Class iv Versus Class Iiib Laser Therapy on Median Sternotomy Healing After Coronary Artery Bybass Graft

NCT ID: NCT05853237

Last Updated: 2023-05-10

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2023-01-19

Brief Summary

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LASER therapy is potent physiotherapy modalities, providing better sternotomy healing for patients who have undergone CABG surgery, compared with traditional wound care management alone. HLLT and LLLT were found to be the most effective methods for sternotomy healing post-CABG surgery, with HLLT offering superior performance in the case of the high deep penetration and significance less time needed to deliver the same joules/ cm compared to LLLT used for the wound site.

Detailed Description

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The aim of this study was to investigate the effects of class IV high-level laser therapy (HLLT) versus class IIIb low level laser therapy (LLLT) on sternotomy healing following coronary artery bypass grafting (CABG) surgery. Forty- five patients male patients who had CABG surgery in the age range of 45-65 years were divided randomly into three equal groups (n = 15). The group HLLT laser received HLLT plus traditional wound management, while the group LLLT laser received LLLT plus traditional wound management. The control group only received a traditional wound management in form of saline irrigation, dressing, and topical bivatracin spray according to hospital protocol. All groups were offered 10 sessions over 4 weeks. HLLT and LLLT were found to be the most effective methods for sternotomy healing post-CABG surgery, with HLLT offering superior performance in the case of the high deep penetration and significance less time needed to deliver the same joules/ cm compared to LLLT used for the wound site.

Conditions

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Wound Wound Heal Wound Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

group A receive laser therapy class IV+traditional wound care and group (B): Laser therapy class IIIb + traditional wound care and group C receive only traditional wound care
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
he patientsdidnt know the different types of laser which procedure they received \& the outcomes assessor done by my supervisors and didn't know which result related to specific group

Study Groups

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class IV group

start from day one surgery for 4 successive weeks, the goal in the phase I (1st 10 days after surgery) is decontamination, improve circulation, pain reduction \&wound healing acceleration The goal of phase II (next10 days till complete healing) is improve osteo-integration, pain reduction \& enhance superficial collagen production to decrease scarring. The parameters are: Power \> 500 mW; fluence 20 joule/ cm2 with (980, 915, 810 nm) and 5 joules/ cm2 by 650 nm; mode (continuous); hand piece radius = 2.5 cm; spot size (Area) = 5 cm; application by scanning not spotting to avoid thermal effect and time of session is 5- 10 minutes

Group Type EXPERIMENTAL

laser therapy for wound management

Intervention Type DEVICE

comparison between laser effect on post median sternotomy incision compared to traditional wound care

class IIIb

Use the same protocol as in HLLT with the same wave lengths but with low power Power = 200- 300 mW; fluence 20 joule/ cm2 with (980, 915, 810 nm) and 5 joules/ cm2 by 650 nm; mode (continuous); hand piece radius = 2.5 cm; spot size (Area) = 5 cm; application by spotting and time of session was 25- 30 minutes.

Group Type EXPERIMENTAL

laser therapy for wound management

Intervention Type DEVICE

comparison between laser effect on post median sternotomy incision compared to traditional wound care

traditional wound care

According to the hospital protocol Irrigation of the wound by normal saline, betadine application, bivatracin spray and Change dressing daily to protect the wound from infection

Group Type ACTIVE_COMPARATOR

laser therapy for wound management

Intervention Type DEVICE

comparison between laser effect on post median sternotomy incision compared to traditional wound care

Interventions

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laser therapy for wound management

comparison between laser effect on post median sternotomy incision compared to traditional wound care

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* aged between 45 and 65 years
* male gender; haemodynamic stability
* body mass index (BMI) from 18.5 to 29.9 kg/m2
* Non-infected sternotomy site
* Normal ejection fraction to ensure normal vascularity.

Exclusion Criteria

* included previous thoracic surgery
* emergency or urgent coronary artery bypass surgery
* respiratory insufficiency after surgery, manifesting hypoxemia with partial oxygen pressure in arterial blood \< 60 mmHg; Ejection fraction \< 50%
* Paramedian sternotomy which may cut wire causing sternal mobilization which is the start of deep wound infection
* Bilateral mammary harvesting which decrease blood flow to sternum; low cardiac output syndrome with ST segment elevation in multiple electrocardiogram leads, cardiac arrhythmias or hypotension, according to the American College of Cardiology Foundation and American Heart Association
* other medical conditions, such as diabetes, uncontrolled hypertension and obesity.
Minimum Eligible Age

45 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Heidy F. Ahmed

OTHER

Sponsor Role lead

Responsible Party

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Heidy F. Ahmed

physical therapy doctor wound care specialist at Al kasr Al Anini university hospital, Cairo , Egypt

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Heidy F Ahmed, master

Role: PRINCIPAL_INVESTIGATOR

Kasr al aini

Locations

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Kasr Al Aini University Hospital

Giza, , Egypt

Site Status

Countries

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Egypt

References

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Other Identifiers

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P.T.REC/012/003308

Identifier Type: -

Identifier Source: org_study_id

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