of Informing the Relatives of Patients Undergoing Open Heart Surgery
|
N/A | |
Recruiting |
NCT05441358 -
Assessment of Platelet Function in Patients Undergoing Open Heart Surgery
|
||
Not yet recruiting |
NCT05715060 -
Sternal Closure in Children After Cardiac Surgery
|
N/A | |
Not yet recruiting |
NCT05222256 -
Comparison Between Levosimendan and Adrenaline in CABG Patients
|
N/A | |
Completed |
NCT03105089 -
Effect of Cardiac Preconditioning Upon the Inotrope Score
|
N/A | |
Completed |
NCT05149235 -
Gaming Technology and Cardiac Rehabilitation
|
N/A | |
Completed |
NCT03106818 -
Postoperative Pain Alleviation in Open Heart Surgery
|
N/A | |
Completed |
NCT04486690 -
Neuroprotection During Open Heart Surgery
|
Phase 3 | |
Completed |
NCT01069562 -
Closed Loop Isoflurane Administration With Bispectral Index in Open Heart Surgery
|
N/A | |
Recruiting |
NCT05522712 -
Acapella Versus Incentive Spirometer on Cardiopulmonary Fitness After Heart Valve Surgery.
|
N/A | |
Completed |
NCT04213040 -
Procalcitonin and Postoperative Outcome After Open-heart Surgery
|
||
Completed |
NCT06165861 -
The Effect of Using Virtual Reality Glasses on Surgical Fear and Anxiety
|
N/A | |
Recruiting |
NCT06168799 -
Ilofotase Alfa for Prevention of Renal Damage After Cardiac Surgery
|
Phase 2 | |
Recruiting |
NCT03799965 -
The Effect of Advanced Improvement Program (ERAS) on Postoperative Outcomes in Patients Undergoing Open Heart Surgery
|
N/A | |
Completed |
NCT05932368 -
Early Evaluation After Cardiac Surgery
|