The Effect of Neurophysiological Facilitation Techniques on Health Parameters in Early Stages After Open Heart Surgery

NCT06551714 | Recruiting

• 1 other identifier: DogusU
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery. Do neurophysiological facilitation techniques improve individuals' respiratory parameters more than phase 1 cardiac rehabilitation? Do neurophysiological facilitation techniques improve individuals' functional capacity more than phase 1 cardiac rehabilitation? Researchers will apply phase 1 cardiac rehabilitation to both groups to see the effectiveness of neurophysiological facilitation techniques.

Conditions

Open Heart Surgery; Cardiovascular Disease; Physiotherapy

Keywords

Neurophysiological facilitation technique; Cardiac rehabilitation

Outcome Measures

Primary Outcomes (11)

• İnspiratory muscle strength

  Maximum Inspiratory Pressure (MIP) - pressure

  Before and after treatment on each day of treatment, up to 3 month

• Expiratory muscle strength

  Maximum Expiratory Pressure (MEP) - pressure

  After and before treatment on each day of treatment, up to 3 month

• 2 Minute Walk Test

  It is walking as fast as the person can for 2 minutes without any assistance, at a safe distance of 30 meters. - meter

  Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month

• Time Up and Go (TUG)

  The person gets up from the chair, walks 3 meters, comes back and sits on the chair. - minute

  first day of treatment before treatment and last day of treatment after treatment, up to 3 month

• Vital sign

  Oxygen saturation

  Before and after treatment on each day of treatment, up to 3 month

• Respiratory frequency

  Number of times a person inhales and exhales in 1 minute. - number

  Before and after treatment on each day, up to 3 month

• Blood pressure

  Blood pressure is the pressure of blood within the arteries of the circulatory system. - pressure

  Before and after treatment on day of treatment, up to 3 month

• Heart rate

  Number of times a person heart rate in 1 minute. - number

  Before and after treatment on each day of treatment, up to 3 month

• Life quality

  The Minnesota Living with Heart Failure Questionnaire

  Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month

• Depression

  Beck's depression inventory

  Before treatment on the first day of treatment and after treatment on last day of treatment, up to 3 month

• Symptom

  Dyspnea

  Before and after treatment on each day of treatment, up to 3 month

Study Arms (2)

Control Group

EXPERIMENTAL

Phase 1 cardiac rehabilitation

Procedure: Phase 1 cardiac rehabilitation

Study Group

ACTIVE COMPARATOR

Neurophysiological facilitation techniques in addition to phase 1 cardiac rehabilitation techniques

Procedure: Phase 1 cardiac rehabilitation; Procedure: Neurophysiological facilitation techniques

Interventions

Phase 1 cardiac rehabilitation PROCEDURE

Day 1:Patients were informed about the surgery, positioning and mobilization.Range of motion (ROM), respiratory control, diaphragmatic breathing, pursed lip breathing, thoracal expansion exercises, assisted coughing,forced expiration techniques, which are the components of active breathing techniques cycle (ABTC), were taught.The use of incentive spirometry (IS) was demonstrated.Patients were performed 10 repetitions of IS exercises, and 5 repetitions ABTC and were asked to repeat them every hour.The patient was made to sit for 10 minutes and was walked 60 meters twice a day. 2:ROM, IS and diaphragmatic breathing exercises were applied 10 times each.ABTC was repeated in 5 sets. 120 meters was walked 5 times during the day. 3:Sitting time was increased to 30 minutes and walking distance was increased to 240 meters.5 steps were climbed. 4:Walking distance was increased to 360 meters.One flight of stairs was climbed.Discharge training was given.

Control Group; Study Group

Neurophysiological facilitation techniques PROCEDURE

In addition to the phase 1 cardiac rehabilitation program for the group receiving neurophysiological facilitation (NPF) techniques: NPF techniques such as perioral stimulation, intercostal tension, anterior basal lift, vertebral pressure, moderate manual pressure and abdominal co-contraction were applied for ten times for ten seconds. Diaphragm facilitation exercise was performed by inhaling against resistance and holding the breath against resistance for 5 seconds. Unilateral and bilateral upper extremity proprioceptive neuromuscular facilitation (PNF) movements combined with breathing were performed. NPF techniques were performed 10 times each day throughout the treatment, while other applications (diaphragm facilitation, combined breathing exercise with upper extremity PNF technique and respiratory facilitation) were performed 5 times on the first day and 10 times on the other three days.

Study Group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having open heart surgery for the first time,
• Being between the ages of 18-75,
• Being fully cooperative

You may not qualify if:

• Having facial, sternum and rib fractures,
• Having chronic renal failure,
• Development of cerebrovascular accident,
• Having cognitive dysfunction,
• Development of deep vein thrombosis in the post-operative period,
• Having neuromuscular disease,
• Having an orthopedic disability,
• Intubation time longer than 24 hours,
• Staying in intensive care for more than 48 hours

Sponsors & Collaborators

• Dogus Universitesi: lead

Study Sites (1)

Lokman Hekim Akay Hospital

Ankara, 06000, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Cardiovascular Diseases

Study Officials

• Yasemin Cirak, Prof. Dr.

  Istinye University

  PRINCIPAL INVESTIGATOR

• Feyza merakli

  Istinye University

  STUDY DIRECTOR

Central Study Contacts

Feyza merakli

CONTACT

05427685223; feyzamrkl@gmail.com

Gungor

CONTACT

Study Design

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

Study Record Dates

• First Submitted: February 19, 2024
• First Posted: August 13, 2024
• Study Start: January 1, 2024
• Primary Completion: October 1, 2024
• Study Completion: November 1, 2024
• Last Updated: August 13, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: Data will remain open for 1 year.
• Access Criteria: To be a journal in Science Citation Index (SCI), Emerging Sources Citation Index (ESCI) categories

Locations

TU (1)