Comparison of the Effects of Different Physiotherapy and Rehabilitation Methods on Open Heart Surgery

Summary

The aim of this study is to compare the effects of different physiotherapy and rehabilitation methods in hospitalization after Open Heart Surgery (OHS). In this context, it is planned that patients undergoing OHS surgery will be randomly divided into 3 groups.

1. Group routine cardiac rehabilitation program (RCRP)
2. Group RCRP and inspiratory muscle training
3. Group RCRP and virtual reality application Treatment of patients will be administered twice daily during their stay in the hospital. The patients will be evaluated by clinical measurements and scales based on patient notification and before and after the treatment and their effectiveness and superiority over each other will be determined.

Conditions

• Open Heart Surgery

Interventions

OTHER

Group A: Group routine cardiac rehabilitation program (RCRP)

Patient education, Chest Physiotherapy, Abdominal and chest breathing, Bronchial hygiene techniques, Segmental breathing exercises, Triflow, exercise and mobilization,graduated exercise, positioning, active joint movement, moving inside bed, sitting at the edge of the bed, transfer from bed to chair, standing walking program, up and down stairs. Evaluations for each patient (preoperative and just before discharge) Spirometric measurements Intraoral pressure measurementDyspnea assessment (BORG), Pain assessment (VAS), Evaluation of anxiety and depression (HAD) Evaluation of functional capacity (6 minutes walking test) Quality of Life (MacNew Heart Disease Specific Quality of Life Questionnaire)

OTHER

Group B: Group RCRP and inspiratory muscle training

use of additional virtual reality goggles in the routine cardiac rehabilitation program Virtual reality glasses installed in the patient will feel the best way to feel an environment. Virtual reality glasses are planned to be used 15 minutes by increasing the usage period. Evaluations for each patient (preoperative and just before discharge) Spirometric measurements Intraoral pressure measurementDyspnea assessment (BORG), Pain assessment (VAS), Evaluation of anxiety and depression (HAD) Evaluation of functional capacity (6 minutes walking test) Quality of Life (MacNew Heart Disease Specific Quality of Life Questionnaire)

OTHER

Group C: Group RCRP and virtual reality application

nspiratory muscle training with "Threshold" for routine cardiac rehabilitation Training intensity \- 30% of the maximum measured inspiratory pressure per week (15 min.). Every 10 breaths after rest. Evaluations for each patient (preoperative and just before discharge) Spirometric measurements Intraoral pressure measurementDyspnea assessment (BORG), Pain assessment (VAS), Evaluation of anxiety and depression (HAD) Evaluation of functional capacity (6 minutes walking test) Quality of Life (MacNew Heart Disease Specific Quality of Life Questionnaire)

Sponsors & Collaborators

• Istanbul University - Cerrahpasa

  collaborator OTHER

• University of Beykent

  lead OTHER

Principal Investigators

• Yasemin Şahbaz · researcher

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

FACTORIAL

Eligibility

Min Age

25 Years

Max Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-02-01

Primary Completion

2020-10-30

Completion

2020-11-30

Countries

• Turkey (Türkiye)

Study Locations