This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques.
Age 40-60 years
Patient underwent cardiac surgery for first time
Having speaking, hearing, cognitive ability
Both genders ( Male and female)
• Hemodynamic ally unstable patients
Patients with reopening of sternum
Infection patients
Renal failure
Parallel
ACTIVE CYCLE OF BREATHING TECHNIQUE
Other interventionGroup A: combine effects of ACBT and Buteyko techniques will be performed first 3days of cardiac rehab phase 1.
Buteyko techniques
Other interventionGroup B: effect of buteyko techniques will be performed first three days of cardiac rehab phase 1.
Borg dyspnea scale
The Borg RPE scale rates exertion from a scale of 6 (no exertion) to 20 (maximum effort). A rating between 12 to 14 typically reflects a moderate or somewhat hard level of intensity.
BREATHLESSNESS, COUGH AND SPUTUM SCALE (BCSS)
The BCSS is a three-item patient-reported questionnaire that rates sputum, cough, and dyspnea . This instrument can identify a disease aggravation with sensitivity and specificity.
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