Effect of Early Mobilization Exercises Guided by Wearable Technology on Functional Capacity After Coronary Artery Bypass Graft
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 84
- Locations
- 1
- Primary Endpoint
- Functional capacity
Study Overview
Brief Summary
purpose: This study aims to assess the effects of early mobilization exercises guided by wearable technology on functional capacity after coronary artery bypass graft Methods: Patients will be randomly assigned into three groups: Group A will receive usual care, Group B will receive usual care in addition to aerobic exercise, and Group C will receive usual care in addition to resistance exercise. both the aerobic exercise group and the resistance exercise group will be guided by wearable artificial intelligence ECG monitors for real-time support and guidance, and they will stop exercise when any adverse events occur.
Exercises will be started early from post operative CABG until patients discharge and measurements will be taken at baseline and before discharge
Detailed Description
A) Procedure for evaluation and training
Equipment:
The following instruments will be used:
- Pulse oximeter: It will be used for measuring oxygen saturation and Heart rate before, during, and after sessions and during exercise test
- Intelligent cardiac monitor: used during 6MWT to detect any adverse events during and immediately after the test and also be used during sessions
- Rating of perceived exertion: to estimate effort and exertion during the test and working phase.
- Cycle ergometer: upper and lower pedaling machine will be adjusted to suit all patients' height during exercise sessions
- Dumbbells and weights will be used during exercise sessions Exercise (treatment) procedures
- Group (A): (usual care group):
Start early mobilization exercises and deep breathing exercises with wound support daily
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Masking Description
double blinded(participant ,, investigator )
Eligibility Criteria
- Ages
- 45 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •1-post -operative clinically stable patients with hemodynamic stability through measurement of respiratory rate( >8<30) breaths/min , Heart rate (>40<130) beats /min , Spo2>90% 2-both lower limbs will be physically functional 3-CABG surgery 4-Their age will be ranged from 45-65 years old
Exclusion Criteria
- •Respiratory insufficiency after surgery manifesting hypoxemia with partial pressure of oxygen in arterial blood <60 mmHg
- •Cardiogenic shock
- •acute renal failure
- •contra-indicated to submaximal exercise test
- •cardiac arrhythmia
- •locomotor/neurological limitation to ambulation
- •physiological compensatory tachycardia in case of (anemia, high tempreture and infection)
- •high blood pressure at rest (systolic blood pressure >160mmHg or diastolic blood pressure >100 mmHg -
Arms & Interventions
control group (A) usual care
patients in this group will receive usual care including moibilizations and breathing exercise
study group (B)aerobic exercise (using cycle ergometer) in addition to usual care
Patients in this group will be received usual care and cycle ergometer aerobic exercise
Intervention: aerobic exercise using cycle ergometer in addition to usual care (Other)
study group(C)resisted exercise group (using weights and dumbbells) in addition to usual care
Patients in this group will be received usual care and resisted exercise
Intervention: resisted exercise using weights and dumbbells in addition to usual care (Other)
Outcomes
Primary Outcomes
Functional capacity
Time Frame: at baseline before intervention and 1 week after intervention
Functional capacity: It will be assessed by 6MWT test. According to the American Thoracic Society,
Secondary Outcomes
- - Patient Safety(after 1 week of intervention)
- Heart rate variability(at baseline before intervention and 1 week after intervention)
- - Muscle strength(at baseline before intervention and 1 week after intervention)
- - Kinesiophobia(at baseline before intervention and 1 week after intervention)
- - Functional independence(at baseline before intervention and 1 week after intervention)
- - Length of hospital stay(after 1 week of intervention)
- - Adherence(after 1 week of intervention)
Investigators
Sara Ali Mohamed Awad Allah
assistant lecturer
Cairo University