Upper Extremity Exercises With and Without Deep Breathing After Cardiac Surgery
ConditionCardiac Surgery
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKocaeli University
About this trial
This randomized 2×2 crossover trial aims to evaluate the effects of upper extremity range of motion exercises performed with and without deep breathing on respiratory parameters in patients after open cardiac surgery. The study will include adult patients who underwent elective open cardiac surgery and are receiving postoperative care in the cardiovascular surgery intensive care unit. Each participant will perform both exercise protocols: upper extremity range of motion exercises alone and upper extremity range of motion exercises combined with deep breathing. The order of the two interventions will be randomized. Respiratory and clinical outcomes, including oxygen saturation, tidal volume, respiratory rate, heart rate, pain, perceived exertion, and dyspnea, will be assessed before and after each intervention.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
underwent elective open-heart surgery,
stayed in the cardiovascular ICU for at least 2 nights post-operatively,
had FiO2 below 40% (Spo2 will be kept above 92),
were conscious,
Disqualifiers
had any limb loss,
underwent prolonged immobilization and intubation,
developed serious complications such as infection or respiratory failure after surgery,
had problems such as paresthesia, plegia, etc. after stroke, or had diseases such as Parkinson's that affect the level of relaxa
Trial design
Design model
Crossover
Treatments tested in this trial
Deep Breathing Exercise
BehavioralParticipants will perform slow and deep breathing exercises in a sitting position. Measurements will be recorded before and immediately after the intervention.
Upper Extremity ROM Exercise Combined with Deep Breathing
BehavioralParticipants will perform bilateral upper extremity range of motion exercises while taking a slow deep breath during arm elevation and exhaling during arm lowering. The exercise will be repeated five times in a sitting position. Measurements will be recorded before and immediately after the intervention.
Treatment groups
90 Participants
are divided into 2 treatment groupsGroup A: Deep Breathing followed by ROM with Deep BreathingExperimental treatment 2 interventions
Group B: ROM with Deep Breathing followed by Deep BreathingActive comparator 2 interventions
Trial outcomes
Primary outcomes
1
Change in Oxygen Saturation SpO₂
Oxygen saturation will be measured using a bedside clinical monitor or pulse oximeter. SpO₂ represents the percentage of hemoglobin saturated with oxygen in the blood and will be recorded as a percentage. Higher values indicate better oxygenation.
Time frame
Baseline and immediately after each intervention.Secondary outcomes
1
Change in Respiratory Rate
Respiratory rate will be assessed as the number of breaths taken per minute and recorded as breaths per minute
Time frame
Baseline and immediately after each intervention.2
Change in Heart Rate
Heart rate will be measured using a bedside clinical monitor and recorded as beats per minute.
Time frame
Baseline and immediately after each intervention.3
Change in Pain Intensity Assessed by the Numeric Rating Scale
Pain intensity will be assessed using the Numeric Rating Scale, ranging from 0 to 10. Higher scores indicate greater pain intensity.
Time frame
Baseline and immediately after each intervention.Sponsors and contacts
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Source ClinicalTrials.gov