Comb Effect of 4-7-8 Breathing Technique and Stationary Cycle on PP, QOL and Dyspnea in Post CABG Patients.

NCT06460740 | Recruiting

• 1 other identifier: REC/47039 Samrah Mahmood
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the combined effects of 4-7-8 breathing technique and stationary cycle on physical performance, quality of life and dyspnea in post CABG patients.

Conditions

Post-cardiac Surgery

Keywords

4-7-8 breathing technique; stationary cycling; Post CABG; physical performance; quality of life; Dyspnea

Outcome Measures

Primary Outcomes (1)

• Physical Performance 6MWT

  Changes from baseline The 6-minute walk test (6MWT) was developed by American Thoracic society and was officially introduced in 2002, coming along with a comprehensive guideline. The 6MWT is an easy, safe, reliable and simple cardiopulmonary sub maximal functional testing modality, used to assess functional capacity and to evaluate the cardiac and pulmonary rehabilitation treatment or intervention. (16) The individuals were requested to walk as far-off as they are able to on a smooth area for about 6 minutes. Individuals were permitted to take a rest or stop from walking if it was required then continue again as quick as they can. The distance covered by individuals for this test was measured in meters.

  4th week

Secondary Outcomes (2)

• SF-36 Quality of Life Questionnaire version 2.0

  4th week

• Modified Borg Dyspnea Scale

  4th week

Study Arms (2)

4-7-8 breathing technique

EXPERIMENTAL

4-7-8 breathing technique and stationary cycling

Other: 4-7-8 breathing technique

Stationary cycling

ACTIVE COMPARATOR

Stationary Cycling

Other: Stationary Cycling

Interventions

4-7-8 breathing technique OTHER

Treatment will be given 18 exercise sessions per month (four to five times per week). The patient at first will be directed to sit or lie down, in which manner they feel sense of comfort. Then they are asked to exhale completely through mouth emptying their lungs. Then closing their lips and inhaling silently through nose while counting on the count of 4 seconds, holding their breath for a count of 7 seconds and exhale slowly through semi-closed lips making a Whoosh sound for a count of 8 seconds. Inhale, hold breath, and exhale ratio of 4:7:8. In aerobic protocol, F (frequency) subjects will receive training up to 18 exercise sessions per month (four to five times per week). I (intensity) subjects will receive training up to intensity of 70 to 75 %, T \& T (Time and Type) subjects will receive training up to 20 minutes of bicycling.

Also known as: Generalized Active ROM

4-7-8 breathing technique

Stationary Cycling OTHER

In aerobic protocol, F (frequency) subjects will receive training up to 18 exercise sessions per month (four to five times per week). I (intensity) subjects will receive training up to intensity of 70 to 75 %, T \& T (Time and Type) subjects will receive training up to 20 minutes of bicycling

Also known as: Generalized Active ROM

Stationary cycling

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who underwent a successful CABG (no complications during surgery
• and/or in the following weeks)
• Female and male whose age between 40 to 70 years of age
• Phase II cardiac rehab patients
• Patients who were extubated and hemodynamically stable
• Patients with stable chronic heart failure.
• Patients had no arrhythmias
• Patients who had ability to read and write
• Patients who voluntarily participated in the study.

You may not qualify if:

• Ventricular Septal defect repair.
• Patients have limitation of motion that prevents them from performing physical activities such as walking for 6 minute.
• Patients who had undergone previous cardiac surgery.
• Severe renal dysfunction requiring dialysis.
• Altered level of consciousness.
• A history of musculoskeletal problems
• Having an orthopedic problem that prevents the use of lower and upper extremity bikes.
• Cancer patients receiving radiotherapy and chemotherapy.
• Clinical diagnosis of uncontrolled Diabetes Mellitus and Hypertension.
• Physical Discomfort at any stage of the study and/or any reaction to the tests (nausea, dizziness, discomfort, feeling faint, tachycardia, excessive sweating), and if they failed to attend the scheduled sessions.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Medicare Cardiac and General Hospital

Karachi, Sindh, 74800, Pakistan

RECRUITING

Related Publications (16)

• Wahdan Abd El-Aziz W, Attia Kandee N, Elsayed Mansour H. The Effect of Early SixMinute Walking Test Post-Coronary Artery Bypass Graft on Walking Tolerance and Physiological Parameters. Egyptian Journal of Health Care. 2020;11(3):784-94.

  BACKGROUND

• Ambina K, Shalimol U, Anjana A. Quality of Life among Post CABG Patients. Prof(Dr) RK Sharma. 2020;20(4):41535.

  BACKGROUND

• Abdelaziz Mohammed F, Shoeib Ali F. Effect of Early Ambulation Program on Selected Outcomes among Patients Undergoing Cardiac Surgery. Egyptian Journal of Health Care. 2022;13(4):888-904.

  BACKGROUND

• Schulte B, Nieborak L, Leclercq F, Villafane JH, Sanchez Romero EA, Corbellini C. The Comparison of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training after Coronary Artery Bypass Graft: A Systematic Review of Recent Studies. J Cardiovasc Dev Dis. 2022 Sep 28;9(10):328. doi: 10.3390/jcdd9100328.

  PMID: 36286280 BACKGROUND

• Kansara P, Patel S. Effect of Post Operative Physiotherapy in Patients with CABG to Improve Cardiovascular Endurance-A Randomised Controlled Trial.

  BACKGROUND

• Yükselmiş Ö. The Effect of Cycling and Arm Ergometer Exercises on Physical and Psychosocial Functions: Application in Patients Undergoing Coronary Artery Bypass Surgery. Open Journal of Therapy and Rehabilitation. 2022;10(2):39-53

  BACKGROUND

• Munir U, Umar Riaz NF, Sahar W, Tariq K. Effects of Preoperative Aerobic Training for Improving Postoperative Functional Mobility in Coronary Artery Bypass Graft Patients. 2023.

  BACKGROUND

• Naqvi M, Khan MS, Perwaiz S, Ibrahim Q, Khan MW, Khan TY. Comparative analysis on the efficacy of aerobic capacity in cardiac rehabilitation obese and non-obese phase ii patient. International Journal of Physiotherapy. 2019:64-9.

  BACKGROUND

• Vierra J, Boonla O, Prasertsri P. Effects of sleep deprivation and 4-7-8 breathing control on heart rate variability, blood pressure, blood glucose, and endothelial function in healthy young adults. Physiol Rep. 2022 Jul;10(13):e15389. doi: 10.14814/phy2.15389.

  PMID: 35822447 BACKGROUND

• Krasavina T, Zaborova V, Lazareva I, Yurku K, Putilo V, Gameeva V, et al. Rehabilitation of patients with coronary heart disease after coronary artery bypass grafting at the stationary stage. Journal of IMAB-Annual Proceeding Scientific Papers. 2023;29(2):4980-3.

  BACKGROUND

• Hamed LA, Elsayed SM. Effect of Deep Breathing Exercises on Pain after Cardiac Catheterization: A Randomized Controlled Trial.

  BACKGROUND

• Gambassi BB, Almeida FJF, Almeida AEAF, Ribeiro DAF, Gomes RSA, Chaves LFC, Sousa TMDS, Nina VJDS. Acute Response to Aerobic Exercise on Autonomic Cardiac Control of Patients in Phase III of a Cardiovascular Rehabilitation Program Following Coronary Artery Bypass Grafting. Braz J Cardiovasc Surg. 2019 Jun 1;34(3):305-310. doi: 10.21470/1678-9741-2019-0030.

  PMID: 31310469 BACKGROUND

• Sheraz S, Ayub H, Ferraro FV, Razzaq A, Malik AN. Clinically Meaningful Change in 6 Minute Walking Test and the Incremental Shuttle Walking Test following Coronary Artery Bypass Graft Surgery. Int J Environ Res Public Health. 2022 Nov 1;19(21):14270. doi: 10.3390/ijerph192114270.

  PMID: 36361150 BACKGROUND

• Moreira JMA, Grilo EN. Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme. J Exerc Rehabil. 2019 Oct 28;15(5):715-722. doi: 10.12965/jer.1938444.222. eCollection 2019 Oct.

  PMID: 31723562 BACKGROUND

• Ghorbani A, Hajizadeh F, Sheykhi MR, Mohammad Poor Asl A. The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial. J Caring Sci. 2018 Dec 1;8(4):219-224. doi: 10.15171/jcs.2019.031. eCollection 2019 Dec.

  PMID: 31915624 BACKGROUND

• Radi B, Ambari AM, Dwiputra B, Intan RE, Triangto K, Santoso A, Setianto B. Determinants and Prediction Equations of Six-Minute Walk Test Distance Immediately After Cardiac Surgery. Front Cardiovasc Med. 2021 Aug 19;8:685673. doi: 10.3389/fcvm.2021.685673. eCollection 2021.

  PMID: 34490363 BACKGROUND

MeSH Terms

Conditions

Dyspnea

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Qurat ul-Ain, MSCPPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Only the patients will be blind its a single blind study
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: June 14, 2024
• Study Start: January 1, 2024
• Primary Completion: June 30, 2024
• Study Completion: July 1, 2024
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)