Cardiac Rehabilitation, Coronary Artery Bypass
Conditions
Keywords
Cardiac Rehabilitation, Coronary Artery Bypass
Brief summary
This study aims to investigate the effects of diaphragm relaxation technique on sleep quality and respiratory functions in patients who have undergone coronary artery bypass graft (CABG) surgery. Two groups will be formed in the study: one group will receive standard cardiac rehabilitation, while the other group will receive diaphragm relaxation technique in addition to this. Throughout the study, patients' respiratory functions, sleep quality, respiratory muscle strength, and pain levels will be measured. These measurements will be taken from the patients...
Detailed description
This study is an interventional research investigating the effects of the diaphragm release technique on sleep quality and respiratory functions in patients undergoing minimally invasive coronary artery bypass graft (CABG) surgery. Participants will be assigned to either an intervention or a control group. Both groups will receive standard in-hospital cardiac rehabilitation, while the intervention group will additionally receive the diaphragm release technique during their hospital stay. Data will be collected using standardized tools, including pulmonary function tests (spirometry), respiratory muscle strength measurements, the Pittsburgh Sleep Quality Index, and visual analog scales for pain assessment. Written informed consent will be obtained from all participants, and the study will be conducted at Gaziantep Sanko University Hospital Cardiovascular Surgery Unit in accordance with ethical committee approval. The aim of this research is to develop a safe and effective method to improve respiratory health and quality of life in patients after cardiac surgery.
Interventions
OTHERIntervention Group
Participants receive standard in-hospital cardiac rehabilitation plus diaphragm release technique. The diaphragm release is performed daily during the hospital stay for a minimum o
OTHERControl Group
Participants receive standard in-hospital cardiac rehabilitation only, including breathing exercises, mobilization, and post-operative physiotherapy, without diaphragm release.
Sponsors
Sanko University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
This is a two-arm interventional study designed to evaluate the effects of the diaphragm release technique on post-operative respiratory function and sleep quality in patients undergoing minimally invasive coronary artery bypass graft (CABG) surgery. Participants will be assigned to either: Intervention Group: Receives standard in-hospital cardiac rehabilitation plus diaphragm release technique during hospitalization (minimum 5 days). Control Group: Receives standard in-hospital cardiac rehabilitation only. The study follows a prospective, controlled design, with all interventions delivered according to a standardized protocol. Outcomes, including pulmonary function tests, respiratory muscle strength, sleep quality, and pain scores, will be measured at baseline and throughout the hospital stay. Data will be analyzed to compare the physiological and clinical effects between the two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age under 65 years * Undergoing minimally invasive coronary artery bypass graft (CABG) surgery * Hemodynamically stable * Ambulatory (able to walk) * Willing to participate in the study and provide written informed consent * Mini-Mental State Examination (MMSE) score ≥ 25
Exclusion criteria
* History of cerebrovascular events (stroke, TIA) * Orthopedic problems preventing walking * Uncontrolled diabetes * Uncontrolled hypertension * Severe visual impairment * Other diseases limiting participation in exercise training (pulmonary, neurological, metabolic, etc.) * Verbal or auditory cooperation problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pulmonary Function (Spirometry) | 1 years | FEV1/FVC ratio measured with a spirometer. Measurements are performed according to ATS/ERS guidelines. |
| Sleep Quality (Pittsburgh Sleep Quality Index) | 1 years | sleep latency and daytime dysfunction evaluated using the Pittsburgh Sleep Quality Index. |
| Respiratory Muscle Strength (MIP/MEP) | 1 years | Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) measured using an oral pressure device to evaluate respiratory muscle strength. |
| Pain Level (Visual Analog Scale) | 1 years | Chest and incision site pain assessed using a 0-10 cm Visual Analog Scale (0 = no pain, 10 = worst pain imaginable). Measured during rest, activity, and night. |
Countries
Turkey (Türkiye)
Outcome results
None listed