Health Condition 1: I059- Rheumatic mitral valve disease, unspecified
Conditions
Interventions
Intervention1: Breath Stacking Technique: Patient will be positioned in a lying or long sitting position on the bed with continuous monitoring of hemodynamic parameters.
1. Before initiating the brea
Sponsors
Dr Heena Jain
Eligibility
Inclusion criteria
Inclusion criteria: Subjects who underwent mitral valve replacement surgery, in the hospital. Only mechanical valve, specifically those used in mitral valve replacement surgery , will be included . Age will be ranging from 30 55 years old subjects of both sex. Baseline pulmonary function (TV,IRV,IC) within interpretable limits as per American Thoracic Society Guidelines. Subjects that will be medically and clinically stable after surgery will be taken. Subjects willing to participate in the study. Subjects able to provide verbal and written consent. Patients with reduced pulmonary function post surgery. Subject must not have been on a ventilator for longer than 24 hour. Patients should be conscious and oriented.
Exclusion criteria
Exclusion criteria: Subjects who had develop hemodynamic complications (e.g. lung congestion , subjects on intra- aortic balloon, pre-operative myocardial infarction). Patients with cognitive impairment, reduced cardiac output, recent stroke, respiratory failure Subjects who undergone major cardiac, pulmonary or abdominal surgery in the last three month. Patients with physical limitations preventing assessment/exercises. Patient with history of pulmonary disease or infection such as chronic obstructive pulmonary disease (COPD) or tuberculosis (TB). Patients with uncontrolled hypertension. Patient with neurological / musculoskeletal disorders that could affect the functional capacity or pulmonary function such as parkinsonism, ankylosing spondylitis, scoliosis etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Volume oriented spirometer for pulmonary capacity specifically tidal volume (TV), inspiratory reserve volume (IRV) and inspiratory capacity (IC). Functional Difficulties questionnare (FDQ) for Daily life functional tasks.Timepoint: Pulmonary capacity specifically tidal volume (TV), inspiratory reserve volume (IRV) and inspiratory capacity (IC) will be measured by volume oriented spirometer from POD 1 to POD 7 Daily Life Functional Tasks will be measured by Functional Difficulties questionnare (FDQ) on POD 1 and POD 7. | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: NIL | — |
Countries
India
Contacts
Public ContactDr Yuthika Rao
Mahatma Gandhi College of Physiotherapy, MGUMST, Jaipur
Outcome results
None listed