The Effect of Neurophysiological Facilitation Techniques on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in The Early Stage After Open Heart Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Dogus Universitesi
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- İnspiratory muscle strength
Study 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Control Group
Phase 1 cardiac rehabilitation
Intervention: Phase 1 cardiac rehabilitation (Procedure)
Study Group
Neurophysiological facilitation techniques in addition to phase 1 cardiac rehabilitation techniques
Intervention: Phase 1 cardiac rehabilitation (Procedure)
Study Group
Neurophysiological facilitation techniques in addition to phase 1 cardiac rehabilitation techniques
Intervention: Neurophysiological facilitation techniques (Procedure)
Outcomes
Primary Outcomes
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
Expiratory muscle strength
Time Frame: After and before treatment on each day of treatment, up to 3 month
Maximum Expiratory Pressure (MEP) - pressure
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
Secondary Outcomes
No secondary outcomes reported
Investigators
Feyza Merakli
lecturer
Dogus Universitesi