Incentive Spirometry Versus Inspiratory Muscle Training After Coronary Artery Bypass Grafting (IS/ IMT)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Coronary Artery Bypass Graft (CABG)

Treatments: Device: Incentive spirometry; Other: Routine physical therapy; Device: Inspiratory muscle trainer

Study type: Interventional

Funder types: Other

Identifiers

NCT07367945

P.T.REC/012/006065

Details and patient eligibility

About

This study will be conducted to compare between incentive spirometry verses inspiratory muscle training preoperatively on (ABG) after coronary artery bypass graft surgery.

Is there any significant difference of preoperative incentive spirometry verses inspiratory muscle training on Arterial blood gases (ABG) after coronary artery bypass graft surgery?

Participants will:

Group A (incentive spirometry group ) Group B (Inspiratory muscle trainer group ) for 5 days before operative Group C (control group) and group a , b will have routinely postoperative

Enrollment: 45 estimated patients

Sex: Male

Ages: 50 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 45 male patients will be included in this study.
• Patients with age from 50 to 60 years old (undergoing coronary artery bypass graft surgery) through median sternotomy.
• Their body mass index from 25 to 29.9 kg/m2
• Patients will be alert and able to follow instruction.

Exclusion criteria

• Who are expected not to be able to conduct or comply with IS and IMT.
• Patients with cognitive or neurological deficits.
• Patients with coexisting acute or chronic respiratory disorders.
• Patients unable to understand or show the proper use of the incentive spirometer and Inspiratory muscle training .
• Patients who cannot be instructed or supervised to assure appropriate use of the device patients in whom cooperation is absent or patients unable to understand or demonstrate proper use of the devices (inspiratory muscle training and incentive spirometry).
• Patients who are confused or delirious.
• Patients undergoing any other surgery along with CABG.
• Patients undergoing emergency CABG surgery.
• Chronic obstructive pulmonary disease (COPD), asthma, restrictive lung disease, preoperative major chest infection e.g. pulmonary tuberculosis, chest deformities such as pectus carinatum, pectus excavatum, thoracolumbar scoliosis, diaphragmatic hernias diagnosed on history.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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45 participants in 3 patient groups

IS

Experimental group

Description:

This group will include 15 patients, Incentive spirometry was utilized by the patient with ten breaths, six sets per day for a period of 10 min within patient tolerance in every session for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Treatment:

Device: Incentive spirometry

IMT

Experimental group

Description:

This group will include 15 patients, each session consisted of 30 minutes of inspiratory muscle training. The patients were trained to use an inspiratory threshold-loading device (Threshold Inspiratory Muscle Training) for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Treatment:

Device: Inspiratory muscle trainer

Control group

Active Comparator group

Description:

15 patients will receive for 5 days routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Treatment:

Other: Routine physical therapy