The Effects of Preoperative and Postoperative Cardiac Rehabilitation in Patients Undergoing Coronary Artery Bypass Graft Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Forced Vital Capacity (FVC)
研究概览
简要总结
This randomized controlled trial investigates the comparative effects of a combined preoperative and postoperative cardiac rehabilitation program versus a postoperative-only program on functional capacity, pulmonary function, peripheral muscle strength, pain, kinesiophobia, and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. The study aims to determine whether initiating rehabilitation prior to surgery improves short-term postoperative outcomes.
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)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having undergone coronary artery bypass graft surgery
- •Ejection Fraction (EF) > 40%
- •Being between the ages of 18-65
- •Being able to speak, read and understand in their own language
- •Volunteering to participate in the study
排除标准
- •Having an active or suspected infection
- •Presence of an active tumour
- •History of thrombophlebitis or pulmonary embolism within the last 3 months
- •Having an orthopaedic, neurological or cardiovascular disease that may affect the assessments
研究组 & 干预措施
Experimental Group
Preoperative cardiac rehabilitation + postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
干预措施: Preoperative Cardiac Rehabilitation (Other)
Experimental Group
Preoperative cardiac rehabilitation + postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
干预措施: Postoperative Cardiac Rehabilitation (Other)
Control Group
Postoperative cardiac rehabilitation (structured exercise, respiratory physiotherapy, and patient education)
干预措施: Postoperative Cardiac Rehabilitation (Other)
结局指标
主要结局
Forced Vital Capacity (FVC)
时间窗: 2 weeks
Forced Vital Capacity will be measured before six-minute walk test according to the guideline of ERS.
Forced Expiratory Volume in 1 second (FEV1)
时间窗: 2 weeks
Forced Expiratory Volume in 1 second will be measured before six-minute walk test according to the guideline of ERS.
Peak Expiratory Flow (PEF)
时间窗: 2 weeks
Peak Expiratory Flow will be measured before six-minute walk test according to the guideline of ERS.
Forced Expiratory Flow 25-75% (FEF25-75)
时间窗: 2 weeks
Forced Expiratory Flow 25-75% will be measured before six-minute walk test according to the guideline of ERS.
6-minute Walk Test
时间窗: 2 weeks
The 6-minute Walk Test will be performed according to ATS guidelines. Walking distance, minute ventilation, respiratory rate, inspiratory capacity and breathing reserve will be recorded.
M. Quadriceps Muscle Strength
时间窗: 2 weeks
The m. quadriceps muscle strength will be measured using the MicroFet 2 hand-held dynamometer (Hogan Health Industries, USA). The test will be repeated three times for the dominant side and the average value in kilograms (kg) will be recorded.
M. Biceps Muscle Strength
时间窗: 2 weeks
The m. biceps muscle strength will be measured using the MicroFet 2 hand-held dynamometer (Hogan Health Industries, USA). The test will be repeated three times for the dominant side and the average value in kilograms (kg) will be recorded.
Cough Peak Flow
时间窗: 2 weeks
Cough Peak Flow (CPF) will be measured using a peak expiratory flow meter. Participants will be instructed to take a maximal deep breath and then cough as forcefully as possible into the device; the highest value from three trials will be recorded in liters per minute (L/min). Measurements will be performed in a seated position, ensuring a tight mouth seal and consistent technique.
次要结局
- Level of Pain(2 weeks)
- Level of Fear of Movement(2 weeks)
- Level of Quality of Life(2 weeks)
研究者
Hikmet Ucgun
Principal Investigator
Atlas University