None listed
Conditions
Brief summary
Phrenic nerve injury after open heart surgery is a well known complication. This complication interfer with the diaphrgmatic function and affect the vetilatory functions. This study aimed to assess the effect of low-level intensity laser on the recovery of Phrennic nerve and consequently the improvement in the vetilatory functions. The investigators hypothsis was null.
Interventions
Intervention: "Low-level intensity laser, cardiac rehabilitation" Laser with wave length ranged from 653-670nm& power of 5mW applied in contact over 6 points on the neck and chest for 5 minutes for each point. Each patient received 2 sessions/ week for 12 successive weeks.
cardiac rehabilitation involved Breathing exercise (3sets each set 3 times with one minute rest in between ) twice a day for 10 days post-operative, Passive range of motion exercises (10 times for each upper and lower limb joi
Intervention: "Low-level intensity laser, cardiac rehabilitation" Laser with wave length ranged from 653-670nm& power of 5mW applied in contact over 6 points on the neck and chest for 5 minutes for each point. Each patient received 2 sessions/ week for 12 successive weeks. cardiac rehabilitation involved Breathing exercise (3sets each set 3 times with one minute rest in between ) twice a day for 10 days post-operative, Passive range of motion exercises (10 times for each upper and lower limb joints) twice a day for two days post-operative, Active ankle pump (10 times) twice a day for two days post-operative, Active range of motion for lower and upper limbs (10 times for each joint) twice a day from day 2 to 10 post-operative, Calisthenics exercises to upper and lower limb (10 times for each joint) twice a day from day 3 to 10 post-operative, Walking with gradual increase in distance from day 3 post-operative to the end of the 12 weeks of the study.
Sponsors
The principle investigator "Dr. Salwa El-Sobkey"
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
21 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
Adult volunteer patient signed a consent form, Patient underwent open heart surgery in the duration form December 2003 to July 2005 and diagnosed as Phrenic nerve injured patient, Non smoker, patient performing primary cardiac surgery, Patient performed Coronar Artery Bypass Graft "CABG", valvular or adult congenital deficits closure surgery, patient able to understand verbally or by adminstration instructions needed to perform spirometer test.
Exclusion criteria
Child patient, Patient with diabetes, neurological disorders or respiratory diseases, Patient performed operations other than those mentioned in subject inclusion criteria, Patient operated out of the mentioned duration, Patient re-doing cardiac operation, Patient with any learning barriers restrict spirometer test, Patient not intersted to be enrolled in the study.
Outcome results
None listed