The Effect of Bedside Yoga Intervention on Early Mobilization in Children
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-8
SponsorCukurova University
About this trial
The postoperative period is a critical phase in which early mobilization can accelerate recovery and reduce the risk of complications. Early movement improves lung ventilation, thereby decreasing the likelihood of atelectasis and pneumonia, while also enhancing circulation to prevent deep vein thrombosis and pulmonary embolism. Furthermore, it promotes bowel motility, reduces the risk of constipation and ileus, preserves muscle strength, and improves overall well-being. Early mobilization has also been associated with better pain control, enhanced psychological well-being, reduced complication rates, and shorter hospital stays. However, in pediatric patients, factors such as pain, anxiety, and fear may delay the mobilization process.
Yoga has emerged as a promising non-pharmacological intervention due to its combination of breathing exercises, relaxation techniques, and gentle physical movements. Previous studies have demonstrated that yoga can reduce pain perception, improve pain tolerance, alleviate stress-related symptoms, and support physical recovery in children. Evidence suggests that yoga-based interventions may contribute to pain management by promoting relaxation and reducing psychological distress. In postoperative settings, bed-based yoga exercises have been reported to facilitate musculoskeletal relaxation, improve respiratory function, decrease anxiety and stress levels, and encourage earlier mobilization. Systematic reviews have further indicated that yoga may enhance both physical and psychological recovery following surgery, particularly through its effects on pain reduction and functional rehabilitation.
Although the benefits of bed-based yoga have been documented in adult surgical populations, research focusing on pediatric surgical patients remains limited. Therefore, this study aims to evaluate the effect of bed-based yoga on early mobilization in pediatric surgical patients during the postoperative period. By investigating the effectiveness of this non-pharmacological intervention, the study seeks to address an important gap in the literature and contribute to evidence-based postoperative nursing care practices.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Hospitalized in a pediatric surgery unit for surgery.
Able to participating in pediatric yoga.
Able to understand and communicate in Turkish.
Disqualifiers
none
Trial design
Design model
Parallel
Treatments tested in this trial
Pediatric Yoga Group
BehavioralThe session begins with Pranayama (breathing exercises), specifically the Bee Breath (Bhramari Pranayama), in which the child produces a prolonged humming sound resembling the letter "M" with the mouth closed, first with the ears open and then with the ears gently covered. Following the breathing exercise, yoga postures are performed using a storytelling approach. The sequence includes the Butterfly Pose, Cactus Pose, Cat-Cow Pose, Sitting Bear Pose, and Butterfly Pose again, followed by repeating the postures in reverse order. The session concludes with Shavasana (Corpse Pose), a relaxation posture maintained for 30 seconds. Finally, the child is encouraged to express gratitude to their yoga partner and to themselves for participating in the session, after which the yoga session is concluded.
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: No Intervention: GROUP WITH STANDARD CARE AND TREATMENTNo intervention 0 interventions
Group B: Pediatric Yoga GroupExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Wong-Baker Faces Pain Rating Scale
The Wong-Baker FACES Pain Rating Scale (WB-FACES) is a visual analog scale used to assess pain intensity in both children and adults. The scale consists of six different facial expressions representing varying levels of pain intensity, scored from 0 to 10. A score of 0 indicates "no pain," whereas a score of 10 represents "the worst pain imaginable." The Wong-Baker FACES Pain Rating Scale was originally developed by Donna Wong and Connie Morain Baker in 1981 and was subsequently revised in 1983. The scale is commonly used to assess pain in children aged 3-18 years. Previous studies evaluating the scale in pediatric populations have reported that children prefer facial expression-based rating scales and find them easy to use. Furthermore, the Wong-Baker FACES Pain Rating Scale has been identified as one of the most accurate methods for measuring pain intensity in children.
Time frame
Post-op Hour 8 5 min Post-Intervention 5 min Post-Mobilization2
Visual Analog Scale for Fatigue (VAS-F)
This scale is used to assess the severity of fatigue. It consists of a 10-cm horizontal line with verbal descriptors at each end and is scored from 0 to 10. A score of 0 indicates "no fatigue," whereas a score of 10 indicates "severe fatigue."
Time frame
Post-op Hour 8 5 min Post-Intervention 5 min Post-MobilizationSecondary outcomes
1
Patient Mobility Scale
In the scale, the levels of pain and difficulty are determined by measuring the distance between the marked point and the value "0." Each activity includes two separate subscale items. Scoring for each item ranges from 0 to 15, and each activity is evaluated out of a maximum of 30 points. Accordingly, the total score of the scale ranges from 0 to 120. The overall score is calculated by summing the scores obtained from the four activities. The resulting score reflects the level of pain and difficulty experienced by patients while performing these movements. Higher scores indicate greater pain intensity and increased difficulty in performing the activity, whereas lower scores indicate reduced pain and fewer movement-related difficulties.
Time frame
5 min Post-Mobilization2
Observer Mobility Scale
The Observer Mobility Scale was developed by Heye et al. in 2002 to assess patients' levels of independence while performing postoperative mobility activities, including turning in bed, sitting at the bedside, standing up, and walking. The Turkish validity and reliability study of the scale was conducted by Ayoğlu in 2011. In the Turkish version, Cronbach's alpha coefficients ranged between 0.61 and 0.75. Each item is scored on a 5-point scale, where a score of 1 indicates that the patient performs the activity completely independently, and a score of 5 indicates that the activity cannot be performed even with assistance. The total score is calculated by summing the scores obtained from the four mobility activities, resulting in a possible score range of 4 to 20. Higher scores indicate greater impairment in mobility and lower levels of independence.
Time frame
5 min Post-Mobilization3
Patient Monitoring Form
The Patient Monitoring Form is a follow-up chart developed by the researchers to record patients' vital signs, including body temperature, heart rate, blood pressure, and respiratory rate.
Time frame
5 min Post-Mobilization4
Pedometer
A pedometer is a portable device that objectively measures an individual's step count and physical activity level. Considered a form of wearable technology, pedometers use motion sensors to record daily step counts, thereby providing a quantitative assessment of physical activity. This device is commonly used to evaluate patients' mobility levels, particularly during the postoperative mobilization process following surgical procedures
Time frame
during first mobilizationSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: