Scapular Mobilization on Inspiratory Capacity of Post-CABG Patients

Study Overview
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Brief Summary
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To determine the effects of scapular mobilization on pulmonary functions of post-CABG patients.

Official Title
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Effects of Scapular Mobilization on Inspiratory Capacity of Post-CABG Patients

Conditions
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CABG

Intervention / Treatment
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* Other: Conventional Treatment
* Other: Scapular Mobilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: CAD patients undergone CABG surgery (Post-Op. Day#. 01). Both genders (male and female). Aged between 40 to 70 years . Patient having oxygen saturation (SPO2) of more than or equal to 90% with 25% of fraction of inspired oxygen (FiO2) - (possibly nasal cannula inserted). Exclusion Criteria: Patients with low glasgow coma scale (GCS) score (less than 15). Patients having inspiratory capacity of 3500ml and above. Patients on ventilator.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional Treatment<br>Thrice a day ,Conventional treatment according to American Heart Association Guidelines i.e., Incentive spirometer, chest clearance, expectoration of the sputum (suctioning if needed), mobilizing the patient out of bed, AAROM and AROM exercises. | Other: Conventional Treatment<br>* Thrice a day for complete length of stay. This is Conventional treatment The total duration of session will be of 15-20 mins.<br>|
| Experimental: Scapular Mobilization<br>Thrice a day Scapular mobilization (SM) along with Conventional treatment | Other: Scapular Mobilization<br>* Thrice a day for complete length of stay including two sets of repetitions with a rest interval of 30 seconds between sets. Grade 1-3 As reported in a study Scapular mobilization (SM) i.e., Scapular superior, inferior glides, upward and downward rotations and scapular distraction, along with Conventional treatment according to American Heart Association Guidelines i.e., Incentive spirometer, chest clearance, expectoration of the sputum (suctioning if needed), mobilizing the patient out of bed, AAROM and AROM exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incentive Spirometer | An incentive spirometer is a device that will expand the lungs by helping the patient breathe more deeply and fully | 1 week | 
| Borg scale | The Borg Rating of Perceived Exertion (RPE) is a way of measuring physical activity intensity level. | 1 week | 
| Numeric pain rating scale | What is a numerical pain rating scale? The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain | 1 week | 
| Digital Spirometer | Spirometer is a portable lung function testing device, which mainly used to examine lung function related parameters for patients | 1 week |