Effects of Massage Therapy on Sleep After Heart Surgery

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effects of Massage Therapy for improving the quality of sleep in patients on postoperative period of coronary artery bypass graft surgery (CABG).

Detailed Description
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Patients We evaluated patients admitted to the ward waiting for elective CABG surgery. Preoperative evaluation The preoperative clinical assessment consisted of obtaining information regarding demographics and personal characteristics. Postoperative protocol and evaluation After discharge from the intensive care unit to the ward during the postoperative period, the patients were randomized to 3 nights of sitting for 10 minutes, with no intervention (Control) or to MT. Briefly, MT consisted of massage of the neck, shoulders, and back. The massage was initiated with light manual compression and progressed to deep compression. The compression was performed with the inner region of the fingers, hand-shaped clamp, and friction (digital compression with the thumb) on trigger points, cervical traction, and mobilization in all planes (front, back, and sides). The massage was finished with light manual compression. During the study period, all patients completed a sleep diary containing the time they went to sleep, woke up, and took daytime naps. The patients completed a VAS for pain and fatigue (similar to the preoperative evaluation described previously) as well as a VAS for sleep on days 1, 2, and 3, corresponding to the morning following the intervention that was performed on the previous night.

Official Title
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Effects of Massage Therapy on Sleep Quality After Coronary Artery Bypass Graft Surgery

Conditions
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Coronary Artery Bypass Graft Surgery

Intervention / Treatment
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* Other: Massage Therapy
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusion criteria included patients of both genders, between 40 to 80 years of age which were waiting for Coronary artery bypass graft surgery. Exclusion Criteria: Patients with body mass index (BMI) ≥35kg/m2 Regular alcohol consumption Chronic use of hypnotics A previous diagnosis of sleep disorders Previous surgeries performed in the last 24 months The inability to read and write. We also excluded patients who underwent valve surgery combined with CABG, the presence of a thoracic drain, and ICU stay longer than 5 days in the postoperative period

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Patients were seated in a chair for the same period then those from MT group, but did not receive intervention | Other: Control<br>* no intervention<br>|
| Experimental: Massage Therapy<br>Patients in the postoperative period of coronary artery bypass graft surgery, which receive intervention for 3 consecutive days | Other: Massage Therapy<br>* After discharge from the intensive care unit to the ward during the postoperative period, patients which were randomized for 3 nights to receive intervention (Massage Therapy)which were consisted of massage of the neck, shoulders, and back. The massage was initiated with light manual compression and progressed to deep compression. The compression was performed with the inner region of the fingers, hand-shaped clamp, and friction (digital compression with the thumb) on trigger points, cervical traction, and mobilization in all planes (front, back, and sides)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effects of Massage Therapy on quality of sleep |  | 3 days after return to the ward | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of massage therapy on pain and fatigue complaints |  | 3 days after return to the ward | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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massage therapy, sleep quality, coronary artery bypass grafting surgery, Patients after Coronary Artery Bypass Graft Surgery