Effects of In-Hospital Cardiac Rehabilitation and Manual Lymphatic Drainage in Acute Decompensated Heart Failure

Izmir Bakircay University

Status: Completed

Conditions: Acute Decompensated Heart Failure

Treatments: Other: Cardiac Rehabilitation; Other: Manual Lymphatic Drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT07095764

bakircaymzeren08

Details and patient eligibility

About

Heart failure is a major global health issue requiring effective interventions to enhance patients' physical function and quality of life. Cardiac rehabilitation, particularly when started early during hospitalization for acute decompensated heart failure, has been shown to improve cardiovascular function, reduce hospital readmissions, and boost recovery. In-hospital exercise training enhances physical capacity, strengthens heart function, and alleviates physical limitations. On the other hand, lymphatic dysfunction in heart failure may also contribute to fluid retention, worsening the symptoms including lower extremity edema. Manual lymphatic drainage is considered a safe method to reduce edema and support fluid balance. This study aims to evaluate effects of in-hospital cardiac rehabilitation and manual lymphatic drainage on fluid overload symptoms and functional capacity in patients with acute decompensated heart failure.

Enrollment: 40 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients hospitalized with a diagnosis of acute decompensated heart failure
• Being clinically stable

Exclusion criteria

• Having diagnosed pulmonary, neurological, renal, liver, gastrointestinal, orthopedic or oncological pathologies
• Having cardiomyopathy or congestive pericarditis
• Recent heart surgery in the past 6 months
• New or suspected thromboembolic event
• Presence of open wounds, ulcerations or major dermatological diseases in the lower extremities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Manual Lymphatic Drainage + Cardiac Rehabilitation Group

Experimental group

Description:

Manual lymphatic drainage and exercise based cardiac rehabilitation will be applied to this group during the hospital stay every day for 3 times a day.

Treatment:

Other: Manual Lymphatic Drainage

Other: Cardiac Rehabilitation

Cardiac Rehabilitation Group

Active Comparator group

Description:

Exercise based cardiac rehabilitation will be applied to this group during the hospital stay every day for 3 times a day.

Treatment:

Other: Cardiac Rehabilitation