Effects of Acapella With Conventional Chest Physiotherapy Techniques in Post CABG Patients.

Riphah International University

Status: Completed

Conditions: Cardiac Procedure Complication

Treatments: Device: Acapella device; Other: Conventional Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT05856032

REC/MS-PT/01494

Details and patient eligibility

About

To determine the effects of using Acapella as an oscillatory positive expiratory pressure device in combination with conventional chest physiotherapy for secretion removal and revival of pulmonary functions in hospitalized post coronary artery bypass grafting patients.

Full description

Acapella is one of the Oscillatory Positive Expiratory Pressure (OPEP) device used in mobilization of peripheral secretions to the central trachea. It consists of a mouth piece and metal strip that is attached to a magnet which oscillates upon exhalation of the patient into the device results in oscillations. This helps in generating positive expiratory pressure (PEP) and oscillations of the magnetic ball assist in mucus collection and expectoration. Pulmonary functions are greatly reduced in patients undergone CABG surgery due to prolong effects of anesthesia and muscle relaxants administered prior to surgery. Ciliary motion along the pathway of pulmonary tract is depressed which results in decrease expectoration capacity, causes mucus retention and reduces pulmonary volumes and capacities. Chest physiotherapy is the treatment option for such patients that is being practiced over years. In recent years certain respiratory aids or devices are also in use to relieve secretion retention along with standard chest physiotherapy techniques.

The purpose of this study is to find the effects of using Acapella as an OPEP device along with conventional chest physiotherapy techniques in post-CABG surgery patients to relieve mucus retention and improving pulmonary functions post-surgery.

Enrollment: 66 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients of both genders within age range of 45-65 years
• Elective CABG surgery patients
• Patients undergoing Phase 1 cardiac rehabilitation post CABG
• Patients who are vitally stable post operatively

Exclusion criteria

• Patient having prolong intubation period post-operatively
• Patients having long term arrythmias prior to surgery
• Patients having an implanted pacemaker
• Patients having uncontrolled diabetes, sepsis or any metabolic condition
• Patients with impaired cognition.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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66 participants in 2 patient groups

Use of Acapella device

Experimental group

Description:

* Experimental group will receive treatment with Acapella device twice a day for 6 days post-operatively. * Participants in this group will also receive conventional chest physiotherapy protocol as: incentive spirometry, Active Cycles of Breathing Technique (ACBT), Diaphragmatic breathing exercises except manual chest physiotherapy techniques.

Treatment:

Device: Acapella device

Conventional treatment

Active Comparator group

Description:

•Participants in control or comparative group will receive conventional chest physiotherapy protocol as incentive spirometry, ACBT's, Diaphragmatic breathing exercises along with manual chest physiotherapy techniques as percussion and vibration.

Treatment:

Other: Conventional Treatment