The Effects of Preoperative and Postoperative Cardiac Rehabilitation in Patients Undergoing Coronary Artery Bypass Graft Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Forced Vital Capacity (FVC)
Study Overview
Brief Summary
This randomized controlled trial investigates the comparative effects of a combined preoperative and postoperative cardiac rehabilitation program versus a postoperative-only program on functional capacity, pulmonary function, peripheral muscle strength, pain, kinesiophobia, and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. The study aims to determine whether initiating rehabilitation prior to surgery improves short-term postoperative outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Having undergone coronary artery bypass graft surgery
- •Ejection Fraction (EF) > 40%
- •Being between the ages of 18-65
- •Being able to speak, read and understand in their own language
- •Volunteering to participate in the study
Exclusion Criteria
- •Having an active or suspected infection
- •Presence of an active tumour
- •History of thrombophlebitis or pulmonary embolism within the last 3 months
- •Having an orthopaedic, neurological or cardiovascular disease that may affect the assessments
Arms & Interventions
Experimental Group
Preoperative cardiac rehabilitation + postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
Intervention: Preoperative Cardiac Rehabilitation (Other)
Experimental Group
Preoperative cardiac rehabilitation + postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
Intervention: Postoperative Cardiac Rehabilitation (Other)
Control Group
Postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
Intervention: Postoperative Cardiac Rehabilitation (Other)
Outcomes
Primary Outcomes
Forced Vital Capacity (FVC)
Time Frame: 2 weeks
Forced Vital Capacity will be measured before six-minute walk test according to the guideline of ERS.
Forced Expiratory Volume in 1 second (FEV1)
Time Frame: 2 weeks
Forced Expiratory Volume in 1 second will be measured before six-minute walk test according to the guideline of ERS.
Peak Expiratory Flow (PEF)
Time Frame: 2 weeks
Peak Expiratory Flow will be measured before six-minute walk test according to the guideline of ERS.
Forced Expiratory Flow 25-75% (FEF25-75)
Time Frame: 2 weeks
Forced Expiratory Flow 25-75% will be measured before six-minute walk test according to the guideline of ERS.
6-minute Walk Test
Time Frame: 2 weeks
The 6-minute Walk Test will be performed according to ATS guidelines. Walking distance, minute ventilation, respiratory rate, inspiratory capacity and breathing reserve will be recorded.
M. Quadriceps Muscle Strength
Time Frame: 2 weeks
The m. quadriceps muscle strength will be measured using the MicroFet 2 hand-held dynamometer (Hogan Health Industries, USA). The test will be repeated three times for the dominant side and the average value in kilograms (kg) will be recorded.
M. Biceps Muscle Strength
Time Frame: 2 weeks
The m. biceps muscle strength will be measured using the MicroFet 2 hand-held dynamometer (Hogan Health Industries, USA). The test will be repeated three times for the dominant side and the average value in kilograms (kg) will be recorded.
Cough Peak Flow
Time Frame: 2 weeks
Cough Peak Flow (CPF) will be measured using a peak expiratory flow meter. Participants will be instructed to take a maximal deep breath and then cough as forcefully as possible into the device; the highest value from three trials will be recorded in liters per minute (L/min). Measurements will be performed in a seated position, ensuring a tight mouth seal and consistent technique.
Secondary Outcomes
- Level of Pain(2 weeks)
- Level of Fear of Movement(2 weeks)
- Level of Quality of Life(2 weeks)
Investigators
Hikmet Ucgun
Principal Investigator
Atlas University