Coronary Artery Bypass Grafting, Post Coronary Artery Bypass Grafting
Conditions
Keywords
Post Coronary Artery Bypass Grafting
Brief summary
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
DEVICEtraditional 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
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
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
45 Years to 60 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 | fourteen days | 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 |
| Hand grip strength | fourteen days | measure hand grip strength by hand held dynamometer (digital apperatus) expressed by kilogram |
| c-reactive protein lab | fourteen days | — |
| Functional capacity | 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 | measure functional capacity by six minute walk test by calculate the total distance covered by the patient expressed by meters |
Countries
Egypt
Outcome results
None listed