CABG, Coronary Artery Disease
Conditions
Keywords
Clinimetric properties, Performance based functional outcomes, Time up and go test, Five times sit to stand test, 2 minute walk test, 6 minute walk test
Brief summary
The purpose of this research is to determine which performance based functional outcome test among Time up and go test, Five times sit to stand test, 2 minute walk test and 6 minute walk test has the greatest significance in improving functional outcomes in post-CABG surgery patients.
Detailed description
Coronary artery disease is the leading cause of death worldwide and has adverse effects on functionality. It causes functional limitations which affects the cardiac output resulting in reduced morbidity and mortality. To improve the life expectancy, an invasive surgical procedure is done known as CABG. To reduce the chances of reoccurrence of coronary artery disease post- CABG surgery patients are enrolled in the Cardiac Rehab program which focuses on improving quality of life of the patient, to increase life expectancy, improve functional independence and reduce chances of graft failure. In Cardiac Rehabilitation our focus would be on identifying the performance based functional outcome measure test which demonstrates the greatest clinimetric significance in improving functional outcome measure in post- CABG patients. The four clinimetric tests used in this research are time up and go test, five times sit to stand test, 2 minute walk test and 6 minute walk test on post operative day 3 and day 5 respectively. The result of this research would indicate which test is most significant in enhancing functionality of post-CABG patients providing valuable and evidence-based approach for healthcare providers to design rehabilitation protocols.
Interventions
Each participant consenting to the study will be given a physiotherapy session on post-op day 1 and day 2 by a physiotherapist. The session will include bed mobility exercises including active ROM exercises of all extremities, breathing exercises, nebulization and chest physical therapy, incentive spirometer. Progressing to supported sitting at the edge of bed, sitting on a chair under supervision, supported walk inside the room , sitting independently in chair and lastly before discharge climbing 2 flights of stair.
Sponsors
Riphah International University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* 30-50 years old * Post-op CABG patients * Include male and female both * Mobile patients * Post-op day 3 and day 5 of CABG surgery
Exclusion criteria
* Occurrence of adverse events * Unstable hemodynamically * Patients with documented cognitive dysfunction * Patients with neurologic or musculoskeletal disease (excluding osteoarthritis) that adversely affects gait or weight-bearing * Patients with severe co-morbidities, recurrent attacks, and unstable condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time up and go test | 6 hours | On post op- day 3 and 5 Participants will quickly perform test to assess lower extremity strength and risk of fall. The time taken to complete test will be noted |
| Five times sit to stand test | 6 hours | On post-op day 3 and 5, Participants will perform test by transitioning from sitting to standing five times in row, time would be noted. This test helps to evaluate lower extremity balance and strength. |
| 2 Minute walk test | 6 hours | The test will be performed on post-op day 3 and 5, the participants will walk on a flat surface in a straight line and the distance will be noted. This test assess endurance |
| 6 Minute walk test | 6 hours | This is a self-paced test which will be performed on post-op day 3 and 5 where the participants have walk on a flat, smooth surface. The distance covered during this test will be noted. It measures aerobic capacity and endurance. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSuman Sheraz, PhD
Riphah International University
Outcome results
None listed