Comparison of the Effects of Different Physiotherapy and Rehabilitation Methods in Phase I Following Open Heart Surgery
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Evaluation of respiratory functions with simple spirometric measurements
研究概览
简要总结
The aim of this study is to compare the effects of different physiotherapy and rehabilitation methods in hospitalization after Open Heart Surgery (OHS). In this context, it is planned that patients undergoing OHS surgery will be randomly divided into 3 groups.
- Group routine cardiac rehabilitation program (RCRP)
- Group RCRP and inspiratory muscle training
- Group RCRP and virtual reality application Treatment of patients will be administered twice daily during their stay in the hospital. The patients will be evaluated by clinical measurements and scales based on patient notification and before and after the treatment and their effectiveness and superiority over each other will be determined.
详细描述
Purpose of our study Comparison of the effects of different physiotherapy and rehabilitation methods in hospitalization after Open Heart Surgery (OHS).
Expected results: Routine cardiac rehabilitation program (RCRP) + virtual reality group and RCRP + inspiratory muscle training group pain, dyspnea, anxiety, depression, quality of life, respiratory muscle strength We believe that there will be good progress in pulmonary function, 6 minutes walking distance evaluation results, and best developments will occur in RCRP + virtual reality + inspiratory muscle training group.
In this context, it is planned that patients undergoing OHS surgery will be randomly divided into 3 groups. Group 1 routine cardiac rehabilitation program (RCRP) 2. Group RCRP and inspiratory muscle training 3. Group RCRP and virtual reality application Treatment of patients will be administered twice daily during their stay in the hospital. The patients will be evaluated by clinical measurements and scales based on patient notification and before and after the treatment and their effectiveness and superiority over each other will be determined.
Literature summary:
Open Heart Surgery is one of the most effective and reliable treatment options in coronary artery diseases and the most common coronary artery bypass surgery in the world is used to prolong the life expectancy of patients and reduce symptoms. Patients undergoing cardiac rehabilitation program after Open Heart Surgery are extremely important and the benefits of cardiac rehabilitation; reduction in symptoms, exercise tolerance and increase in workforce, improvement in blood lipid and general risk profile, decrease in smoking, stress management and self-improvement, atherosclerotic status, new coronary attacks, hospitalizations, decreases in morbidity and mortality.Despite the well-known positive effects of open heart surgery, respiratory complications are common in patients with decreased respiratory muscle strength in the postoperative period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Inclusion criteria 25-70 age range Undergoing open heart surgery Hemodynamically stable Ambulatory No advanced vision defect The physician authorized by the operating physician for participation in the exercise Patients who agreed to participate in the study. Exclusion criteria The presence of pulmonary, neurological, musculoskeletal disease limiting participation in exercise training Patients at high risk (ejection fraction below 40 percent) Dissectant aneurysm Patients who cannot be cooperative in verbal and / or auditory terms Psychological and / or perceptual cooperative patients
入排标准
- 年龄范围
- 25 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •25-70 age range
- •Undergoing open heart surgery
- •Hemodynamically stable
- •Ambulatory
- •No advanced vision defect
- •The physician authorized by the operating physician for participation in the exercise
- •Patients who agreed to participate in the study.
排除标准
- •The presence of pulmonary, neurological, musculoskeletal disease limiting participation in exercise training
- •Patients at high risk (ejection fraction below 40 percent)
- •Dissectant aneurysm
- •Patients who cannot be cooperative in verbal and / or auditory terms
- •Psychological and / or perceptual cooperative patients
结局指标
主要结局
Evaluation of respiratory functions with simple spirometric measurements
时间窗: the preoperative and 10th day
spirometric measurement with spirometry
intraoral pressure measurement (Maximum inspiratory pressure maximum expiratory pressure)
时间窗: the preoperative and 10th day
Maximum inspiratory pressure maximum expiratory pressure
次要结局
- Dyspnea assessment(the preoperative and 10th day)
- Pain assessment(the preoperative and 10th day)
- Evaluation of anxiety and depression(the preoperative and 10th day)
- Quality of Life assessment(the preoperative and 10th day)
- Peak expiratory flow(the preoperative and 10th day)
- Evaluation of functional capacity with 6 minutes walking test(the preoperative and 10th day)
研究者
Yasemin Şahbaz
Lecturer
University of Beykent