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Volume 21, Issue 1 (March 2023)
Iranian Rehabilitation Journal 2023, 21(1): 81-88 |
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Khushnood K, Sultan N, Awan M M A, Altaf S, Mehmood R, Qureshi S. Effects of Pre-operative Physical Therapy on Functional Capacity, Kinesiophobia, and Post-operative ICU Stay in Coronary Artery Bypass Grafting Candidates. Iranian Rehabilitation Journal 2023; 21 (1) :81-88
URL: http://irj.uswr.ac.ir/article-1-1529-en.html
URL: http://irj.uswr.ac.ir/article-1-1529-en.html
Kiran Khushnood1 
, Nasir Sultan2 , Malik Muhammad Ali Awan *1 , Shafaq Altaf3 , Riafat Mehmood1 , Sidra Qureshi4
, Nasir Sultan2 , Malik Muhammad Ali Awan *1 , Shafaq Altaf3 , Riafat Mehmood1 , Sidra Qureshi4
1- Department of Physical Therapy, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan.
2- Department of Physical Therapy, Faculty of Pharmaceutical and Allied Health Sciences, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
3- Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
4- College of Physical Therapy, Foundation University Islamabad, Pakistan.
2- Department of Physical Therapy, Faculty of Pharmaceutical and Allied Health Sciences, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
3- Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
4- College of Physical Therapy, Foundation University Islamabad, Pakistan.
Abstract: (2676 Views)
Objectives: This study was done to find out the impact of a pre-operative physical therapy plan with inspiratory muscle training on functional capacity, kinesiophobia, and post-operative intensive care unit (ICU) stay in subjects with coronary artery disease (CAD) candidates for coronary artery bypass grafting (CABG).
Methods: Fifty subjects who fulfilled the inclusion criteria were recruited and randomly distributed into the intervention and control group by concealed envelop method. Participants in the experimental group were provided with inspiratory muscle training (IMT) with breathing exercises and chest clearance techniques, while the control group received breathing exercises and chest clearance techniques. Both groups received three treatment sessions before their scheduled surgery. The assessment was done at three-time intervals: At baseline, after three sessions, and after surgery. The outcome measures were oxygen saturation, heart rate, respiratory rate, Borg scale of perceived exertion (Borg PRE), Tampa scale of kinesiophobia for the heart (TSKH), and days spent at ICU after CABG.
Results: Oxygen saturation, respiratory rate, functional capacity, and pulmonary endurance improved significantly among the treatment groups with a P<0.001 and a large effect size. The pulse rate showed no significant improvement; P and effect size were 0.38 and 0.60, respectively. Kinesiophobia and ICU stay also showed significant changes with a P<0.001. The effect size was large for both kinesiophobia and ICU stay.
Discussion: IMT as a component of a pre-operative physical therapy plan can improve oxygen saturation, respiratory rate, functional capacity, and pulmonary endurance in CAD patients going for CABG. IMT reduces the level of kinesiophobia and duration of ICU stay after CABG.
Methods: Fifty subjects who fulfilled the inclusion criteria were recruited and randomly distributed into the intervention and control group by concealed envelop method. Participants in the experimental group were provided with inspiratory muscle training (IMT) with breathing exercises and chest clearance techniques, while the control group received breathing exercises and chest clearance techniques. Both groups received three treatment sessions before their scheduled surgery. The assessment was done at three-time intervals: At baseline, after three sessions, and after surgery. The outcome measures were oxygen saturation, heart rate, respiratory rate, Borg scale of perceived exertion (Borg PRE), Tampa scale of kinesiophobia for the heart (TSKH), and days spent at ICU after CABG.
Results: Oxygen saturation, respiratory rate, functional capacity, and pulmonary endurance improved significantly among the treatment groups with a P<0.001 and a large effect size. The pulse rate showed no significant improvement; P and effect size were 0.38 and 0.60, respectively. Kinesiophobia and ICU stay also showed significant changes with a P<0.001. The effect size was large for both kinesiophobia and ICU stay.
Discussion: IMT as a component of a pre-operative physical therapy plan can improve oxygen saturation, respiratory rate, functional capacity, and pulmonary endurance in CAD patients going for CABG. IMT reduces the level of kinesiophobia and duration of ICU stay after CABG.
Keywords: Coronary artery disease, Coronary artery bypass grafting, Respiratory muscle training, Functional capacity, Physical activity, Breathing exercises
Article type: Original Research Articles |
Subject:
Physiotherapy
Received: 2021/12/4 | Accepted: 2022/11/23 | Published: 2023/03/1
Received: 2021/12/4 | Accepted: 2022/11/23 | Published: 2023/03/1
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