Open Heart Surgery Clinical Trial
Official title:
Comparison of the Effects of Different Physiotherapy and Rehabilitation Methods in Phase I Following Open Heart Surgery
Verified date | October 2020 |
Source | University of Beykent |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
Status | Active, not recruiting |
Enrollment | 36 |
Est. completion date | November 30, 2020 |
Est. primary completion date | October 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 25 Years to 70 Years |
Eligibility |
Inclusion Criteria: - 25-70 age range - Undergoing open heart surgery - Hemodynamically stable - Ambulatory - No advanced vision defect - The physician authorized by the operating physician for participation in the exercise - Patients who agreed to participate in the study. Exclusion Criteria: - The presence of pulmonary, neurological, musculoskeletal disease limiting participation in exercise training - Patients at high risk (ejection fraction below 40 percent) - Dissectant aneurysm - Patients who cannot be cooperative in verbal and / or auditory terms - Psychological and / or perceptual cooperative patients |
Country | Name | City | State |
---|---|---|---|
Turkey | Beykent University | Istanbul |
Lead Sponsor | Collaborator |
---|---|
University of Beykent | Istanbul University-Cerrahpasa |
Turkey,
Alexander JH, Smith PK. Coronary-Artery Bypass Grafting. N Engl J Med. 2016 May 19;374(20):1954-64. doi: 10.1056/NEJMra1406944. Review. — View Citation
Barros GF, Santos Cda S, Granado FB, Costa PT, Límaco RP, Gardenghi G. Respiratory muscle training in patients submitted to coronary arterial bypass graft. Rev Bras Cir Cardiovasc. 2010 Oct-Dec;25(4):483-90. English, Portuguese. — View Citation
Cacau Lde A, Oliveira GU, Maynard LG, Araújo Filho AA, Silva WM Jr, Cerqueria Neto ML, Antoniolli AR, Santana-Filho VJ. The use of the virtual reality as intervention tool in the postoperative of cardiac surgery. Rev Bras Cir Cardiovasc. 2013 Jun;28(2):281-9. doi: 10.5935/1678-9741.20130039. — View Citation
Chuang TY, Sung WH, Chang HA, Wang RY. Effect of a virtual reality-enhanced exercise protocol after coronary artery bypass grafting. Phys Ther. 2006 Oct;86(10):1369-77. — View Citation
Chuang TY, Sung WH, Lin CY. Application of a virtual reality-enhanced exercise protocol in patients after coronary bypass. Arch Phys Med Rehabil. 2005 Oct;86(10):1929-32. — View Citation
Ferreira PE, Rodrigues AJ, Evora PR. Effects of an inspiratory muscle rehabilitation program in the postoperative period of cardiac surgery. Arq Bras Cardiol. 2009 Apr;92(4):275-82. English, Portuguese, Spanish. — View Citation
Ghoneim MM, O'Hara MW. Depression and postoperative complications: an overview. BMC Surg. 2016 Feb 2;16:5. doi: 10.1186/s12893-016-0120-y. Review. — View Citation
Gomes Neto M, Martinez BP, Reis HF, Carvalho VO. Pre- and postoperative inspiratory muscle training in patients undergoing cardiac surgery: systematic review and meta-analysis. Clin Rehabil. 2017 Apr;31(4):454-464. doi: 10.1177/0269215516648754. Epub 2016 Jul 10. Review. — View Citation
Herdy AH, Marcchi PL, Vila A, Tavares C, Collaço J, Niebauer J, Ribeiro JP. Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial. Am J Phys Med Rehabil. 2008 Sep;87(9):714-9. doi: 10.1097/PHM.0b013e3181839152. — View Citation
Matheus GB, Dragosavac D, Trevisan P, Costa CE, Lopes MM, Ribeiro GC. Inspiratory muscle training improves tidal volume and vital capacity after CABG surgery. Rev Bras Cir Cardiovasc. 2012 Jul-Sep;27(3):362-9. English, Portuguese. — View Citation
Poole L, Kidd T, Leigh E, Ronaldson A, Jahangiri M, Steptoe A. Psychological distress and intensive care unit stay after cardiac surgery: The role of illness concern. Health Psychol. 2015 Mar;34(3):283-7. doi: 10.1037/hea0000183. Epub 2014 Dec 22. — View Citation
Spiroski D, Andjic M, Stojanovic OI, Lazovic M, Dikic AD, Ostojic M, Beleslin B, Kostic S, Zdravkovic M, Lovic D. Very short/short-term benefit of inpatient/outpatient cardiac rehabilitation programs after coronary artery bypass grafting surgery. Clin Cardiol. 2017 May;40(5):281-286. doi: 10.1002/clc.22656. Epub 2017 Jan 11. — View Citation
Valkenet K, de Heer F, Backx FJ, Trappenburg JC, Hulzebos EH, Kwant S, van Herwerden LA, van de Port IG. Effect of inspiratory muscle training before cardiac surgery in routine care. Phys Ther. 2013 May;93(5):611-9. doi: 10.2522/ptj.20110475. Epub 2013 Jan 3. — View Citation
* Note: There are 13 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Evaluation of respiratory functions with simple spirometric measurements | spirometric measurement with spirometry | the preoperative and 10th day | |
Primary | intraoral pressure measurement (Maximum inspiratory pressure maximum expiratory pressure) | Maximum inspiratory pressure maximum expiratory pressure | the preoperative and 10th day | |
Secondary | Dyspnea assessment | With modified borg dyspnea scale: Modified Borg Scale is a scale that is frequently used to evaluate the intensity of dyspnea and the severity of rest dyspnea. It consists of ten items that define the severity of dyspnea according to their degree. The high score is directly proportional to the severity of dyspnea. |
the preoperative and 10th day | |
Secondary | Peak expiratory flow | peak flow meter | the preoperative and 10th day | |
Secondary | Evaluation of functional capacity with 6 minutes walking test | With 6 minutes walking test: The 6-minute walk test is one of the functional exercise capacity assessment tests. In this test, participants are asked to walk as long as possible within 6 minutes in a 30 meter (m) corridor. When they feel fatigue or pain, they are advised to stop and rest when they feel ready to walk. At the end of 6 minutes, the total distance of the patients walking is recorded. Heart rates, systolic and diastolic blood pressures, O2 saturation, perceived fatigue and dyspnea levels are recorded before and after the test. |
the preoperative and 10th day | |
Secondary | Evaluation of anxiety and depression | With hospital anxiety and depression scale(HAD): The HADS includes anxiety and depression subscales. The scale is a self-report scale and consists of 14 items, 7 of which are depression (even numbers) and 7 are anxiety symptoms (odd numbers). |
the preoperative and 10th day | |
Secondary | Pain assessment | With Visuel Analog Scale: Participants are asked to mark the point where they feel their pain on a 10 centimeter (cm) horizontal line. 0-no pain, 10-unbearable pain. Night, activity and pain conditions are evaluated separately at rest. |
the preoperative and 10th day | |
Secondary | Quality of Life assessment | MacNew Heart Disease Specific Quality of Life Questionnaire: The Mac New Heart Disease Quality of Life Questionnaire is designed to assess how patients' physical, emotional, social functions and daily activities are affected over a 2-week period. The scale consists of three sub-dimensions and 27 items, some of which are into more than one sub-dimension. The subscale scores are calculated by taking the environments of the responses to the questions in each sub-dimension, and when the possible scores vary between 1-7, the higher scores indicate a better quality of life. The Turkish validity and reliability study of the scale was performed in 2008 by Daskapan et al. made by. |
the preoperative and 10th day |
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