Effects of Using Acapella in Combination With Conventional Chest Physiotherapy Techniques to Improve Pulmonary Functions in Post CABG Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Change in Forced Expiratory Volume in 1 second
研究概览
简要总结
To determine the effects of using Acapella as an oscillatory positive expiratory pressure device in combination with conventional chest physiotherapy for secretion removal and revival of pulmonary functions in hospitalized post coronary artery bypass grafting patients.
详细描述
Acapella is one of the Oscillatory Positive Expiratory Pressure (OPEP) device used in mobilization of peripheral secretions to the central trachea. It consists of a mouth piece and metal strip that is attached to a magnet which oscillates upon exhalation of the patient into the device results in oscillations. This helps in generating positive expiratory pressure (PEP) and oscillations of the magnetic ball assist in mucus collection and expectoration. Pulmonary functions are greatly reduced in patients undergone CABG surgery due to prolong effects of anesthesia and muscle relaxants administered prior to surgery. Ciliary motion along the pathway of pulmonary tract is depressed which results in decrease expectoration capacity, causes mucus retention and reduces pulmonary volumes and capacities. Chest physiotherapy is the treatment option for such patients that is being practiced over years. In recent years certain respiratory aids or devices are also in use to relieve secretion retention along with standard chest physiotherapy techniques.
The purpose of this study is to find the effects of using Acapella as an OPEP device along with conventional chest physiotherapy techniques in post-CABG surgery patients to relieve mucus retention and improving pulmonary functions post-surgery.
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 (Participant)
盲法说明
Participants will be blinded as they won't be knowing in which intervention group they are allocated.
入排标准
- 年龄范围
- 45 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of both genders within age range of 45-65 years
- •Elective CABG surgery patients
- •Patients undergoing Phase 1 cardiac rehabilitation post CABG
- •Patients who are vitally stable post operatively
排除标准
- •Patient having prolong intubation period post-operatively
- •Patients having long term arrythmias prior to surgery
- •Patients having an implanted pacemaker
- •Patients having uncontrolled diabetes, sepsis or any metabolic condition
- •Patients with impaired cognition.
结局指标
主要结局
Change in Forced Expiratory Volume in 1 second
时间窗: pre-operative day 1 and post-operative day 6 of CABG surgery
Forced expiratory volume in 1 second, measures the volume of air that is expired into the mouthpiece of the digital spirometer in first second after full inhalation. Normally ranges between 80% to 120% of average predicted values
Change in Forced Vital Capacity
时间窗: pre-operative day 1 and post-operative day 6 of CABG surgery
FVC: forced vital capacity, measures the volume of air blown forcefully into the mouthpiece following full inhalation. Normal values ranges between 80% to 120% of average predicted values
Ratio of Forced Expiratory Volume in 1 second and Forced Vital Capacity
时间窗: pre-operative day 1 and post-operative day 6 of CABG surgery
FEV1/FVC: the FEV1/FVC ratio is calculated by dividing measured FEV1 value by measured FVC value. In a healthy individual it ranges between 70 to 85%.
次要结局
- Amount of secretions expectorated(6th post-operative day after CABG surgery)
- Borg dyspnoea scale(6th post-operative day after CABG surgery)