The Effect of Neurophysiological Facilitation Techniques on Health Parameters in Early Stages After Open Heart Surgery
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- What is being studied
- The protocol lists: Phase 1 cardiac rehabilitation, Neurophysiological facilitation techniques.
- Who it may be relevant to
- Registry conditions: Open Heart Surgery, Cardiovascular Disease, Physiotherapy. Basic parameters: 18 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Neurophysiological Facilitation Techniques on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in The Early Stage After Open Heart Surgery
Overview
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.
Detailed description
In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.
The study was performed on 32 patients who underwent open heart surgery. Patients divided into two groups which study group (n=18) and control group (n=14).
Range of motion, breathing and mobilization exercises within the scope of phase 1 cardiac rehabilitation program were applied to the control group; in addition to the phase 1 cardiac rehabilitation program, neurophysiological facilitation techniques (perioral stimulation, intercostal tension, anterior basal lift, vertebral pressure, moderate manual pressure and abdominal co-contraction) were applied to the study group.
Sociodemographic features and disease-specific findings were recorded on the first postoperative day .
Vital signs, functional capacity, pulmonary function, fatigue and dyspnea of every patient were recorded before and after each treatment on the first four postoperative days.
Functional capacity was evaluated using Timed Up and Go (TUG) test and 2-Minutes Walking test (2MWT). Pulmonary function was examined using a peak flow meter and respiratory muscle strength was measured using an intraoral pressure measurement device. In addition, fatigue and dyspnea perception was measured using Modified Borg Scale.
Before the first day treatment and after the last day treatment of the four-day treatment, patients' fatigue severity were assessed with using Fatigue Severity Scale (FSS), anxiety and depression level with using Hospital Anxiety Depression Scale (HADS), fear of movement with using TAMPA Kinesiophobia Scale and life quality with using the Minnesota Heart Failure Questionnaire.
Before each treatment chest circumference measurements were taken, and the perceived pain severity was recorded using Visual Analog Scale (VAS).
Interventions
- Procedure Phase 1 cardiac rehabilitation
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 hou - Procedure Neurophysiological facilitation techniques
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 u
Primary outcome measures
- İnspiratory muscle strength [Time frame: Before and after treatment on each day of treatment, up to 3 month]
- Expiratory muscle strength [Time frame: After and before treatment on each day of treatment, up to 3 month]
- 2 Minute Walk Test [Time frame: 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) [Time frame: first day of treatment before treatment and last day of treatment after treatment, up to 3 month]
- Vital sign [Time frame: Before and after treatment on each day of treatment, up to 3 month]
- Respiratory frequency [Time frame: Before and after treatment on each day, up to 3 month]
- Blood pressure [Time frame: Before and after treatment on day of treatment, up to 3 month]
- Heart rate [Time frame: Before and after treatment on each day of treatment, up to 3 month]
- Life quality [Time frame: Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month]
- Depression [Time frame: Before treatment on the first day of treatment and after treatment on last day of treatment, up to 3 month]
Eligibility criteria
Inclusion criteria
- Having open heart surgery for the first time,
- Being between the ages of 18-75,
- Being fully cooperative
Exclusion criteria
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Lokman Hekim Akay Hospital — Ankara
Identifiers
NCT: NCT06551714 · DogusU