]>
IRCT20101019004971N5 IRCT 2018-07-22 Rasht University of Medical Sciences Survey efficiency of cardiac rehabilitation program after coronary artery bypass graft on respiratory characteristics GUMS Survey efficiency of the cardiac rehabilitation program after coronary artery bypass graft on respiratory characteristics. 2018-06-05 anticipated 54 Complete https://irct.ir/trial/31072 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: samples dispart into two groups (control and case) : first group receive incentive spirometry like routine rehabilitation and second group receive CPAP with mask 4-6 cmH2o until 35 minute (the first 5 minute allocate to reduce stress and adaptation with this device ) beside incentive spirometry . after 2 hours , progressive exercises as walking start in the first day, 5-10 minutes (base on patients tolerance ) , in the second day 10-15 minutes and in the third day 15 minutes and more . at the end of each cession all of the patients will evaluate with modified Borg scale CR-10 for dyspnea and RPE scale for leg effort . In the forth day the final results will evaluate with spirometery parameters , Randomization description: randomized a block size of 2. 1 efficiency of cardiac rehabilitation program after coronary artery bypass graft on respiratory characteristics. Intervention 1: Intervention group: In this group patients besides receiving routine incentive spirometery in their cardiac rehabilitation program use Continuous Positive Airway Pressure mask(CPAP) till 35 minutes, due to patients tolerance before walking (the first 5 minutes related to reduce stress and adaptation) . In the first day, exercises start as walking (due to patients tolerance) 5-10 minutes , in the second day 10-15 ,and in the third day 15 minutes and more after 2 hours pass from using CPAP. Intervention 2: Control group: In this group patients receive incentive spirometery and deep breathing exercises for 30 minutes and then exercises start as walking (due to patients tolerance) 5-10 minutes , in the second day 10-15 ,and in the third day 15 minutes and more after 2 hours pass from using incentive spirometery . Yes - There is a plan to make this available What will be shared: Only a portion of the dataabout the outcome of interventions. will be shared. Personal information will not be absolutely shared. When: The Six Months after publish of results To whom: University Researchers Conditions: With formal request and Announcing the source of the data and Permission from researchers use of is allowed. Where to obtain: Email to the moderator of the project, Mohammad Taghi Moghaddam Nia Moghadamnia@gums.ac.ir How to obtain: After contacting to the email of moderator of project,the request will be reviwe and answered within 3 business days. Comments:
public Mohammad Taghi Moghadamnia
No, 1, Havashenasi Ave, Moalem Blvd, Rasht, Iran
Rasht Iran (Islamic Republic of) 4153754987 +98 31 3326 0090 moghadamnia@gums.ac.ir Rasht University of Medical Sciences scientific Mohammad Taghi Moghadamnia
No. 1 Havashenasi Ave., Moalem Blvd.,Rasht., Iran
Rasht Iran (Islamic Republic of) 4153754987 +98 13 3326 0090 Moghadamnia@gums.ac.ir Rasht University of Medical Sciences Iran (Islamic Republic of) No Emergency Operation No CABG history in the past clinical diagnosis of coronary artery disease, who underwent elective coronary Artery bypass graft (CABG) with cardiopulmonary bypass, a median sternotomy incision and use of a saphenous vein, internal thoracic artery, or radial artery grafts No use of intra-aortic balloon pump No use of permanent pacemaker Ability to perform exercise according to our protocol No valvular heart disease,chronic obstructive pulmonary disease No respiratory problems that cause to add length of intensive care unit stay No Atrial fibrilation arrhythmia and use of Amiodarone protocle no limit no limit Both Unstable angina chronic disturbances in heart rhythm significant acute arrhythmias Do not tolerate Continuous Positive Airway Pressure (CPAP) with patient I25 Chronic ischemic heart disease Rehabilitation Rehabilitation Intervention group: In this group patients besides receiving routine incentive spirometery in their cardiac rehabilitation program use Continuous Positive Airway Pressure mask(CPAP) till 35 minutes, due to patients tolerance before walking (the first 5 minutes related to reduce stress and adaptation) . In the first day, exercises start as walking (due to patients tolerance) 5-10 minutes , in the second day 10-15 ,and in the third day 15 minutes and more after 2 hours pass from using CPAP. Control group: In this group patients receive incentive spirometery and deep breathing exercises for 30 minutes and then exercises start as walking (due to patients tolerance) 5-10 minutes , in the second day 10-15 ,and in the third day 15 minutes and more after 2 hours pass from using incentive spirometery . Dyspnea in patients who reveived score above 5 in Modified Category Ratio-10 (CR-10). Timepoint: At the end of the first to third sessions after intervention. Method of measurement: Scoring in Modified Category Ratio-10 (CR-10). Leg effort in patients who reveived score above 15 in Rate of Perceived Exertion (RPE- Scale). Timepoint: At the end of the first to third sessions after intervention. Method of measurement: Scoring in Rate of Perceived Exertion (RPE- Scale). Spirometery parameters changes. Timepoint: In the forth session. Method of measurement: Spirometery. Rasht University of Medical Sciences Approved 2018-04-11 Ethics committee of Guilan University of Medical Sciences Deputy of Research and Technology of Guilan University of Medical Sciences ., across 17 shahahrivar hospital., shahid Siadati Ave., Namju Blvd., Rasht Rasht Guilan Iran (Islamic Republic of)