Combined Effects of Active Cycle Breathing Technique and Buteyko Technique in Post Sternotomy Patients

Not Applicable

Recruiting

• Conditions: Sternotomy
• Interventions: Other: Buteyko techniques; Other: ACTIVE CYCLE OF BREATHING TECHNIQUE

• Registration Number: NCT06476756
• Lead Sponsor: Riphah International University

Brief Summary

This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques.

Detailed Description

This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques. The three-day trial, starting upon ICU/CCU admission, will measure primary and secondary outcomes before and after each session for both groups. Statistical analysis using SPSS version 25 will be employed post data collection.

Study Timeline

• Study Start: 2024-03-10
• Status Verified: 2024-06
• Study First Submitted: 2024-06-12
• Study First Submitted QC: 2024-06-24
• Last Update Submitted: 2024-06-24
• Study First Posted: 2024-06-26
• Last Update Posted: 2024-06-26
• Primary Completion: 2024-07-15
• Study Completion: 2024-08-20

Recruitment & Eligibility

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

Inclusion Criteria

• Age 40-60 years
• Patient underwent cardiac surgery for first time
• Having speaking, hearing, cognitive ability
• Both genders ( Male and female)
• On mechanical ventilation for less than 24h after surgery

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Exclusion Criteria

• • Hemodynamic ally unstable patients

  • Patients with reopening of sternum
  • Infection patients
  • Renal failure
  • Arrhythmia
  • Patient on mechanical ventilator
  • Cancer
  • Tuberculosis

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Buteyko techniques	Buteyko techniques	Group B: effect of buteyko techniques will be performed first three days of cardiac rehab phase 1.
ACTIVE CYCLE OF BREATHING TECHNIQUE	ACTIVE CYCLE OF BREATHING TECHNIQUE	Group A: combine effects of ACBT and Buteyko techniques will be performed first 3days of cardiac rehab phase 1.

Primary Outcome Measures

Name	Time	Method
Borg dyspnea scale	base line and 4 week	The Borg RPE scale rates exertion from a scale of 6 (no exertion) to 20 (maximum effort). A rating between 12 to 14 typically reflects a moderate or somewhat hard level of intensity.
BREATHLESSNESS, COUGH AND SPUTUM SCALE (BCSS)	4 weeks	The BCSS is a three-item patient-reported questionnaire that rates sputum, cough, and dyspnea . This instrument can identify a disease aggravation with sensitivity and specificity.

Trial Locations

Locations (1)

Gulab Devi teaching hospital; 🇵🇰 Lahore, Punjab, Pakistan