About this trial
This study will be conducted to investigate the effect of neuromuscular electrical stimulation on phrenic regeneration post cardiac surgery
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients post cardiac surgery (coronary artery bypass graft, valve repair or replacement ).
Patients referred by physician.
Medically stable patients.
Both genders
Disqualifiers
Patients with rib fracture.
Patients developing lung cancer.
Patients have dementia.
Patients on mechanical ventilator after 24 hours
Trial design
Parallel
Treatments tested in this trial
Transcutaneous electrical diaphragmatic stimulation intervention
DeviceIt will be applied on diaphragm, 30 min per session ,3 days/week for 4 weeks at a stimulation frequency of 30 Hz, pulse width of 400 μs, the intensity was gradually increased until visible muscle contraction was observed.
traditional physiotherapy program
Other interventionThe participants will receive traditional physiotherapy ( postural drainage, percussion , diaphragmatic breathing, phase 1 cardiac Rehabilitation and balance training ) three times per week for 4 weeks
Treatment groups
Trial outcomes
Primary outcomes
Phrenic nerve conduction study: motor latency
Nihon Kohden Neuropak M1 MEB-9200 EMG machine, made in Japan will be used to measure phrenic nerve conduction study. Motor latency is the impulse traveled from the stimulation site to the recording site is called latency and it is measured in milliseconds (ms). its normal value: (5.74ms -7.10 ms).
Phrenic nerve conduction study: Amplitude
Nihon Kohden Neuropak M1 MEB-9200 EMG machine, made in Japan will be used to measure phrenic nerve conduction study. Amplitude represents the maximal action potential depolarization and voltage gradient for all depolarized fibers of the phrenic nerve. it is measured in microvolt or millivolt (mv). its normal value: (0.47 mv-0.83 mv).
Sponsors and contacts
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