Effects of Conventional Physiotherapy and Thoracoabdominal Rebalancing in Post-operative of Myocardial Revascularization

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-20

Study Completion Date

2022-12-10

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

When it comes to cardiovascular diseases, surgical or clinical treatment can be cited, and cardiac surgery is considered a complex and large treatment where it involves important organic repercussions that alter the physiological and hemodynamic mechanisms of patients, which can lead to a critical state postoperatively, leading to possible complications that require intensive care at that time. Respiratory complications usually occur frequently in the postoperative period of these surgeries, causing a functional lung capacity to decrease by up to 20%, which may result in atelectasis, pneumonia, pleural effusion, among others. For this reason, physiotherapy usually plays an important role in the treatment of these patients, as it helps to reduce or treat these complications, in addition to promoting motor rehabilitation of patients before myocardial revascularization surgery. For this reason, this study aims to compare the effect of conventional physiotherapy techniques with the management of thoracoabdominal rebalancing in postoperative patients of coronary artery bypass graft. This is a randomized pilot trial in which patients who underwent coronary artery bypass surgery at the Institute of Cardiology of Rio Grande do Sul participate in the study. Patients selected for the control group (conventional physiotherapy) will be exposed to respiratory physiotherapy techniques such as vibrocompression, passive manual expiratory therapy, acceleration of expiratory flow, fractional inspiration in times, diaphragmatic breaths and aspiration when necessary, and patients selected for the intervention group, will appear on the management of thoracoabdominal rebalancing as abdominal supports and / or in the ileo-costal space, inspiratory aid, release of the scapular waist, thoracic swing, release of the pectoralis major and deltoid muscles together with aspiration, if necessary.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Acute Effect of the Thoraco-abdominal Rebalance Method on Diaphragmatic Function, Respiratory Discomfort, Pulmonary Complications and Hemodynamic Variables in Postoperative Cardiac Surgery Patients

NCT06814951

Respiratory Complications Diaphragmatic Excursion Pulmonary Spirometry

ACTIVE_NOT_RECRUITING NA

Effects of Cardiac Rehabilitation on Postoperatory of Coronary Artery Bypass Graft.

NCT01410253

Complication of CABG

COMPLETED PHASE3

Influence of a Rehabilitation in Valve Replacement on Heart Rate Variability and Oxidative Stress

NCT02657109

Cardiac Valve Disease

COMPLETED NA

Pre- and Postoperative Cardiopulmonary Rehabilitation Reduces Complications After Coronary Artery Bypass Surgery: A Randomized Trial

NCT00670176

Coronary Artery Bypass Surgery

COMPLETED NA

Cardiopulmonary and Metabolic Responses to Early Exercise in Patients After Coronary Arterial Bypass Grafting

NCT02758600

Acute Myocardial Infarction: Rehabilitation Phase Coronary Artery Bypass Graft Triple Vessel Physical Activity

UNKNOWN NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Compare the effect of conventional physiotherapy techniques with the management of thoracoabdominal rebalancing in postoperative myocardial revascularization surgery patients. It is a randomized pilot trial in which patients who have undergone myocardial revascularization surgery at the Institute of Cardiology of Rio Grande do Sul will participate in the study.

The study will include individuals over 35 years of age who have myocardial revascularization surgery with prescribed physiotherapeutic treatment, and will be excluded from patients whose patients were intubated and / or remained in mechanics for more than hours or, still, who required non-invasive mechanical norms before or during the collection period.

The work will be submitted to the Research Ethics Committee at the Cardiology Institute of Porto Alegre (CEP-ICFUC). All study participants will receive clear explanations regarding the research, and those who accept to participate in the study voluntarily, will sign the informed consent form, in two copies, one being made available to the participant and the other to researchers. Participants will not be paid, nor will they receive any assistance during or after the end of the survey (466/12).

The benefits of this research will be given in better conducts that prevent or reduce complications and / or respiratory discomfort as well as accelerate the patient's recovery, aiming at hospital discharge more quickly.

Patients selected for the control group (conventional physiotherapy) will be exposed to respiratory physiotherapy techniques such as vibrocompression, passive manual expiratory therapy, acceleration of expiratory flow, fractional inspiration in times, diaphragmatic breaths and aspiration when necessary, and patients selected for the group intervention, will be submitted to the handling of the thoracoabdominal rebalancing as abdominal supports and / or in the ileo-costal space, inspiratory aid, scapular waist release, thoracic swing, release of the pectoralis major and deltoid muscles together with aspiration if any need.

The research presents minimal risk for the participants, which are related to the measurement of variables and / or application of conventional physiotherapy techniques such as vibrocompression, acceleration of expiratory flow, passive manual expiratory therapy that may suggest some discomfort or pain when touching the chest in a sensation of pressure and vibration.

It is expected that patients submitted to the handling of thoracoabdominal rebalancing have lower scores on the pulmonary complications scales, Downes and Raphaelly respiratory discomfort scale and, consequently, show improvement in the other variables.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Respiratory Complication

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

This is a pilot randomized clinical trial. The randomization technique for proposed proposals will be performed using a computer program (www.random.org) containing the coded distribution. The allocation confidentiality will be guaranteed by a randomization list that will be in a remote place, which will prevent the researcher from identifying which intervention will be specified by each patient. The generation of the sequence of numbers will be performed by a researcher "blind" to the study, after selection of the patients by the inclusion criteria. The sequence of numbers one used for randomization will be kept confidential until the exact moment of the beginning of the study. The randomization of the subjects in the proposed groups will be done in two blocks, in which the program will randomly distribute each new participant to one of the blocks: conventional physical therapy group and thoracoabdominal rebalancing group.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

No Intervention: GROUP CONTROL

Patients selected for the control group (conventional physiotherapy) will be exposed to respiratory physiotherapy techniques such as vibrocompression, manual passive expiratory therapy, expiratory flow acceleration, fractional inspiration in times, diaphragmatic breaths and aspiration when required

Group Type NO_INTERVENTION

No interventions assigned to this group

Active Comparator: INTERVENTION GROUP

The patients selected for the intervention group will be submitted to the handling of thoracoabdominal rebalancing as abdominal supports and / or in the ileo-costal space, inspiratory help, scapular waist release, thoracic swing, pectoralis major muscle release and deltoid together with aspiration if necessary.

Group Type EXPERIMENTAL

Thoracoabdominal rebalancing

Intervention Type OTHER

the patients selected for the intervention group will be submitted to the handling of thoracoabdominal rebalancing as abdominal supports and / or in the ileo-costal space, inspiratory help, scapular waist release, thoracic swing, pectoralis major muscle release and deltoid together with aspiration if necessary.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Thoracoabdominal rebalancing

the patients selected for the intervention group will be submitted to the handling of thoracoabdominal rebalancing as abdominal supports and / or in the ileo-costal space, inspiratory help, scapular waist release, thoracic swing, pectoralis major muscle release and deltoid together with aspiration if necessary.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* The study will include individuals over 35 years of age who have undergone myocardial revascularization surgery surgery with prescribed physiotherapeutic treatment.

Exclusion Criteria

* Patients who are intubated and / or remained on mechanical ventilation for more than 48 hours or who needed non-invasive mechanical ventilation before or during the collection period will be excluded.

Minimum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No