Health TrialsbyHealthPanel

The Effect of Neurophysiological Facilitation Techniques on Health Parameters in Early Stages After Open Heart Surgery

ConditionsOpen Heart SurgeryCardiovascular DiseasePhysiotherapy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorDogus Universitesi

About this trial

In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.

Do neurophysiological facilitation techniques improve individuals' respiratory parameters more than phase 1 cardiac rehabilitation?

Do neurophysiological facilitation techniques improve individuals' functional capacity more than phase 1 cardiac rehabilitation?

Researchers will apply phase 1 cardiac rehabilitation to both groups to see the effectiveness of neurophysiological facilitation techniques.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Having open heart surgery for the first time,

Being between the ages of 18-75,

Being fully cooperative

Disqualifiers

Having facial, sternum and rib fractures,

Having chronic renal failure,

Development of cerebrovascular accident,

Having cognitive dysfunction,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Phase 1 cardiac rehabilitation

    Procedure/Surgery

    Day 1:Patients were informed about the surgery, positioning and mobilization.Range of motion (ROM), respiratory control, diaphragmatic breathing, pursed lip breathing, thoracal expansion exercises, assisted coughing,forced expiration techniques, which are the components of active breathing techniques cycle (ABTC), were taught.The use of incentive spirometry (IS) was demonstrated.Patients were performed 10 repetitions of IS exercises, and 5 repetitions ABTC and were asked to repeat them every hour.The patient was made to sit for 10 minutes and was walked 60 meters twice a day. 2:ROM, IS and diaphragmatic breathing exercises were applied 10 times each.ABTC was repeated in 5 sets. 120 meters was walked 5 times during the day. 3:Sitting time was increased to 30 minutes and walking distance was increased to 240 meters.5 steps were climbed. 4:Walking distance was increased to 360 meters.One flight of stairs was climbed.Discharge training was given.

  • Neurophysiological facilitation techniques

    Procedure/Surgery

    In addition to the phase 1 cardiac rehabilitation program for the group receiving neurophysiological facilitation (NPF) techniques: NPF techniques such as perioral stimulation, intercostal tension, anterior basal lift, vertebral pressure, moderate manual pressure and abdominal co-contraction were applied for ten times for ten seconds. Diaphragm facilitation exercise was performed by inhaling against resistance and holding the breath against resistance for 5 seconds. Unilateral and bilateral upper extremity proprioceptive neuromuscular facilitation (PNF) movements combined with breathing were performed. NPF techniques were performed 10 times each day throughout the treatment, while other applications (diaphragm facilitation, combined breathing exercise with upper extremity PNF technique and respiratory facilitation) were performed 5 times on the first day and 10 times on the other three days.

Treatment groups

32 Participants
are divided into 2 treatment groups
Group A: Control GroupExperimental treatment 1 intervention
Group B: Study GroupActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

İnspiratory muscle strength

Maximum Inspiratory Pressure (MIP) - pressure

Time frame
Before and after treatment on each day of treatment, up to 3 month
2

Expiratory muscle strength

Maximum Expiratory Pressure (MEP) - pressure

Time frame
After and before treatment on each day of treatment, up to 3 month
3

2 Minute Walk Test

It is walking as fast as the person can for 2 minutes without any assistance, at a safe distance of 30 meters. - meter

Time frame
Before treatment on the first day of treatment and after treatment on the last day of treatment, up to 3 month
4

Time Up and Go (TUG)

The person gets up from the chair, walks 3 meters, comes back and sits on the chair. - minute

Time frame
first day of treatment before treatment and last day of treatment after treatment, up to 3 month

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Dogus Universitesi

Lead sponsor

Source ClinicalTrials.gov
Apply now