Effects of In-Hospital Cardiac Rehabilitation and Manual Lymphatic Drainage in Acute Decompensated Heart Failure
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Lower extremity edema
研究概览
简要总结
Heart failure is a major global health issue requiring effective interventions to enhance patients' physical function and quality of life. Cardiac rehabilitation, particularly when started early during hospitalization for acute decompensated heart failure, has been shown to improve cardiovascular function, reduce hospital readmissions, and boost recovery. In-hospital exercise training enhances physical capacity, strengthens heart function, and alleviates physical limitations. On the other hand, lymphatic dysfunction in heart failure may also contribute to fluid retention, worsening the symptoms including lower extremity edema. Manual lymphatic drainage is considered a safe method to reduce edema and support fluid balance. This study aims to evaluate effects of in-hospital cardiac rehabilitation and manual lymphatic drainage on fluid overload symptoms and functional capacity in patients with acute decompensated heart failure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients hospitalized with a diagnosis of acute decompensated heart failure
- •Being clinically stable
排除标准
- •Having diagnosed pulmonary, neurological, renal, liver, gastrointestinal, orthopedic or oncological pathologies
- •Having cardiomyopathy or congestive pericarditis
- •Recent heart surgery in the past 6 months
- •New or suspected thromboembolic event
- •Presence of open wounds, ulcerations or major dermatological diseases in the lower extremities
研究组 & 干预措施
Manual Lymphatic Drainage + Cardiac Rehabilitation Group
Manual lymphatic drainage and exercise based cardiac rehabilitation will be applied to this group during the hospital stay every day for 3 times a day.
干预措施: Manual Lymphatic Drainage (Other)
Manual Lymphatic Drainage + Cardiac Rehabilitation Group
Manual lymphatic drainage and exercise based cardiac rehabilitation will be applied to this group during the hospital stay every day for 3 times a day.
干预措施: Cardiac Rehabilitation (Other)
Cardiac Rehabilitation Group
Exercise based cardiac rehabilitation will be applied to this group during the hospital stay every day for 3 times a day.
干预措施: Cardiac Rehabilitation (Other)
结局指标
主要结局
Lower extremity edema
时间窗: At baseline and at hospital discharge, up to 14 days after admission
Lower extremity edema will be evaluated by circumference measurement
Functional capacity
时间窗: At baseline and at hospital discharge, up to 14 days after admission
Functional capacity will be measured using 6-min Walk Test.
次要结局
- Health-related quality of life(At baseline and at hospital discharge, up to 14 days after admission)
研究者
Melih Zeren
Associate Professor
Izmir Bakircay University