Combined effect of diaphragmatic myofacial release and rib mobilisation on chest wall expansion and pulmonary function in post CABG patients A randomised controlled trial
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Scalar measurement of chest wall expansion
研究概览
简要总结
This is a randomized controlled trial single blinded trial aims to evaluate the effect of diaphragmatic myofascial release and rib mobilization on chest wall expansion and pulmonary function in post operative CABG patients. A total of 32 participants undergoing CABG will be randomly assigned into 2 groups. The control group recieves standard physiotherapy care like deep breathing exercises thoracic expansion and incentive spirometry and the intervention group receiving same standard care along with DMFR and rib mobilization once daily from post operative day 3 to day 6. Outcome measures including chest wall expansion FEV1 FVC and breath hold time and 1 minute sit to stand will be assessed pre and post. The study seeks to determine whether incorporating manual therapy techniques enhances respiratory mechanics and funtional recovery following CABG.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 40.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients who are willing to participate in the study and who are aged between 40 and 80 years who have undergone uncomplicated coronary artery bypass grafting (CABG).
- •Participants must be on postoperative day three and have no in-situ drains.
- •They should be medically and hemodynamically stable, with stable vital signs including blood pressure, heart rate, and respiratory rate.
- •Patients must be able to comprehend and follow verbal instructions to actively participate in the rehabilitation program.
排除标准
- •Patients with uncontrolled arrhythmias are excluded from the study.
- •Any postoperative complications, like embolism, thrombus and others as diagnosed by the on-duty surgeon, will disqualify participation.
- •Participants with infected suture lines are not eligible
- •Individuals with rib fractures or other thoracic skeletal fractures will be excluded from the study.
结局指标
主要结局
Scalar measurement of chest wall expansion
时间窗: Post operative day 3 and post operative day 6
Breath hold time
时间窗: Post operative day 3 and post operative day 6
Forced expiratory Volume1 and Forced Vital Capacity
时间窗: Post operative day 3 and post operative day 6
Peak expiratory flow rate
时间窗: Post operative day 3 and post operative day 6
EURO QoL 5D
时间窗: Post operative day 3 and post operative day 6
次要结局
未报告次要终点
研究者
Sanjiv Kumar
KAHER Institute of Physiotherapy