Comparative Effects of ACBT and Diaphragmatic Breathing on Pulmonary Function and Sputum Diary After CABG

Not Applicable

Completed

• Conditions: Breathing Exercises
• Interventions: Other: Active cycle of breathing technique; Other: diaphragmatic breathing

• Registration Number: NCT05936788
• Lead Sponsor: Riphah International University

Brief Summary

To compare the effects of active cycle of breathing technique and diaphragmatic breathing on pulmonary functions and sputum diary after coronary artery bypass graf

Detailed Description

It will be a randomized clinical trial. Age of selected subjects will be between 40 to 60 years and data will be collected from intensive care units (ICUs) and cardiac care units (CCUs) of selected hospitals. There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. After data collection, data will be analyzed using SPSS version 25

Study Timeline

• Study First Submitted: 2023-06-14
• Study Start: 2023-06-15
• Study First Submitted QC: 2023-07-07
• Study First Posted: 2023-07-10
• Primary Completion: 2023-08-10
• Study Completion: 2023-11-20
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-11
• Last Update Posted: 2024-06-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Post-CABG patients
• Gender: males and females
• Have speaking, hearing and cognitive ability
• On mechanical ventilation for ≤ 24 h after CABG

Exclusion Criteria

• Prior history of open heart surgery
• Prior severe pulmonary/hepatic or renal disease- Complications after CABG (cardiogenic shock, bleeding requiring transfusion, acute kidney injury, cardiac temponade and severe hypotension)
• Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
• On mechanical ventilator for more than 24 h after CABG
• Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active cycle of breathing technique	Active cycle of breathing technique	Group A will receive ACBTs with 1 session a day for total 2 days in a week.
diaphragmatic breathing	diaphragmatic breathing	Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

Primary Outcome Measures

Name	Time	Method
6 Min walk test	4 weeks	The 6 min walk test is a sub-maximal exercise test used to assess aerobic capacity and endurance.It is also use to monitor your response to treatments for heart lung and other health problems. Provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Secondary Outcome Measures

Name	Time	Method
Borg Rating of Perceived scale	4 weeks	Is a way of measuring physical activity intensity level.It has a range from 6 to 20 ,scale correlates with a person heart rate or how hard they feel they are working.Ask you to rate the difficulty of your breathing.

Trial Locations

Locations (1)

Sadiq Saadiq hospital Gujranwala, DHQ hospital Gujranwala; 🇵🇰 Gujranwala,, Punjab, Pakistan