To evaluate effects of preoperative aerobic training for improving postoperative functional mobility in coronary artery bypass graft patients.
Design
Non Blinded non randomized Quasi experimental design.
Settings and conduct
Faisalabad Institute of Cardiology Faisalabad.
After complete evaluation, informed consent will be taken from patients who include in the study. Sample size of 38 patients will be allocated in two groups with one receive aerobic training and other group will receive conventional treatment. the outcomes measure will be evaluating at baseline, 3rd week preoperative and postoperative before discharge.
Participants/Inclusion and exclusion criteria
Inclusion criteria:40-60 years of age. patients with double and triple Coronary artery bypass graft. patients with left ventricular ejection fraction > 50%. Exclusion criteria: patients with congestive heart failure. patients with pacemaker dependents. patients with neurological deficit.
Intervention groups
Treatment will be provided for 4 days in a week for 3 weeks for both groups. Group 1 will perform the Aerobic exercises.Group 2 will perform the breathing exercises.
Main outcome variables
Time Up and Go Test, Canadian Cardiovascular Society Grading, Duration of Oxygen Therapy
General information
Reason for update
Acronym
CABG
IRCT registration information
IRCT registration number:IRCT20221004056085N1
Registration date:2022-10-07, 1401/07/15
Registration timing:retrospective
Last update:2022-10-07, 1401/07/15
Update count:0
Registration date
2022-10-07, 1401/07/15
Registrant information
Name
Usama Munir
Name of organization / entity
Government College University Faisalabad
Country
Pakistan
Phone
+92 332 6621129
Email address
usamamunir7209@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-05-20, 1401/02/30
Expected recruitment end date
2022-09-20, 1401/06/29
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effects of Preoperative Aerobic training for Improving Postoperative Functional Mobility in Coronary Artery Bypass Graft Patients
Public title
Effects of Aerobic training for Improving Functional Mobility in Coronary Artery Bypass Graft Patients
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 40-60 years
Patients awaiting coronary artery bypass graft patients with stable angina
Patients with double and triple coronary artery disease
Patients with left ventricular ejection fraction >50%
Patients who have diabetes
Patients who are smokers
Patients who have hypertension
Exclusion criteria:
Patients with congestive heart failure
Patients having dysrhythmias and pacemaker dependent
Patients with neurological deficit( stroke, epilepsy, Alzheimer disease)
Patients with renal dysfunction require dialysis
Concomitant valve disease
Patients with pulmonary complications
Age
From 40 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
38
More than 1 sample in each individual
Number of samples in each individual:
19
Patients will be non randomly assigned into two groups.Each group will comprise of 19 patients
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Name of ethics committee: Ethical committee of Government College University Faisalabad
Coronary artery bypass graft is a surgical operation in which blocked arteries are partially or completely bypass using grafts taken from other arteries or veins. a therapeutic procedure used to treat coronary artery disease.
ICD-10 code
T82.2
ICD-10 code description
Mechanical complication of coronary artery bypass graft and biological heart valve graft
Primary outcomes
1
Description
Time up and go test was used to measure the functional mobility of the patients. record the readings in seconds in time up and go test.
Timepoint
3 time-points including Baseline, 3rd week preoperative, postoperative before discharge
Method of measurement
Time up and go test will be utilized to access functional mobility
Secondary outcomes
1
Description
Canadian cardiovascular society grading is a grading scale used to grade the angina of patients. There are 4 grade of it. Grade 1 mean ordinary physical activity does not cause angina. Grade 2 mean slight limitation of ordinary physical activity. Grade 3 mean marked limitation of ordinary physical activity. Grade 4 mean inability to carry on any physical activity.
Timepoint
3 time-points including Baseline, 3rd week preoperative, postoperative before discharge
Method of measurement
CCS will be used to grading the angina of patients.
Intervention groups
1
Description
Aerobic training group. Warm up activity include range of motion exercises of upper and lower limb (8-12 repetitions) one set in a day. Aerobic exercises in the form of walking on flat surface in corridor, light to moderate pace(10-15 min).Stepping (8-12 repetitions) once a day , 4 days in a week for 3 weeks.Cool down activity include static stretching(20-60 sec hold) exercise of upper and lower limb one set in a day. As in conventional group treatment.
Category
Rehabilitation
2
Description
Conventional group. Early mobilization( bed mobility, transfer) according to the protocol. Deep breathing exercises include Diaphragmatic and Pulse lip breathing.In this exercise breath in deeply and slowly through your nose, expanding your lower rib cage and letting your abdomen move forward,hold for a count 3-5. Breath out slowly and completely through your pulsed lips, once a day, 4 days in a week for 3 weeks. Huff and cough technique once a day, 4 days in a week for 3 weeks.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Faisalabad Institute of cardiology Faisalabad
Full name of responsible person
Dr. Sajid Ahmad
Street address
New Chenab Club, Sargodha Rd, Civil lines, Faisalabad, Punjab 38850