Tai Chi Exercises on Physical Activity and Pulmonary Function in CABG

NCT03857282 | Completed DMC

• 1 other identifier: RiphahIU Maria Razzaq
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

To improve the cardiopulmonary endurance in Coronary artery bypass grafting (CABG) patients. Internationally in cardiac hospital facility of cardiac rehabilitation is available to improve the patient's physical activity and decrease the list of secondary complications. But in Pakistan ideal phase II cardiac rehabilitation is limited available in limited hospitals due to cost issues and limited resources for monitoring during exercise. A Randomized control trail Study was conducted in Armed force institute of cardiology (AFIC) Rawalpindi. The Total sample size was 74 post (CABG). The aim of study was to influence of Tai chai on coronary artery bypass surgery patients.

Conditions

Coronary Artery Disease

Keywords

Bicycling; Coronary Artery Disease; Pulmonary Function; Tai Chi

Outcome Measures

Primary Outcomes (4)

• forced expiratory volume in one second (FEV1)

  Changes from the Baseline, forced expiratory volume in one second (FEV1) in liters will be measured through Digital spirometer

  6 weeks

• Forced vital capacity (FVC)

  Changes from the Baseline, forced vital capacity (FVC) in liters will be measured through Digital spirometer

  6 weeks

• Peak expiratory flow (PEF).

  Changes from the Baseline, Peak expiratory flow (PEF) in Liters/seconds will be measured through Digital spirometer

  6 weeks

• International physical activity questionnaire (IPAQ)

  Changes from Baseline, (IPAQ) It is recommended that activity bouts of greater than 3 hours are truncated. That is to say that a bout cannot be longer than 3 hours (180 minutes). This means that in each category a maximum of 21 hours of activity are permitted a week (3 hours X 7 days) To calculate metabolic equivalent (MET) minutes a week multiply the MET value given (remember walking = 3.3, moderate activity = 4, vigorous activity = 8) by the minutes the activity was carried out and again by the number of days that that activity was undertaken. For example if someone reports walking for 30 minutes 5 days a week then the total MET minutes for that activity are 3.3 X 30 X 5=495 Met minutes a week. You can add the MET minutes achieved in each category (walking, moderate activity and vigorous activity) to get total MET minutes of physical activity a week.

  6 weeks

Secondary Outcomes (6)

• Modified Borg's rating of perceived exertion (RPE) scale

  6 weeks

• Heart Rate

  6 weeks

• Oxygen Saturation (SPO2)

  6 weeks

• Blood Pressure

  6 weeks

• Heart Rate Reserve

  6 weeks

Study Arms (2)

Aerobic Exercises

ACTIVE COMPARATOR

Bicycling Exercise (lower Limb)

Other: Aerobic Exercises

Tai Chi Exercises

EXPERIMENTAL

Tai Chi Exercises (yang 24 Postures)

Other: Tai Chi Exercises

Interventions

Aerobic Exercises OTHER

5 to 10 min warm up exercises than 30min bicycle exercise and 5 to 10 min cool down exercises

Aerobic Exercises

Tai Chi Exercises OTHER

5 to 10 min warm up exercises and 30 min Tai Chi exercises and than than 5 to 10 min cool down exercises.

Tai Chi Exercises

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• post-operative CABG patients,
• Ejection fraction \>40% were included

You may not qualify if:

• ,3,4 scale of angina,
• unstable congestive heart failure,
• Substantial myocardial ischemia,
• Cardiac arrhythmias,
• Reopen chest after surgery,
• Uncontrolled diabetes and hypertension

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Federal, 44000, Pakistan

Location

Related Publications (10)

• Smith SC Jr, Collins A, Ferrari R, Holmes DR Jr, Logstrup S, McGhie DV, Ralston J, Sacco RL, Stam H, Taubert K, Wood DA, Zoghbi WA. Our time: a call to save preventable death from cardiovascular disease (heart disease and stroke). Circulation. 2012 Dec 4;126(23):2769-75. doi: 10.1161/CIR.0b013e318267e99f. Epub 2012 Sep 17. No abstract available.

  PMID: 22988010 BACKGROUND

• Bergheanu SC, Bodde MC, Jukema JW. Pathophysiology and treatment of atherosclerosis : Current view and future perspective on lipoprotein modification treatment. Neth Heart J. 2017 Apr;25(4):231-242. doi: 10.1007/s12471-017-0959-2.

  PMID: 28194698 BACKGROUND

• Stary HC, Chandler AB, Glagov S, Guyton JR, Insull W Jr, Rosenfeld ME, Schaffer SA, Schwartz CJ, Wagner WD, Wissler RW. A definition of initial, fatty streak, and intermediate lesions of atherosclerosis. A report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association. Circulation. 1994 May;89(5):2462-78. doi: 10.1161/01.cir.89.5.2462.

  PMID: 8181179 BACKGROUND

• Centers for Disease Control and Prevention (CDC). Cigarette smoking among adults--United States, 2006. MMWR Morb Mortal Wkly Rep. 2007 Nov 9;56(44):1157-61.

  PMID: 17989644 BACKGROUND

• Edwards DG, Schofield RS, Lennon SL, Pierce GL, Nichols WW, Braith RW. Effect of exercise training on endothelial function in men with coronary artery disease. Am J Cardiol. 2004 Mar 1;93(5):617-20. doi: 10.1016/j.amjcard.2003.11.032.

  PMID: 14996592 BACKGROUND

• Gielen S, Hambrecht R. Effects of exercise training on vascular function and myocardial perfusion. Cardiol Clin. 2001 Aug;19(3):357-68. doi: 10.1016/s0733-8651(05)70222-8.

  PMID: 11570110 BACKGROUND

• Villella M, Villella A. Exercise and cardiovascular diseases. Kidney Blood Press Res. 2014;39(2-3):147-53. doi: 10.1159/000355790. Epub 2014 Jul 29.

  PMID: 25117881 BACKGROUND

• Pattyn N, Beckers PJ, Cornelissen VA, Coeckelberghs E, De Maeyer C, Frederix G, Goetschalckx K, Possemiers N, Schepers D, Van Craenenbroeck EM, Wuyts K, Conraads VM, Vanhees L. The effect of aerobic interval training and continuous training on exercise capacity and its determinants. Acta Cardiol. 2017 Jun;72(3):328-340. doi: 10.1080/00015385.2017.1304712. Epub 2017 Mar 21.

  PMID: 28636505 BACKGROUND

• Macko RF, Ivey FM, Forrester LW, Hanley D, Sorkin JD, Katzel LI, Silver KH, Goldberg AP. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005 Oct;36(10):2206-11. doi: 10.1161/01.STR.0000181076.91805.89. Epub 2005 Sep 8.

  PMID: 16151035 BACKGROUND

• Hollings M, Mavros Y, Freeston J, Fiatarone Singh M. The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: A systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol. 2017 Aug;24(12):1242-1259. doi: 10.1177/2047487317713329. Epub 2017 Jun 5.

  PMID: 28578612 BACKGROUND

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

Exercise

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Sumaiyah Obaid Baig, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 8, 2019
• First Posted: February 27, 2019
• Study Start: February 20, 2018
• Primary Completion: June 20, 2018
• Study Completion: July 5, 2018
• Last Updated: August 8, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)