Power Lung Versus Acapella After Coronary Artery Bypass Graft Surgery

Study Overview
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Brief Summary
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The purpose of the study is to compare between the power lung versus acapella on airway clearance after coronary artery bypass graft surgery.

Detailed Description
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In this part of the study the materials and methods will be presented under the following headings: subjects, equipments, procedures of the study and statistical procedures Subjects. Ninty patients of both sexes will participate in this study with an age range of 40 to 50 years old. They will be chosen from outpatient clinic, Qena University Hospital. Patients will be randomely assigned into three groups: Group A: patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration. Group B: patients will receive a two supervised session using power lung device three sets for 10 repetitions two times daily from first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, Percussion and vibration). Group C. Patients will receive only routine physical Therapy program. Equipment: 1. For evaluation: Arterial blood gases including: - paO2, paCO2, PH and O2 saturation. Spirometry measurements: - as forced vital capacity (FVC) andbforced expiratory volume in the first second (FEV1). The incidence of PPCs and the length of postoperative stay: - using the Melbourne Group Scale Dyspnea. According to the revised or modified Borg scale or rating of perceived exersion. The Rand SF 36 health survey questionnaire. 2. For treatment The power lung device. Acapella device.

Official Title
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Power Lung Versus Acapella on Airway Clearance After Coronary Artery Bypass Graft Surgery

Conditions
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Coronary Artery Bypass Graft Surgery

Intervention / Treatment
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* Device: Acapella device
* Device: Power lung device
* Other: routine Physical Therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: They will be from 40-50 years old. They will be patients undergo elective CABG surgery. Non productive cough postoperatively. Cough pain intensity > 5 as rated on a visual analogue scale (VAS) on postoperative day 1. Exclusion Criteria: Patients with chronic chest diseases. Patients with an intensive postoperative care (ICU) stay > 48 hrs. Uncooperative patients.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 50 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: In the study three groups of patients will participated first, group A. Will receive acapella device. Second, group B. Will receive power lung device. Third, group C. Will receive only routine physical Therapy program.
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Group A. Thirty patients will receive a two supervised session using Acapella three sets for 10 repetitions two times daily from first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, Percussion and vibration). | Device: Acapella device<br>* patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration.<br>|
| Experimental: Group B<br>Thirty patients will receive a two supervised sessions using power lung device three sets for 10 repetitions from the first day postoperative until 7 days(André L.et al., 2016), in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration). | Device: Power lung device<br>* Group B. patients will receive a two supervised sessions using power lung device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration.<br>|
| Active Comparator: Group C<br>Thirty patients will receive only routine physical Therapy program. | Other: routine Physical Therapy program<br>* Group C. Thirty patients will receive only routine physical Therapy program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Arterial blood gases including: | Partial pressure of oxygen (paO2), partial pressure of carbon dioxide (paCO2), power of hydrogen (PH)and O2 saturation. | One week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spirometry | As forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1/FVC. | One week |