Effect of Early Mobilization Exercises Guided by Wearable Technology on Functional Capacity After Coronary Artery Bypass Graft
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Functional capacity
研究概览
简要总结
purpose: This study aims to assess the effects of early mobilization exercises guided by wearable technology on functional capacity after coronary artery bypass graft Methods: Patients will be randomly assigned into three groups: Group A will receive usual care, Group B will receive usual care in addition to aerobic exercise, and Group C will receive usual care in addition to resistance exercise. both the aerobic exercise group and the resistance exercise group will be guided by wearable artificial intelligence ECG monitors for real-time support and guidance, and they will stop exercise when any adverse events occur.
Exercises will be started early from post operative CABG until patients discharge and measurements will be taken at baseline and before discharge
详细描述
A) Procedure for evaluation and training
Equipment:
The following instruments will be used:
- Pulse oximeter: It will be used for measuring oxygen saturation and Heart rate before, during, and after sessions and during exercise test
- Intelligent cardiac monitor: used during 6MWT to detect any adverse events during and immediately after the test and also be used during sessions
- Rating of perceived exertion: to estimate effort and exertion during the test and working phase.
- Cycle ergometer: upper and lower pedaling machine will be adjusted to suit all patients' height during exercise sessions
- Dumbbells and weights will be used during exercise sessions Exercise (treatment) procedures
- Group (A): (usual care group):
Start early mobilization exercises and deep breathing exercises with wound support daily
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
- Double (Participant, Investigator)
盲法说明
double blinded(participant ,, investigator )
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
- •1-post -operative clinically stable patients with hemodynamic stability through measurement of respiratory rate( >8<30) breaths/min , Heart rate (>40<130) beats /min , Spo2>90% 2-both lower limbs will be physically functional 3-CABG surgery 4-Their age will be ranged from 45-65 years old
排除标准
- •Respiratory insufficiency after surgery manifesting hypoxemia with partial pressure of oxygen in arterial blood <60 mmHg
- •Cardiogenic shock
- •acute renal failure
- •contra-indicated to submaximal exercise test
- •cardiac arrhythmia
- •locomotor/neurological limitation to ambulation
- •physiological compensatory tachycardia in case of (anemia, high tempreture and infection)
- •high blood pressure at rest (systolic blood pressure >160mmHg or diastolic blood pressure >100 mmHg -
研究组 & 干预措施
control group (A) usual care
patients in this group will receive usual care including moibilizations and breathing exercise
study group (B)aerobic exercise (using cycle ergometer) in addition to usual care
Patients in this group will be received usual care and cycle ergometer aerobic exercise
干预措施: aerobic exercise using cycle ergometer in addition to usual care (Other)
study group(C)resisted exercise group (using weights and dumbbells) in addition to usual care
Patients in this group will be received usual care and resisted exercise
干预措施: resisted exercise using weights and dumbbells in addition to usual care (Other)
结局指标
主要结局
Functional capacity
时间窗: at baseline before intervention and 1 week after intervention
Functional capacity: It will be assessed by 6MWT test. According to the American Thoracic Society,
次要结局
- - Patient Safety(after 1 week of intervention)
- Heart rate variability(at baseline before intervention and 1 week after intervention)
- - Muscle strength(at baseline before intervention and 1 week after intervention)
- - Kinesiophobia(at baseline before intervention and 1 week after intervention)
- - Functional independence(at baseline before intervention and 1 week after intervention)
- - Length of hospital stay(after 1 week of intervention)
- - Adherence(after 1 week of intervention)
研究者
Sara Ali Mohamed Awad Allah
assistant lecturer
Cairo University