Clinical Pilates (CP) Exercises and Kinesiophobia in CABG

NCT06426914 | Completed DMC

• 1 other identifier: Rec/01818 Sarosh Gohar
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

To determine Effect of Clinical Pilates (CP) exercises on kinesiophobia and post-operative cardiopulmonary parameters in CABG patients. Kinesiophobia may lead to patients\' psychological fear of rehabilitation exercise, thereby refusing rehabilitation exercise, affecting the rehabilitation process of patients, resulting in disuse syndrome, depression, disability and other adverse consequences. Thus, this study is to be conducted to find out the effects Pilates exercises with cardiac rehabilitation for management of Kinesiophobia in post CABG patients.

Conditions

Post-cardiac Surgery

Keywords

CABG; Clinical Pilates; Kinesiophobia; Post-operative cardiopulmonary parameters

Outcome Measures

Primary Outcomes (2)

• Kinesiophobia

  Changes from baseline to 2 weeks and 4 weeks after intervention, measured through the TSK-SV Heart specifically focuses on assessing Kinesiophobia in the context of cardiac conditions or symptoms. It include questions related to fear of engaging in physical activity due to concerns about cardiac events (such as heart palpitations, chest pain, or shortness of breath) during exercise or daily activities. The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible Kinesiophobia, and the higher scores indicate an increasing degree of Kinesiophobia.

  2 weeks, 4 weeks

• Abnormal heart rhythms

  Post-operative period and discharge day observed through Electrocardiography (ECG) on cardiac monitor.

  2 Weeks, 6 Weeks

Secondary Outcomes (1)

• Functional mobility

  2 weeks, 4 weeks

Study Arms (2)

Interventional

EXPERIMENTAL

Pilates Clinical (Introductory program)

Other: Clinical Pilates

Control

ACTIVE COMPARATOR

Cardiac Rehabilitation

Other: Cardiac Rehabilitation

Interventions

Clinical Pilates OTHER

Warmup: 5-10 minutes Pilates Clinical (Introductory program) The Hundred modified The Roll-up modified The roll-over modified Spine twist modified Single-leg circle modified Rolling like a ball Shoulder Bridge modified For every Step emphasizing: FOCUS: On muscle involved REPETITIONS: 3-5 VISUALIZATION: Imagination process (Different for each step) Cool down: 5 minutes Total Time: 30 minutes

Interventional

Cardiac Rehabilitation OTHER

Chest Physical therapy (Chest percussions and active huffs as per need) Breathing strategies (Diaphragmatic and purse lip 1-3 sets \* 5 Reps/Day) Functional mobility (walk /cycling as per patient tolerance) Patient education and Wound care Sternal Precaution guidance

Control

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Hemodynamically stable patient Who underwent elective CABG.
• Patients diagnosed with Kinesiophobia via Tampa scale for Kinesiophobia Heart (TSK-SV Heart)

You may not qualify if:

• Neuromuscular conditions which lead to kinesiophobia
• Diseases that seriously affected the functional capacity or mobility such as liver cirrhosis, chronic renal failure and disabled patients.
• Prolong intubation
• Vital instability
• Patients needing maximum assistance
• Decline consent

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Lady Reading Hospital

Peshawar, KPK, 25000, Pakistan

Location

MeSH Terms

Conditions

Kinesiophobia

Interventions

Cardiac Rehabilitation

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Mehwish Waseem, MSPT-CPPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 19, 2024
• First Posted: May 23, 2024
• Study Start: February 15, 2024
• Primary Completion: December 15, 2024
• Study Completion: December 15, 2024
• Last Updated: March 6, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)