The Effect of Neurophysiological Facilitation Techniques on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in The Early Stage After Open Heart Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Open Heart Surgery
- Sponsor
- Dogus Universitesi
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Expiratory muscle strength
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.
Do neurophysiological facilitation techniques improve individuals' respiratory parameters more than phase 1 cardiac rehabilitation?
Do neurophysiological facilitation techniques improve individuals' functional capacity more than phase 1 cardiac rehabilitation?
Researchers will apply phase 1 cardiac rehabilitation to both groups to see the effectiveness of neurophysiological facilitation techniques.
Detailed Description
In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery. The study was performed on 32 patients who underwent open heart surgery. Patients divided into two groups which study group (n=18) and control group (n=14). Range of motion, breathing and mobilization exercises within the scope of phase 1 cardiac rehabilitation program were applied to the control group; in addition to the phase 1 cardiac rehabilitation program, neurophysiological facilitation techniques (perioral stimulation, intercostal tension, anterior basal lift, vertebral pressure, moderate manual pressure and abdominal co-contraction) were applied to the study group. Sociodemographic features and disease-specific findings were recorded on the first postoperative day . Vital signs, functional capacity, pulmonary function, fatigue and dyspnea of every patient were recorded before and after each treatment on the first four postoperative days. Functional capacity was evaluated using Timed Up and Go (TUG) test and 2-Minutes Walking test (2MWT). Pulmonary function was examined using a peak flow meter and respiratory muscle strength was measured using an intraoral pressure measurement device. In addition, fatigue and dyspnea perception was measured using Modified Borg Scale. Before the first day treatment and after the last day treatment of the four-day treatment, patients' fatigue severity were assessed with using Fatigue Severity Scale (FSS), anxiety and depression level with using Hospital Anxiety Depression Scale (HADS), fear of movement with using TAMPA Kinesiophobia Scale and life quality with using the Minnesota Heart Failure Questionnaire. Before each treatment chest circumference measurements were taken, and the perceived pain severity was recorded using Visual Analog Scale (VAS).
Investigators
Feyza Merakli
lecturer
Dogus Universitesi
Eligibility Criteria
Inclusion Criteria
- •Having open heart surgery for the first time,
- •Being between the ages of 18-75,
- •Being fully cooperative
Exclusion Criteria
- •Having facial, sternum and rib fractures,
- •Having chronic renal failure,
- •Development of cerebrovascular accident,
- •Having cognitive dysfunction,
- •Development of deep vein thrombosis in the post-operative period,
- •Having neuromuscular disease,
- •Having an orthopedic disability,
- •Intubation time longer than 24 hours,
- •Staying in intensive care for more than 48 hours
Outcomes
Primary Outcomes
Expiratory muscle strength
Time Frame: After and before treatment on each day of treatment, up to 3 month
Maximum Expiratory Pressure (MEP) - pressure
İnspiratory muscle strength
Time Frame: Before and after treatment on each day of treatment, up to 3 month
Maximum Inspiratory Pressure (MIP) - pressure
Time Up and Go (TUG)
Time Frame: first day of treatment before treatment and last day of treatment after treatment, up to 3 month
The person gets up from the chair, walks 3 meters, comes back and sits on the chair. - minute
Vital sign
Time Frame: Before and after treatment on each day of treatment, up to 3 month
Oxygen saturation
2 Minute Walk Test
Time Frame: Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month
It is walking as fast as the person can for 2 minutes without any assistance, at a safe distance of 30 meters. - meter
Life quality
Time Frame: Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month
The Minnesota Living with Heart Failure Questionnaire
Respiratory frequency
Time Frame: Before and after treatment on each day, up to 3 month
Number of times a person inhales and exhales in 1 minute. - number
Blood pressure
Time Frame: Before and after treatment on day of treatment, up to 3 month
Blood pressure is the pressure of blood within the arteries of the circulatory system. - pressure
Depression
Time Frame: Before treatment on the first day of treatment and after treatment on last day of treatment, up to 3 month
Beck's depression inventory
Heart rate
Time Frame: Before and after treatment on each day of treatment, up to 3 month
Number of times a person heart rate in 1 minute. - number
Symptom
Time Frame: Before and after treatment on each day of treatment, up to 3 month
Dyspnea