Post-cardiac Surgery
Conditions
Keywords
CABG, Clinical Pilates, Kinesiophobia, Post-operative cardiopulmonary parameters
Brief summary
To determine Effect of Clinical Pilates (CP) exercises on kinesiophobia and post-operative cardiopulmonary parameters in CABG patients. Kinesiophobia may lead to patients' psychological fear of rehabilitation exercise, thereby refusing rehabilitation exercise, affecting the rehabilitation process of patients, resulting in disuse syndrome, depression, disability and other adverse consequences. Thus, this study is to be conducted to find out the effects Pilates exercises with cardiac rehabilitation for management of Kinesiophobia in post CABG patients.
Detailed description
Clinical Pilates are also evident to be safe and effective in post-surgical patients with different surgical interventions. A study was conducted in 2021 to evaluate the effects of the Pilates method on pulmonary function and range of motion after coronary artery bypass grafting and concluded that the Pilates method is a safe, viable, and playful option for the patient profile after CABG but they did not evaluate kinesiophobia of patients
Interventions
OTHERClinical Pilates
Warmup: 5-10 minutes Pilates Clinical (Introductory program) The Hundred modified The Roll-up modified The roll-over modified Spine twist modified Single-leg circle modified Rolling like a ball Shoulder Bridge modified For every Step emphasizing: FOCUS: On muscle involved REPETITIONS: 3-5 VISUALIZATION: Imagination process (Different for each step) Cool down: 5 minutes Total Time: 30 minutes
OTHERCardiac Rehabilitation
Chest Physical therapy (Chest percussions and active huffs as per need) Breathing strategies (Diaphragmatic and purse lip 1-3 sets \* 5 Reps/Day) Functional mobility (walk /cycling as per patient tolerance) Patient education and Wound care Sternal Precaution guidance
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Hemodynamically stable patient Who underwent elective CABG. * Patients diagnosed with Kinesiophobia via Tampa scale for Kinesiophobia Heart (TSK-SV Heart)
Exclusion criteria
* Neuromuscular conditions which lead to kinesiophobia * Diseases that seriously affected the functional capacity or mobility such as liver cirrhosis, chronic renal failure and disabled patients. * Prolong intubation * Vital instability * Patients needing maximum assistance * Decline consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinesiophobia | 2 weeks, 4 weeks | Changes from baseline to 2 weeks and 4 weeks after intervention, measured through the TSK-SV Heart specifically focuses on assessing Kinesiophobia in the context of cardiac conditions or symptoms. It include questions related to fear of engaging in physical activity due to concerns about cardiac events (such as heart palpitations, chest pain, or shortness of breath) during exercise or daily activities. The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible Kinesiophobia, and the higher scores indicate an increasing degree of Kinesiophobia. |
| Abnormal heart rhythms | 2 Weeks, 6 Weeks | Post-operative period and discharge day observed through Electrocardiography (ECG) on cardiac monitor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional mobility | 2 weeks, 4 weeks | Changes from baseline to 2 weeks and 4 weeks after intervention, measured through the 10 meter walk test. It is a performance measure test used to assess walking speed in meters per second over a short distance . It can be employed to determine functional mobility. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORMehwish Waseem, MSPT-CPPT
Riphah International University
Outcome results
None listed