The Effect of Bedside Yoga Intervention on Early Mobilization in Children

NCT07715487 | Not Yet Recruiting

• 1 other identifier: Cukuova University
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The postoperative period is a critical phase in which early mobilization can accelerate recovery and reduce the risk of complications. Early movement improves lung ventilation, thereby decreasing the likelihood of atelectasis and pneumonia, while also enhancing circulation to prevent deep vein thrombosis and pulmonary embolism. Furthermore, it promotes bowel motility, reduces the risk of constipation and ileus, preserves muscle strength, and improves overall well-being. Early mobilization has also been associated with better pain control, enhanced psychological well-being, reduced complication rates, and shorter hospital stays. However, in pediatric patients, factors such as pain, anxiety, and fear may delay the mobilization process. Yoga has emerged as a promising non-pharmacological intervention due to its combination of breathing exercises, relaxation techniques, and gentle physical movements. Previous studies have demonstrated that yoga can reduce pain perception, improve pain tolerance, alleviate stress-related symptoms, and support physical recovery in children. Evidence suggests that yoga-based interventions may contribute to pain management by promoting relaxation and reducing psychological distress. In postoperative settings, bed-based yoga exercises have been reported to facilitate musculoskeletal relaxation, improve respiratory function, decrease anxiety and stress levels, and encourage earlier mobilization. Systematic reviews have further indicated that yoga may enhance both physical and psychological recovery following surgery, particularly through its effects on pain reduction and functional rehabilitation. Although the benefits of bed-based yoga have been documented in adult surgical populations, research focusing on pediatric surgical patients remains limited. Therefore, this study aims to evaluate the effect of bed-based yoga on early mobilization in pediatric surgical patients during the postoperative period. By investigating the effectiveness of this non-pharmacological intervention, the study seeks to address an important gap in the literature and contribute to evidence-based postoperative nursing care practices.

Conditions

Children; Yoga Therapy

Keywords

Yoga therapy, pediatric surgery

Outcome Measures

Primary Outcomes (2)

• Wong-Baker Faces Pain Rating Scale

  The Wong-Baker FACES Pain Rating Scale (WB-FACES) is a visual analog scale used to assess pain intensity in both children and adults. The scale consists of six different facial expressions representing varying levels of pain intensity, scored from 0 to 10. A score of 0 indicates "no pain," whereas a score of 10 represents "the worst pain imaginable." The Wong-Baker FACES Pain Rating Scale was originally developed by Donna Wong and Connie Morain Baker in 1981 and was subsequently revised in 1983. The scale is commonly used to assess pain in children aged 3-18 years. Previous studies evaluating the scale in pediatric populations have reported that children prefer facial expression-based rating scales and find them easy to use. Furthermore, the Wong-Baker FACES Pain Rating Scale has been identified as one of the most accurate methods for measuring pain intensity in children.

  Post-op Hour 8 5 min Post-Intervention 5 min Post-Mobilization

• Visual Analog Scale for Fatigue (VAS-F)

  This scale is used to assess the severity of fatigue. It consists of a 10-cm horizontal line with verbal descriptors at each end and is scored from 0 to 10. A score of 0 indicates "no fatigue," whereas a score of 10 indicates "severe fatigue."

  Post-op Hour 8 5 min Post-Intervention 5 min Post-Mobilization

Secondary Outcomes (4)

• Patient Mobility Scale

  5 min Post-Mobilization

• Observer Mobility Scale

  5 min Post-Mobilization

• Patient Monitoring Form

  5 min Post-Mobilization

• Pedometer

  during first mobilization

Study Arms (2)

No Intervention: GROUP WITH STANDARD CARE AND TREATMENT

NO INTERVENTION

Mothers will be informed about the study, and verbal consent will be obtained. Written informed consent will subsequently be secured using the Informed Consent Form. During the preoperative period, the Descriptive Information Form will be completed. In the postoperative period, mobilization activities will be monitored on an hourly basis. At the postoperative 8th hour, vital signs will be recorded, and the Wong-Baker Faces Pain Rating Scale and the Visual Analog Scale for Fatigue will be administered. A pedometer will then be attached to the child, after which the child will be mobilized according to the standard clinical protocol of the unit. Five minutes after mobilization, vital signs will be reassessed, and the Wong-Baker Faces Pain Rating Scale, Visual Analog Scale for Fatigue, Mobilization Assessment Form, Patient Mobility Scale, and Observer Mobility Scale will be completed. The Observer Mobility Scale will be evaluated independently by both the mother and the res

Pediatric Yoga Group

EXPERIMENTAL

Mothers will be informed about the study, and verbal consent will be obtained. Written informed consent will then be secured using the Informed Consent Form. During the preoperative period, the Descriptive Information Form will be completed, and each child will receive one session of pediatric yoga training to familiarize them with the intervention. At the postoperative 8th hour, vital signs will be recorded, and the Wong-Baker Faces Pain Rating Scale and the Visual Analog Scale for Fatigue will be administered. Following these assessments, the child will participate in a pediatric yoga session. Five minutes after the completion of the yoga session, vital signs will be reassessed, and the Wong-Baker Faces Pain Rating Scale and the Visual Analog Scale for Fatigue will be completed again. Subsequently, a pedometer will be attached to the child, and mobilization will be initiated according to the standard clinical protocol of the unit.

Behavioral: Pediatric Yoga Group

Interventions

Pediatric Yoga Group BEHAVIORAL

The session begins with Pranayama (breathing exercises), specifically the Bee Breath (Bhramari Pranayama), in which the child produces a prolonged humming sound resembling the letter "M" with the mouth closed, first with the ears open and then with the ears gently covered. Following the breathing exercise, yoga postures are performed using a storytelling approach. The sequence includes the Butterfly Pose, Cactus Pose, Cat-Cow Pose, Sitting Bear Pose, and Butterfly Pose again, followed by repeating the postures in reverse order. The session concludes with Shavasana (Corpse Pose), a relaxation posture maintained for 30 seconds. Finally, the child is encouraged to express gratitude to their yoga partner and to themselves for participating in the session, after which the yoga session is concluded.

Pediatric Yoga Group

Eligibility Criteria

• Age: 6 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Hospitalized in a pediatric surgery unit for surgery.
• Able to participating in pediatric yoga.
• Able to understand and communicate in Turkish.

You may not qualify if:

• none

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Adana City Training and Research Hospital

Adana, Turkey (Türkiye)

Location

Central Study Contacts

Emel YÜRÜK, PHD

CONTACT

05387115176; emelyurukbal@gmail.com

Aslıhan HACISALİHOĞLU, MSC

CONTACT

5342612377; asli.han.hem@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 23, 2026
• First Posted: July 20, 2026
• Study Start: July 1, 2026
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): October 30, 2026
• Last Updated: July 20, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)