Clinical trial NCT04615481: Elliptical Training Versus Ergo-meter on Cardiopulmonary Parameters in Post CABG Patients
Official title: Effects of Elliptical Training Versus Ergo-meter on Cardiopulmonary Parameters in Post CABG Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Post-cardiac Surgery
Keywords: Ergo-meter
CABG
Endurance
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-11-04
Enrollment: 92
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: RCT
Primary purpose: TREATMENT

Brief summary: To determine the effects of elliptical training versus ergo-meter on cardiopulmonary parameters in post CABG patients

Detailed description: Worldwide, physiotherapists treat patients with CAD in the acute stage following a coronary event and/ or following coronary artery bypass graft (CABG) surgery. These patients are then later followed up as outpatients during cardiac rehabilitation(CR) in turn to improve cardio-respiratory fitness and quality of life and to delay the incidence of subsequent coronary events. Early mobilisation and physical activity is often the first choice of treatment, but evidence as to the optimal intensity, timing and choice of exercises is scarce. In 2018 the effect of obesity on functional capacity, anxiety and Daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation. The results shows that When Group 1 patients were assessed at the end of 30 sessions of cardiac rehabilitation (CR) program, a statistically significant improvement was detected in 6MWT, physical functioning, physical role, mental health, social functioning and pain sub parameters.

In 2019, study Changes in 6-minute walk test (6MWT) distance and heart rate walking speed index following a cardiovascular prevention and rehabilitation programme .Patients increased their 6-minute walk test distance by 40 meters and decreased their heart rate walking speed index by 2.7, which translates into a saving of three heart beats for every 100 meters walked or 45 heart beats for every mile walked.

In 2012, conducted study Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation Participants were assigned randomly in a ratio of 1:1 to an intervention group (IG; inpatient CR plus resistance training and balance training) or control group (CG;inpatient CR)after Coronary Bypass Surgery. The study concluded that there is significantly greater improvement in functional capacity measured as 6-MWD,TUG time, and maximal relative workload in the IG than in the CG..

Eligibility criteria: Inclusion Criteria:

* CABG patients (after 4 months) undergone phase 2 rehabilitation.

Exclusion Criteria:

* Vitally Unstable patients
* Presence of arrhythmias
* History of unstable angina in last 3 months
* Intracavitary thrombus
* Recent thrombophlebitis with or without pulmonary embolism
* Sever/e obstructive cardiomyopathies
* Uncontrolled diabetes
* Severe orthopaedic problems

Primary outcomes:
measure: 6 min walk test: Distance (meters)
timeFrame: 4th week
measure: Oxygen Saturation (SpO2)
timeFrame: 4th week
measure: Pulse Rate
timeFrame: 4th week
measure: Modified Borg Scale of Perceived Exertion
timeFrame: 4th week
measure: Systolic and diastolic blood pressure
timeFrame: 4th week
measure: WHO_BREF questioner (Quality of life)
timeFrame: 4th week
Secondary outcomes:
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Rawalpindi Institute of Cardiology
state: Punjab
Study officials:
affiliation: Riphah International University
name: Iqbal Tariq, MsCPPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ab Manap N, Khalid KBMKM, Alias MNBA, Jamaludin NB. Quality of Life among Post Acute Myocardial Infarction Patient. ILKKM Journal of Medical and Health Sciences. 2019;1(1):20-4.