Application of Exercises Based on the Pilates in Coronary Artery Bypass Grafting

NCT02109055 | Unknown DMC

• 1 other identifier: PILATESCRM1
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The major cause of mortality worldwide is due to cardiovascular diseases. A way to treat these diseases is coronary artery bypass grafting, one of the most common surgical procedures in the world. The incidence of post-operative complications contributes to functional decline of the patient, reduced quality of life and post-discharge mortality. Also, cardiac surgery leads to changes in lung capacity and respiratory muscle strength, causing a decrease in the function lung. Physical therapy proves to be an effective tool to combat changes resulting from cardiac surgery, demonstrating beneficial results in the pulmonary function, functional capacity, and peripheral and respiratory muscle strength. The Pilates method has been studied as a therapeutic way to healthy subjects and various kinds of diseases, but there are no studies in the literature evaluating the effect method in patients after coronary artery bypass surgery. The aim of this study is to investigate the effect of Pilates on functional capacity , flows and lung volumes, respiratory and peripheral muscle strength after coronary artery bypass grafting. Randomized clinical trial in which patients will be eligible after elective coronary artery bypass surgery, randomly allocated into two groups : conventional physiotherapy group (n = 15) and Pilates method associated with conventional physiotherapy group (n = 15). The outcomes will be assessed by blinded evaluator and data randomization will be performed through by electronic randomization.The interventions will take place during the length of stay in the hospital, totalizing a maximum of six days of intervention. It is expected that the application of the Pilates method exercise method associated with conventional physiotherapy in patients in postoperative coronary artery bypass grafting improves functional capacity, flows and lung volumes and respiratory and peripheral muscle strength.

Conditions

Cardiovascular Diseases

Keywords

Cardiovascular Diseases; Thoracic Surgery; Exercise Therapy

Outcome Measures

Primary Outcomes (1)

• Evaluation of functional capacity

  six days

Secondary Outcomes (3)

• Evaluation of respiratory muscle strength

  six days

• Evaluation of respiratory volumes and flows

  six days

• Evaluation of peripheral muscle strength

  six days

Study Arms (2)

Pilates

EXPERIMENTAL

Regarding upper limb exercises the limit of flexion and abduction less than 90°, with the exercises involving only the movement of flexion and extension of elbow shoulder will be respected. Along with patient data will be an exercise protocol based on the Pilates method that will be performed by a trained team of physiotherapists. Before and after the exercises the data of heart rate, blood pressure, oxygen saturation and subjective feeling of perceived exertion using the Modified Borg scale will be listed.

Other: Pilates

Convencional Physiotherapy

ACTIVE COMPARATOR

The conventional physiotherapy group will continue with the routine hospital consisting of respiratory physiotherapy.

Other: Conventional Physiotherapy

Interventions

Pilates OTHER

The exercise program will be held during the period of hospitalization for six days, often two to three sessions per day, totaling 12 sessions.

Pilates

Conventional Physiotherapy OTHER

The conventional physiotherapy group will continue with the routine hospital consisting of respiratory physiotherapy, twice daily, six days.

Convencional Physiotherapy

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals in postoperative coronary artery bypass grafting, extubated within 24 hours after surgery, hemodynamically stable, with no ischemic changes and/or complex arrhythmias on electrocardiogram e who have performed the first surgery and surgery alone.

You may not qualify if:

• Patients with decompensated heart failure, presence of any comorbidity, such as unstable angina, associated neurological disease, moderate to severe respiratory illness prior diagnosed by the attending physician, acute respiratory dysfunction in the post - operative, active infectious disease or fever; vascular disease disabling peripheral, unstable ventricular arrhythmia; musculoskeletal disease that limits the practice of Pilates will be excluded.

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator
• Instituto de Cardiologia do Rio Grande do Sul: collaborator

Study Sites (1)

Rodrigo Della Méa Plentz

Porto Alegre, Rio Grande do Sul, 90050170, Brazil

RECRUITING

MeSH Terms

Conditions

Cardiovascular Diseases

Interventions

Exercise Movement Techniques

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• Manoela H dos Reis, Graduated

  Federal University of Health Science of Porto Alegre

  STUDY CHAIR

• Leonardo F Neves, Graduated

  University of the Sinos Valley

  STUDY CHAIR

• Cinara Stein, Master

  Federal University of Health Science of Porto Alegre

  STUDY CHAIR

• Mirelle Hugo, Undergrad

  Federal University of Health Science of Porto Alegre

  STUDY CHAIR

• Aline Miozzo, Graduated

  Universidade Federal de Santa Maria

  STUDY CHAIR

• Christian Coronel, Master

  Instituto de Cardiologia do Rio Grande do Sul

  STUDY CHAIR

Central Study Contacts

Rodrigo DM Plentz

CONTACT

+55 (051) 91794399; roplentz@yahoo.com.br

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: April 7, 2014
• First Posted: April 9, 2014
• Study Start: April 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: April 1, 2015
• Last Updated: April 10, 2014

Record last verified: 2014-04

Locations

BR (1)