Effects of Acapella VS CHEST Physiotherapy in Post-Operative CABG Patients

Riphah International University

Status: Completed

Conditions: CABG

Treatments: Other: Base Line + Manual Chest Physiotherapy; Other: Base Line + ACEPELLA

Study type: Interventional

Funder types: Other

Identifiers

NCT06317363

REC/RCR&AHS/23/0353

Details and patient eligibility

About

Coronary artery bypass grafting (CABG) is a surgical procedure that is performed to improve blood flow to the heart by bypassing blocked or narrowed arteries. CABG is a major surgery that is associated with significant postoperative complications, including pulmonary complications such as atelectasis and pneumonia. Chest physiotherapy is commonly use to prevent and treat these complications, but its effectiveness in post-operative CABG patients is not well established.

The purpose of this study is to evaluate the effects of Acapella device vs chest physiotherapy on pulmonary function, airway clearance and dyspnea in post-operative CABG patients. The group A will receive (baseline treatment aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition to using Acapella), while the group B will receive base line treatment. aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition chest physiotherapy percussing for 20 minute The primary outcome measures of the study will be pulmonary function tests, including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC, and Modified Borg dyspnea scale . The secondary outcome measures will be the amount of sputum cleared. The study will be conducted over a period of 6 months after approval of synopsis.

The study will be conducted in a tertiary care hospital in Lahore, Pakistan. Patients who have undergone CABG surgery will be screen for eligibility and those who meet the inclusion criteria will be enroll in the study. Patients who have a history of chronic lung disease, smoking, intubated patient or other respiratory conditions will be exclude from the study

Enrollment: 30 patients

Sex: All

Ages: 55 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• both gender
• Patients aged between 55-70 years
• Vitally Stable
• extubated post-CABG day 01 patients
• Patient undergone for the 1st time CABG

Exclusion criteria

• With a history of chronic obstructive pulmonary disease or asthma patient
• Intubated patient
• Surgical complication after CABG
• With a history of smoking
• Patients who have undergone thoracic surgery in the past
• Patients with a history of neuromuscular disorders
• Patients with a history of heart failure
• Vitally unstable or on ventilator post CABG patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Experimental Group A (ACAPELLA)

Experimental group

Description:

Group A (baseline treatment + acapella)

Treatment:

Other: Base Line + ACEPELLA

Experimental Group B (MANUAL CHEST PHYSIOTHERAPY)

Experimental group

Description:

Group B (baseline + manual chest physiotherapy)

Treatment:

Other: Base Line + Manual Chest Physiotherapy