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The purpose of the study is to compare between the power lung versus acapella on airway clearance after coronary artery bypass graft surgery.
In this part of the study the materials and methods will be presented under the following headings: subjects, equipments, procedures of the study and statistical procedures
Subjects. Ninty patients of both sexes will participate in this study with an age range of 40 to 50 years old. They will be chosen from outpatient clinic, Qena University Hospital.
Patients will be randomely assigned into three groups:
Group A: patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration.
Group B: patients will receive a two supervised session using power lung device three sets for 10 repetitions two times daily from first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, Percussion and vibration).
Group C. Patients will receive only routine physical Therapy program.
Equipment:
1. For evaluation: Arterial blood gases including: - paO2, paCO2, PH and O2 saturation. Spirometry measurements: - as forced vital capacity (FVC) andbforced expiratory volume in the first second (FEV1).
The incidence of PPCs and the length of postoperative stay: - using the Melbourne Group Scale Dyspnea. According to the revised or modified Borg scale or rating of perceived exersion.
The Rand SF 36 health survey questionnaire. 2. For treatment The power lung device. Acapella device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group A. Thirty patients will receive a two supervised session using Acapella three sets for 10 repetitions two times daily from first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, Percussion and vibration). |
|
| Group B | Experimental | Thirty patients will receive a two supervised sessions using power lung device three sets for 10 repetitions from the first day postoperative until 7 days(André L.et al., 2016), in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration). |
|
| Group C | Active Comparator | Thirty patients will receive only routine physical Therapy program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acapella device | Device | patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration. |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial blood gases including: | Partial pressure of oxygen (paO2), partial pressure of carbon dioxide (paCO2), power of hydrogen (PH)and O2 saturation. | One week |
| Measure | Description | Time Frame |
|---|---|---|
| Spirometry | As forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1/FVC. | One week |
| Measure | Description | Time Frame |
|---|---|---|
| Dyspnea | According to revised or modified Borg or rating of perceived exertion. | One week |
| The incidence of postoperative pulmonary complications | According to Melbourne group scale. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shymaa Y Abo zaid, Master | Assistant lecturer | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shymaa yussuf abo zaid | Qina | Egypt |
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In the study three groups of patients will participated first, group A. Will receive acapella device.
Second, group B. Will receive power lung device. Third, group C. Will receive only routine physical Therapy program.
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The participants are the patients who undergoing coronary artery bypass graft surgery.
The care providers are the cardiothoraci surgeon and the nursing staff. The investigator is the physical Therapy ( my self)
|
| Power lung device | Device | Group B. patients will receive a two supervised sessions using power lung device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration. |
|
| routine Physical Therapy program | Other | Group C. Thirty patients will receive only routine physical Therapy program |
|
| One week |
| Quality of life | According to the Rand SF 36 health survey questionnaire. | One week |