Acute Effect of the Thoraco-abdominal Rebalance Method on Diaphragmatic Function, Respiratory Discomfort, Pulmonary Complications and Hemodynamic Variables in Postoperative Cardiac Surgery Patients: Randomized Clinical Trial

NCT06814951 NA RECRUITING

Introduction: The thoracoabdominal rebalancing (TAR) method aims to promote diaphragmatic juxtaposition, in addition to seeking to increase respiratory muscle strength and adjust muscle tone. However, scientific publications on this method in heart patients undergoing coronary artery bypass grafting (CABG) are still scarce, justifying the need to carry out this study for information, evaluation, diagnosis and treatment purposes in the health area with an emphasis on cardiology. Objective: To evaluate whether diaphragmatic ultrasound findings differ between the TAR method and conventional physiotherapy in post-CABG patients. Methods: This is a randomized, single-blind clinical trial. Adults (\>35 years), hemodynamically stable, who underwent CABG (\<24 hours) and had a prescription for physiotherapy will be included. Patients will be randomized into two groups: 1) intervention group \[IG\] - TAR; 2) control group \[CG\] - standard physiotherapy approach. Interventions will be performed at a single time and the following variables will be collected pre- and post-intervention: heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), mean arterial pressure (MAP), diaphragmatic ultrasound (US) to identify possible acute findings in both groups, respiratory distress scale and pulmonary complications scale will be applied at the end of the interventions. Keywords: Physiotherapy; Cardiology; Ultrasonography

Details

Lead sponsor	Instituto de Cardiologia do Rio Grande do Sul
Phase	NA
Status	RECRUITING
Enrolment	26
Start date	2024-09-01
Completion	2026-04

Conditions

• Respiratory Complications
• Diaphragmatic Excursion
• Pulmonary Spirometry

Interventions

• TAR Method
• Conventional physiotherapy

Primary outcomes

• Diaphragmatic excursion — Immediately before the intervention and within 30 minutes after the intervention
  Increase in measures
• Change in the Downes and Raphaelly respiratory distress scale — Immediately before the intervention and within 30 minutes after the intervention
  Points 0-10, where 0 is best and 10 is worst
• Pulmonary spirometry — Immediately before the intervention and within 30 minutes after the intervention
  Increase in measurements: CVF (L)

Countries

Brazil