Combined Effects of Active Cycle Breathing Technique and Buteyko Technique in Post Sternotomy Patients

NCT06476756 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/23/0375
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques.

Conditions

Sternotomy

Keywords

Buteyko

Outcome Measures

Primary Outcomes (2)

• Borg dyspnea scale

  The Borg RPE scale rates exertion from a scale of 6 (no exertion) to 20 (maximum effort). A rating between 12 to 14 typically reflects a moderate or somewhat hard level of intensity.

  base line and 4 week

• BREATHLESSNESS, COUGH AND SPUTUM SCALE (BCSS)

  The BCSS is a three-item patient-reported questionnaire that rates sputum, cough, and dyspnea . This instrument can identify a disease aggravation with sensitivity and specificity.

  4 weeks

Study Arms (2)

ACTIVE CYCLE OF BREATHING TECHNIQUE

EXPERIMENTAL

Group A: combine effects of ACBT and Buteyko techniques will be performed first 3days of cardiac rehab phase 1.

Other: ACTIVE CYCLE OF BREATHING TECHNIQUE

Buteyko techniques

EXPERIMENTAL

Group B: effect of buteyko techniques will be performed first three days of cardiac rehab phase 1.

Other: Buteyko techniques

Interventions

ACTIVE CYCLE OF BREATHING TECHNIQUE OTHER

Group A: combine effects of ACBT and Buteyko techniques will be performed first 3days of cardiac rehab phase 1.

ACTIVE CYCLE OF BREATHING TECHNIQUE

Buteyko techniques OTHER

Group B: effect of buteyko techniques will be performed first three days of cardiac rehab phase 1.

Buteyko techniques

Eligibility Criteria

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

You may qualify if:

• Age 40-60 years
• Patient underwent cardiac surgery for first time
• Having speaking, hearing, cognitive ability
• Both genders ( Male and female)
• On mechanical ventilation for less than 24h after surgery

You may not qualify if:

• Hemodynamic ally unstable patients
• Patients with reopening of sternum
• Infection patients
• Renal failure
• Arrhythmia
• Patient on mechanical ventilator
• Cancer
• Tuberculosis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Gulab Devi teaching hospital

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (3)

• Cappello IA, Candelari M, Pannone L, Monaco C, Bori E, Talevi G, Ramak R, La Meir M, Gharaviri A, Chierchia GB, Innocenti B, de Asmundis C. 3D Printed Surgical Guide for Coronary Artery Bypass Graft: Workflow from Computed Tomography to Prototype. Bioengineering (Basel). 2022 Apr 19;9(5):179. doi: 10.3390/bioengineering9050179.

  PMID: 35621457 BACKGROUND

• Frak W, Wojtasinska A, Lisinska W, Mlynarska E, Franczyk B, Rysz J. Pathophysiology of Cardiovascular Diseases: New Insights into Molecular Mechanisms of Atherosclerosis, Arterial Hypertension, and Coronary Artery Disease. Biomedicines. 2022 Aug 10;10(8):1938. doi: 10.3390/biomedicines10081938.

  PMID: 36009488 BACKGROUND

• Kamiya K, Takei M, Nagai T, Miyoshi T, Ito H, Fukumoto Y, Obara H, Kakuma T, Sakuma I, Daida H, Iimuro S, Shimokawa H, Kimura T, Nagai R, Anzai T. Association between Non-Lipid Residual Risk Factors and Cardiovascular Events in Patients with Stable Coronary Artery Disease Treated with Pitavastatin: An Observation from the REAL-CAD Study. J Atheroscler Thromb. 2024 Jan 1;31(1):61-80. doi: 10.5551/jat.64304. Epub 2023 Aug 11.

  PMID: 37574272 BACKGROUND

Study Officials

• Sidra Faisal, PP-DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Iqbal Tariq, PHD

CONTACT

O3338236752; iqbal.tariq@riphah.edu.pk

imran amjad, PHD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

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

Model Details: Group A: combine effects of ACBT and Buteyko techniques will be performed first 3days of cardiac rehab phase 1. Group B: effect of buteyko techniques will be performed first three days of cardiac rehab phase 1.

Study Record Dates

• First Submitted: June 12, 2024
• First Posted: June 26, 2024
• Study Start: March 10, 2024
• Primary Completion: July 15, 2024
• Study Completion: August 20, 2024
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)