Effect of Early Low Resisted Exercise With Blood Flow Restriction on Pulmonary Function in Post Cardiac Surgery Patient
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An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: traditional cardiac rehabilitation with early low resisted exercise with blood flow restriction, traditional cardiac rehabilitation.
- Who it may be relevant to
- Registry conditions: Coronary Artery Bypass Grafting, Post Coronary Artery Bypass Grafting. Basic parameters: 45 years — 60 years · Male.
- 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
- Egypt
- 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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Overview
After cardiac surgery Patients present a loss of exercise capacity, muscle mass, and quality of life Cardiopulmonary rehabilitation aims to reduce the loss of muscle strength, size and increase cardiopulmonary function so that quality of life is maintained as much as possible after open-heart surgeries. Traditionally, cardiac rehabilitation consist of low-intensity aerobic exercise. Therefore, cardiac rehabilitation should include not only aerobic but also resistance training (RT),. A safe and effective version of RT is needed that can still improve muscle strength and size in patients early after cardiac surgery,It is found that BFR can achieve the same result with low intensity which is suitable for patient post cardiac surgery,so the result of this study will provide a safe resisted exercise useful for post cardiac surgery patient
Interventions
- Device traditional cardiac rehabilitation with early low resisted exercise with blood flow restriction
Traditional cardiac rehabilitation and early low resisted exercise with 0.5 kilogram in form of bilateral upper limb exercise (elbow flexion and extension,wrist flexion and extension ) with external pressure applied with pressure cuff which determined by 40% of systolic blood pressure which applied on the proximal part of the arm,the frequency of exercise is once per day for 14 consecutive day and intensity determined by rate of perceived exertion scale - Device traditional cardiac rehabilitation
Diaphragmatic and costal breathing exercise, active assisted to active range of motion,percussion,splinted cough,early mobility, upper limb exercise with breathing and incentive spirometer
Primary outcome measures
- pulmonary function test, parameters that be measured is FVC and will be expressed as % of the predicted value for age,height,weight and sex and FEV1 and will be expressed as % of the predicted value of age ,sex,weight and height [Time frame: fourteen days]
- Hand grip strength [Time frame: fourteen days]
- c-reactive protein lab [Time frame: fourteen days]
- Functional capacity [Time frame: fourteen days ,first measure will be at the session of assessment and last measure will be at the end of treatment program after fourteen days]
Eligibility criteria
Inclusion criteria
- Male patient aged from 45-60
- Elective open heart surgery via median sternotomy
- Post operative, extubated post open heart surgery, who can follow the instructions and sign the consent form
- Hemodynamic stability
- Neurological stability
Exclusion criteria
- Still on mechanical ventilation more than 48 hours
- Neuromuscular diseases
- Rheumatoid arthritis
- Coagulopathy
- Chronic Obstructive Pulmonary Disease (COPD)
- Cardiac arrhythmias
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
Egypt · 1 center
- National heart institute — Cairo
Identifiers
NCT: NCT06956911 · P.T.REC\012\005679