- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05856032
Effects of Acapella With Conventional Chest Physiotherapy Techniques in Post CABG Patients.
Effects of Using Acapella in Combination With Conventional Chest Physiotherapy Techniques to Improve Pulmonary Functions in Post CABG Patients.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Acapella is one of the Oscillatory Positive Expiratory Pressure (OPEP) device used in mobilization of peripheral secretions to the central trachea. It consists of a mouth piece and metal strip that is attached to a magnet which oscillates upon exhalation of the patient into the device results in oscillations. This helps in generating positive expiratory pressure (PEP) and oscillations of the magnetic ball assist in mucus collection and expectoration. Pulmonary functions are greatly reduced in patients undergone CABG surgery due to prolong effects of anesthesia and muscle relaxants administered prior to surgery. Ciliary motion along the pathway of pulmonary tract is depressed which results in decrease expectoration capacity, causes mucus retention and reduces pulmonary volumes and capacities. Chest physiotherapy is the treatment option for such patients that is being practiced over years. In recent years certain respiratory aids or devices are also in use to relieve secretion retention along with standard chest physiotherapy techniques.
The purpose of this study is to find the effects of using Acapella as an OPEP device along with conventional chest physiotherapy techniques in post-CABG surgery patients to relieve mucus retention and improving pulmonary functions post-surgery.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Malik Muhammad Ali Awan, MSPT
- Phone Number: 00923339131556
- Email: ali.awan@riphah.edu.pk
Study Contact Backup
- Name: Aneeqa Iftikhar, DPT
- Phone Number: 00923130876792
- Email: aneeqadpt2015@gmail.com
Study Locations
-
-
Punjab
-
Rawalpindi, Punjab, Pakistan
- Armed forces institute of cardiology
-
Contact:
- Aneeqa Iftikhar, DPT
- Phone Number: 00923130876792
- Email: aneeqadpt2015@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients of both genders within age range of 45-65 years
- Elective CABG surgery patients
- Patients undergoing Phase 1 cardiac rehabilitation post CABG
- Patients who are vitally stable post operatively
Exclusion Criteria:
- Patient having prolong intubation period post-operatively
- Patients having long term arrythmias prior to surgery
- Patients having an implanted pacemaker
- Patients having uncontrolled diabetes, sepsis or any metabolic condition
- Patients with impaired cognition.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Use of Acapella device
|
Acapella is one of the Oscillatory Positive Expiratory Pressure (OPEP) device used in mobilization of peripheral secretions to the central trachea.
It consists of a mouth piece and metal strip that is attached to a magnet which oscillates upon exhalation of the patient into the device results in oscillations.
This helps in generating positive expiratory pressure (PEP) and oscillations of the magnetic ball assist in mucus collection and expectoration.
Pulmonary functions are greatly reduced in patients undergone CABG surgery due to prolong effects of anaesthesia and muscle relaxants administered prior to surgery.
|
Active Comparator: Conventional treatment
•Participants in control or comparative group will receive conventional chest physiotherapy protocol as incentive spirometry, ACBT's, Diaphragmatic breathing exercises along with manual chest physiotherapy techniques as percussion and vibration.
|
Conventional chest physiotherapy techniques
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Forced Expiratory Volume in 1 second
Time Frame: pre-operative day 1 and post-operative day 6 of CABG surgery
|
Forced expiratory volume in 1 second, measures the volume of air that is expired into the mouthpiece of the digital spirometer in first second after full inhalation.
Normally ranges between 80% to 120% of average predicted values
|
pre-operative day 1 and post-operative day 6 of CABG surgery
|
Change in Forced Vital Capacity
Time Frame: pre-operative day 1 and post-operative day 6 of CABG surgery
|
FVC: forced vital capacity, measures the volume of air blown forcefully into the mouthpiece following full inhalation.
Normal values ranges between 80% to 120% of average predicted values
|
pre-operative day 1 and post-operative day 6 of CABG surgery
|
Ratio of Forced Expiratory Volume in 1 second and Forced Vital Capacity
Time Frame: pre-operative day 1 and post-operative day 6 of CABG surgery
|
FEV1/FVC: the FEV1/FVC ratio is calculated by dividing measured FEV1 value by measured FVC value.
In a healthy individual it ranges between 70 to 85%.
|
pre-operative day 1 and post-operative day 6 of CABG surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Borg dyspnoea scale
Time Frame: 6th post-operative day after CABG surgery
|
A scale used to measure level of exhaustion, breathlessness and fatigue during physical work.
Patients are asked to rate the level of physical exertion, fatigue and dyspnoea on a 6-20 scale where 6 shows no fatigue at all and 20 indicates maximum exertion and fatigue.
|
6th post-operative day after CABG surgery
|
Amount of secretions expectorated
Time Frame: 6th post-operative day after CABG surgery
|
tracing the amount of pulmonary secretions produced per day as a result of using respiratory aids along with conventional chest physiotherapy techniques.
|
6th post-operative day after CABG surgery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Malik Muhammad Ali Awan, MSPT, Riphah International University
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- REC/MS-PT/01494
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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