Upper Extremity Exercises With and Without Deep Breathing After Cardiac Surgery (ROM-DB)
Evaluation of the Effects of Upper Extremity Range of Motion Exercises Performed With and Without Deep Breathing on Respiratory Parameters After Cardiac Surgery: A Randomized Trials
調査の概要
状態
条件
詳細な説明
Postoperative pulmonary complications are common after cardiac surgery and may include atelectasis, pulmonary edema, hypoxemia, reduced lung volumes, impaired thoracic mobility, and respiratory muscle dysfunction. Median sternotomy, postoperative pain, fear of movement, prolonged immobilization, and changes in respiratory mechanics may contribute to impaired pulmonary function during the early postoperative period.
Postoperative physiotherapy, early mobilization, breathing exercises, and range of motion exercises are commonly included in standard postoperative care after cardiac surgery. Deep breathing exercises are recommended to support lung expansion and improve pulmonary function, while upper extremity range of motion exercises may contribute to thoracic mobility, postural drainage, secretion clearance, and functional recovery. However, evidence regarding the immediate effects of standardized upper extremity exercises on respiratory parameters after open cardiac surgery remains limited.
Previous studies have examined respiratory physiotherapy, mobilization, and exercise-based interventions after cardiac surgery, and some evidence suggests potential benefits on lung function and inspiratory capacity. Nevertheless, the specific contribution of upper extremity range of motion exercises performed with versus without deep breathing has not been sufficiently clarified. This study is designed to compare the immediate effects of these two standardized exercise protocols on oxygen saturation, tidal volume, respiratory rate, heart rate, pain, perceived exertion, and dyspnea in patients after cardiac surgery.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究場所
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Kocaeli
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İzmit、Kocaeli、トルコ（Türkiye）、41100
- 募集
- Kocaeli University
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コンタクト：
- Yasemin Özhanlı
- 電話番号：05393094695
- メール：yasemin.ozhanli@kocaeli.edu.tr
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コンタクト：
- MUSTAFA CANİKOĞLU, Assist. Prof.
- 電話番号：05424257817
- メール：mustafa.canikoglu@kocaeli.edu.tr
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- 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,
- could speak Turkish,
- were willing to participate in the study.
Exclusion Criteria:
underwent another thoracic surgery or repeat surgery simultaneously,
- 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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：クロスオーバー割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Deep Breathing followed by ROM with Deep Breathing
Participants will first perform deep breathing exercises alone, followed by upper extremity range of motion exercises combined with deep breathing.
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Participants will perform slow and deep breathing exercises in a sitting position.
Measurements will be recorded before and immediately after the intervention.
Participants 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.
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アクティブコンパレータ：ROM with Deep Breathing followed by Deep Breathing
Participants will first perform upper extremity range of motion exercises combined with deep breathing, followed by deep breathing exercises alone.
|
Participants will perform slow and deep breathing exercises in a sitting position.
Measurements will be recorded before and immediately after the intervention.
Participants 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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Oxygen Saturation SpO₂
時間枠：Baseline and immediately after each intervention.
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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.
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Baseline and immediately after each intervention.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Respiratory Rate
時間枠：Baseline and immediately after each intervention.
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Respiratory rate will be assessed as the number of breaths taken per minute and recorded as breaths per minute
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Baseline and immediately after each intervention.
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Change in Heart Rate
時間枠：Baseline and immediately after each intervention.
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Heart rate will be measured using a bedside clinical monitor and recorded as beats per minute.
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Baseline and immediately after each intervention.
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Change in Pain Intensity Assessed by the Numeric Rating Scale
時間枠：Baseline and immediately after each intervention.
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Pain intensity will be assessed using the Numeric Rating Scale, ranging from 0 to 10. Higher scores indicate greater pain intensity.
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Baseline and immediately after each intervention.
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協力者と研究者
スポンサー
捜査官
- 主任研究者：MUSTAFA CANİKOĞLU, Assist. Prof、Kocaeli University
- スタディチェア：Yasemin Özhanlı, Assist. Prof、Kocaeli University
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- KOU-CVS-ROM-DB-2026
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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