Clinical Pilates (CP) Exercises and Kinesiophobia in CABG

NCT ID: NCT06426914

Last Updated: 2024-09-04

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-15
• Study Completion Date: 2024-12-31

Brief Summary

To determine Effect of Clinical Pilates (CP) exercises on kinesiophobia and post-operative cardiopulmonary parameters in CABG patients. Kinesiophobia may lead to patients' psychological fear of rehabilitation exercise, thereby refusing rehabilitation exercise, affecting the rehabilitation process of patients, resulting in disuse syndrome, depression, disability and other adverse consequences. Thus, this study is to be conducted to find out the effects Pilates exercises with cardiac rehabilitation for management of Kinesiophobia in post CABG patients.

Detailed Description

Clinical Pilates are also evident to be safe and effective in post-surgical patients with different surgical interventions.

A study was conducted in 2021 to evaluate the effects of the Pilates method on pulmonary function and range of motion after coronary artery bypass grafting and concluded that the Pilates method is a safe, viable, and playful option for the patient profile after CABG but they did not evaluate kinesiophobia of patients

Conditions

Post-cardiac Surgery

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Interventional

Pilates Clinical (Introductory program)

Group Type: EXPERIMENTAL

Clinical Pilates

Intervention Type: OTHER

Warmup: 5-10 minutes Pilates Clinical (Introductory program) The Hundred modified The Roll-up modified The roll-over modified Spine twist modified Single-leg circle modified Rolling like a ball Shoulder Bridge modified

For every Step emphasizing:

FOCUS: On muscle involved REPETITIONS: 3-5 VISUALIZATION: Imagination process (Different for each step) Cool down: 5 minutes Total Time: 30 minutes

Control

Cardiac Rehabilitation

Group Type: ACTIVE_COMPARATOR

Cardiac Rehabilitation

Intervention Type: OTHER

Chest Physical therapy (Chest percussions and active huffs as per need) Breathing strategies (Diaphragmatic and purse lip 1-3 sets * 5 Reps/Day)

Functional mobility (walk /cycling as per patient tolerance)

Patient education and Wound care Sternal Precaution guidance

Interventions

Clinical Pilates

Warmup: 5-10 minutes Pilates Clinical (Introductory program) The Hundred modified The Roll-up modified The roll-over modified Spine twist modified Single-leg circle modified Rolling like a ball Shoulder Bridge modified

For every Step emphasizing:

FOCUS: On muscle involved REPETITIONS: 3-5 VISUALIZATION: Imagination process (Different for each step) Cool down: 5 minutes Total Time: 30 minutes

Intervention Type: OTHER

Cardiac Rehabilitation

Chest Physical therapy (Chest percussions and active huffs as per need) Breathing strategies (Diaphragmatic and purse lip 1-3 sets * 5 Reps/Day)

Functional mobility (walk /cycling as per patient tolerance)

Patient education and Wound care Sternal Precaution guidance

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Hemodynamically stable patient Who underwent elective CABG.
• Patients diagnosed with Kinesiophobia via Tampa scale for Kinesiophobia Heart (TSK-SV Heart)

Exclusion Criteria

• Neuromuscular conditions which lead to kinesiophobia
• Diseases that seriously affected the functional capacity or mobility such as liver cirrhosis, chronic renal failure and disabled patients.
• Prolong intubation
• Vital instability
• Patients needing maximum assistance
• Decline consent

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Mehwish Waseem, MSPT-CPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Lady Reading Hospital

Peshawar, KPK, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Mehwish Waseem, MSPT-CPPT

Role: CONTACT

mehwish.waseem@riphah.edu.pk

0331-5309015

Facility Contacts

Mehwish Waseem, MSPT-CPPT

Role: primary

mehwish.waseem@riphah.edu.pk

0331-5309015

Sarosh Gohar, MSPT-CPPT*

Role: backup

saroshkhan424@gmail.com

0303-5887220

Other Identifiers

Rec/01818 Sarosh Gohar

Identifier Type: -

Identifier Source: org_study_id