protocolSection identificationModule nctId: NCT06317363, orgStudyIdInfo id: REC/RCR&AHS/23/0353, briefTitle: Effects of Acapella VS CHEST Physiotherapy in Post-Operative CABG Patients, statusModule overallStatus: COMPLETED, startDateStruct date: 2023-05-23, primaryCompletionDateStruct date: 2024-01-30, completionDateStruct date: 2024-02-15, studyFirstPostDateStruct date: 2024-03-19, lastUpdatePostDateStruct date: 2024-03-19, sponsorCollaboratorsModule leadSponsor name: Riphah International University, class: OTHER, descriptionModule briefSummary: Coronary artery bypass grafting (CABG) is a surgical procedure that is performed to improve blood flow to the heart by bypassing blocked or narrowed arteries. CABG is a major surgery that is associated with significant postoperative complications, including pulmonary complications such as atelectasis and pneumonia. Chest physiotherapy is commonly use to prevent and treat these complications, but its effectiveness in post-operative CABG patients is not well established.The purpose of this study is to evaluate the effects of Acapella device vs chest physiotherapy on pulmonary function, airway clearance and dyspnea in post-operative CABG patients. The group A will receive (baseline treatment aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition to using Acapella), while the group B will receive base line treatment. aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition chest physiotherapy percussing for 20 minute The primary outcome measures of the study will be pulmonary function tests, including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC, and Modified Borg dyspnea scale . The secondary outcome measures will be the amount of sputum cleared. The study will be conducted over a period of 6 months after approval of synopsis.The study will be conducted in a tertiary care hospital in Lahore, Pakistan. Patients who have undergone CABG surgery will be screen for eligibility and those who meet the inclusion criteria will be enroll in the study. Patients who have a history of chronic lung disease, smoking, intubated patient or other respiratory conditions will be exclude from the study, conditionsModule conditions: CABG, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: TREATMENT, maskingInfo masking: SINGLE, whoMasked: PARTICIPANT, enrollmentInfo count: 30, type: ACTUAL, armsInterventionsModule interventions name: Base Line + ACEPELLA, interventions name: Base Line + Manual Chest Physiotherapy, outcomesModule primaryOutcomes measure: Modified Borg Dyspnea Scale, primaryOutcomes measure: FEV1, primaryOutcomes measure: FVC, primaryOutcomes measure: FEV1/FVC, primaryOutcomes measure: sputum volume, secondaryOutcomes measure: body temperature(degree centigrade), secondaryOutcomes measure: pulse rate (beats/minute), secondaryOutcomes measure: respiratory rate( breaths/minute), secondaryOutcomes measure: blood pressure (mmHg), secondaryOutcomes measure: SpO2 (%), secondaryOutcomes measure: SaO2 (%), secondaryOutcomes measure: PaO2 (%), secondaryOutcomes measure: PaCO2 (%), eligibilityModule sex: ALL, minimumAge: 55 Years, maximumAge: 70 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Jinnah Hospital, city: Lahore, state: Punjab, zip: 54600, country: Pakistan, geoPoint lat: 31.558, lon: 74.35071, hasResults: False