Comparing Thoracoabdominal Rebalancing and Conventional Physiotherapy Effects on Diaphragm Function and Lung Health After Heart Bypass Surgery

What this Trial Is About

This research aims to compare the effects of the thoracoabdominal rebalancing TAR method with conventional physiotherapy in patients who recently underwent coronary artery bypass grafting CABG. The study focuses on evaluating differences in diaphragmatic function and respiratory outcomes, using ultrasound and pulmonary spirometry, to better understand postoperative recovery in heart surgery patients. It is a randomized, single-blind clinical trial involving adults over 35 years old who are hemodynamically stable after surgery. Participants will be randomly assigned to one of two groups. The intervention group will receive the TAR method, which includes abdominal and ileocostal space supports, inspiratory assistance, and muscle release techniques along with aspiration if needed. The control group will receive standard physiotherapy, including vibrocompression, manual passive expiratory therapy, acceleration of expiratory flow, diaphragmatic breathing, and aspiration as necessary. Each participant will undergo a single treatment session, with measurements taken immediately before and within 30 minutes after the intervention. During the study, researchers will measure vital signs such as heart rate, respiratory rate, oxygen saturation, and mean arterial pressure. They will also assess diaphragmatic excursion using ultrasound and evaluate respiratory distress and pulmonary complications through specific scales. Pulmonary spirometry and lung auscultation will be performed to monitor lung function. The study seeks to identify differences between the two physiotherapy approaches to improve respiratory care after cardiac surgery, with total participation lasting the duration of the treatment session and immediate follow-up.

Acute Effect of the Thoraco-abdominal Rebalance Method Postoperative Cardiac Surgery