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IRCT20220704055364N1 IRCT 2022-09-23 Faisal Institute of Health Sciences Faisalabad. Effects of preoperative Respiratory Muscle Training for improvement of postoperative Health Related Quality of Life in Mitral Valve Replacement patients” Effects of preoperative Respiratory Muscle Training for improvement of postoperative Health Related Quality of Life in Mitral Valve Replacement patients” 2023-02-04 anticipated 40 Complete https://irct.ir/trial/64610 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Mitral valve Replacement is used to treat the diseased mitral valve.. Intervention 1: Intervention group 1;Respiratory muscle training consisting of Segmental Breathing Exercise, huff-coughing techniques and instructions of flow-IS-based Incentive Spirometer, 10-15 repetitions for five days and three weeks. Intervention 2: Control group: ,Breathing exercises consisting of 10 deep breathing attempts, diaphragmatic breathing and pursing of the lip, 10-15 repetitions for five days and three weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Dr Umama Umar
673-A,Canal Road E, A Block ,Peoples Colony no: 1, Faisal Hospital , Faisalabad
Faisalabad Pakistan 38000 009241856999 Umamaumar450@gmail.com Faisal Institute of Health Sciences scientific Komal Tariq
673-A, Canal Road E, A Block Peoples colony, Faisal Hospital, Faisalabad
Faisalabad Pakistan 38000 +92 41 8536999 fihsfsd@outlook.com Faisal Institute of Health Sciences Faisalabad. Pakistan Both male and female patients will be included. Age 25-50 years. Patients who are awaiting mitral valve repair/replacement. 25 years 50 years Both Patients with any other significant valvar or coronary artery diseases necessitating surgical intervention. Patients who have chronic respiratory conditions. Patients who have neurological deficits. Patients who are morbid obese according to Body Mass Index. Patients who reveal inconsistency with exercise protocol. Patients with chronic renal insufficiency. 02RG38Z Mitral valve Replacement Rehabilitation Rehabilitation Intervention group 1;Respiratory muscle training consisting of Segmental Breathing Exercise, huff-coughing techniques and instructions of flow-IS-based Incentive Spirometer, 10-15 repetitions for five days and three weeks. Control group: ,Breathing exercises consisting of 10 deep breathing attempts, diaphragmatic breathing and pursing of the lip, 10-15 repetitions for five days and three weeks. The EuroQol-5 D-5L (EQ-5D-5L), is a most widely used generic tool to measure the health-related quality of life (HRQoL) and considered suitable for patients with pulmonary problems. Timepoint: 3time points including Baseline, After 3rd week, and postoperatively before discharge. Method of measurement: EuroQol-5D-5L will be measured by EuroQol-5D-5L Questionnaire. The New York Heart Association classification is a straight forward system use for determining heart failure. It divides patients into four Classes: Class I can complete any activity requiring ≤ 7 Metabolic Equivalent, Class II can complete any activity requiring ≤ 5 Metabolic Equivalent, Class III can complete any activity requiring ≤ 2 Metabolic Equivalent ,Class IV cannot do or cannot complete any activity requiring at least less than ≥ 2 Metabolic Equivalent ,depending upon their limits during physical activity; these limitations/symptoms include normal breathing, varying degrees of shortness of breath and angina discomfort. Timepoint: 3 time points including Baseline, After 3rd week, and postoperatively before discharge. Method of measurement: NYHA Classification (Newyork Heart Association Classification) will be measured by NYHA grading system. Postoperative Duration of Mechanical Ventilation (hours) use was defined from the time the patient entered the ICU to the moment of extubation. Timepoint: 1 time postoperatively. Method of measurement: Postoperative Duration of Mechanical Ventilation will be measured in hours from patient entered the ICU to the moment of extubation. Postoperative Hospital Stay (Days) is the lenght of days patient stay in hospital after surgery. Timepoint: 1 time postoperatively. Method of measurement: Postoperative Hospital Stay (Days) will be measured from patient stay in hospital after surgery. Self Financed Approved 2022-05-09 Ethics committee of Government College university Faisalabad C389+CXH, Kotwali Rd, Gurunanakpura, Faisalabad, Punjab Faisalabad Punjab Pakistan