Comparative Effects of ACBT and Diaphragmatic Breathing on Pulmonary Function and Sputum Diary After CABG

NCT05936788 | Completed DMC

• 1 other identifier: REC/RCR & AHS/23/0310
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of active cycle of breathing technique and diaphragmatic breathing on pulmonary functions and sputum diary after coronary artery bypass graf

Conditions

Breathing Exercises

Keywords

diaphragmatic exercise; pulmonary function test

Outcome Measures

Primary Outcomes (1)

• 6 Min walk test

  The 6 min walk test is a sub-maximal exercise test used to assess aerobic capacity and endurance.It is also use to monitor your response to treatments for heart lung and other health problems. Provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

  4 weeks

Secondary Outcomes (1)

• Borg Rating of Perceived scale

  4 weeks

Study Arms (2)

Active cycle of breathing technique

EXPERIMENTAL

Group A will receive ACBTs with 1 session a day for total 2 days in a week.

Other: Active cycle of breathing technique

diaphragmatic breathing

EXPERIMENTAL

Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

Other: diaphragmatic breathing

Interventions

Active cycle of breathing technique OTHER

Group A will receive ACBTs with 1 session a day for total 2 days in a week.

Active cycle of breathing technique

diaphragmatic breathing OTHER

Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

diaphragmatic breathing

Eligibility Criteria

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

You may qualify if:

• Post-CABG patients
• Gender: males and females
• Have speaking, hearing and cognitive ability
• On mechanical ventilation for ≤ 24 h after CABG

You may not qualify if:

• Prior history of open heart surgery
• Prior severe pulmonary/hepatic or renal disease- Complications after CABG (cardiogenic shock, bleeding requiring transfusion, acute kidney injury, cardiac temponade and severe hypotension)
• Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
• On mechanical ventilator for more than 24 h after CABG
• Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sadiq Saadiq hospital Gujranwala, DHQ hospital Gujranwala

Gujranwala, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Jasani N, Awad NT, Raut C. Effect of Coronary Artery Bypass Grafting Surgery on Pulmonary Function Tests and Arterial Blood Gases. Indian J Chest Dis Allied Sci. 2016 Jul;58(3):161-164.

  PMID: 30152648 BACKGROUND

• Urell C, Westerdahl E, Hedenstrom H, Janson C, Emtner M. Lung Function before and Two Days after Open-Heart Surgery. Crit Care Res Pract. 2012;2012:291628. doi: 10.1155/2012/291628. Epub 2012 Aug 8.

  PMID: 22924127 BACKGROUND

• Ono M, Serruys PW, Hara H, Kawashima H, Gao C, Wang R, Takahashi K, O'Leary N, Wykrzykowska JJ, Sharif F, Piek JJ, Garg S, Mack MJ, Holmes DR, Morice MC, Head SJ, Kappetein AP, Thuijs DJFM, Noack T, Davierwala PM, Mohr FW, Cohen DJ, Onuma Y; SYNTAX Extended Survival Investigators. 10-Year Follow-Up After Revascularization in Elderly Patients With Complex Coronary Artery Disease. J Am Coll Cardiol. 2021 Jun 8;77(22):2761-2773. doi: 10.1016/j.jacc.2021.04.016.

  PMID: 34082905 BACKGROUND

• Moradian ST, Najafloo M, Mahmoudi H, Ghiasi MS. Early mobilization reduces the atelectasis and pleural effusion in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. J Vasc Nurs. 2017 Sep;35(3):141-145. doi: 10.1016/j.jvn.2017.02.001.

  PMID: 28838589 BACKGROUND

• Montrief T, Koyfman A, Long B. Coronary artery bypass graft surgery complications: A review for emergency clinicians. Am J Emerg Med. 2018 Dec;36(12):2289-2297. doi: 10.1016/j.ajem.2018.09.014. Epub 2018 Sep 8.

  PMID: 30217621 BACKGROUND

• Rademacher J, Welte T. Bronchiectasis--diagnosis and treatment. Dtsch Arztebl Int. 2011 Dec;108(48):809-15. doi: 10.3238/arztebl.2011.0809. Epub 2011 Dec 2.

  PMID: 22211147 BACKGROUND

Study Officials

• Sidra Faisal, MS.CPPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. A
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. A

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: July 10, 2023
• Study Start: June 15, 2023
• Primary Completion: August 10, 2023
• Study Completion: November 20, 2023
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)