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临床试验/NCT06551714
NCT06551714招募中不适用

The Effect of Neurophysiological Facilitation Techniques on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in The Early Stage After Open Heart Surgery

Dogus Universitesi1 个研究点 分布在 1 个国家目标入组 32 人开始时间: 2024年1月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
32
试验地点
1
主要终点
İnspiratory muscle strength

研究概览

简要总结

In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.

Do neurophysiological facilitation techniques improve individuals' respiratory parameters more than phase 1 cardiac rehabilitation?

Do neurophysiological facilitation techniques improve individuals' functional capacity more than phase 1 cardiac rehabilitation?

Researchers will apply phase 1 cardiac rehabilitation to both groups to see the effectiveness of neurophysiological facilitation techniques.

详细描述

In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.

The study was performed on 32 patients who underwent open heart surgery. Patients divided into two groups which study group (n=18) and control group (n=14).

Range of motion, breathing and mobilization exercises within the scope of phase 1 cardiac rehabilitation program were applied to the control group; in addition to the phase 1 cardiac rehabilitation program, neurophysiological facilitation techniques (perioral stimulation, intercostal tension, anterior basal lift, vertebral pressure, moderate manual pressure and abdominal co-contraction) were applied to the study group.

Sociodemographic features and disease-specific findings were recorded on the first postoperative day .

Vital signs, functional capacity, pulmonary function, fatigue and dyspnea of every patient were recorded before and after each treatment on the first four postoperative days.

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 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Having open heart surgery for the first time,
  • •Being between the ages of 18-75,
  • •Being fully cooperative

排除标准

  • •Having facial, sternum and rib fractures,
  • •Having chronic renal failure,
  • •Development of cerebrovascular accident,
  • •Having cognitive dysfunction,
  • •Development of deep vein thrombosis in the post-operative period,
  • •Having neuromuscular disease,
  • •Having an orthopedic disability,
  • •Intubation time longer than 24 hours,
  • •Staying in intensive care for more than 48 hours

研究组 & 干预措施

Control Group

Experimental

Phase 1 cardiac rehabilitation

干预措施: Phase 1 cardiac rehabilitation (Procedure)

Study Group

Active Comparator

Neurophysiological facilitation techniques in addition to phase 1 cardiac rehabilitation techniques

干预措施: Phase 1 cardiac rehabilitation (Procedure)

Study Group

Active Comparator

Neurophysiological facilitation techniques in addition to phase 1 cardiac rehabilitation techniques

干预措施: Neurophysiological facilitation techniques (Procedure)

结局指标

主要结局

İnspiratory muscle strength

时间窗: Before and after treatment on each day of treatment, up to 3 month

Maximum Inspiratory Pressure (MIP) - pressure

Time Up and Go (TUG)

时间窗: first day of treatment before treatment and last day of treatment after treatment, up to 3 month

The person gets up from the chair, walks 3 meters, comes back and sits on the chair. - minute

Vital sign

时间窗: Before and after treatment on each day of treatment, up to 3 month

Oxygen saturation

2 Minute Walk Test

时间窗: Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month

It is walking as fast as the person can for 2 minutes without any assistance, at a safe distance of 30 meters. - meter

Life quality

时间窗: Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month

The Minnesota Living with Heart Failure Questionnaire

Respiratory frequency

时间窗: Before and after treatment on each day, up to 3 month

Number of times a person inhales and exhales in 1 minute. - number

Blood pressure

时间窗: Before and after treatment on day of treatment, up to 3 month

Blood pressure is the pressure of blood within the arteries of the circulatory system. - pressure

Depression

时间窗: Before treatment on the first day of treatment and after treatment on last day of treatment, up to 3 month

Beck's depression inventory

Expiratory muscle strength

时间窗: After and before treatment on each day of treatment, up to 3 month

Maximum Expiratory Pressure (MEP) - pressure

Heart rate

时间窗: Before and after treatment on each day of treatment, up to 3 month

Number of times a person heart rate in 1 minute. - number

Symptom

时间窗: Before and after treatment on each day of treatment, up to 3 month

Dyspnea

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Feyza Merakli

lecturer

Dogus Universitesi

研究点 (1)

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