Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
ID07591987

Effect of Segmental Breathing Versus Active Cycle Breathing Techniques on Dyspnea and Cardiopulmonary Parameters Among Patients After Open Heart Surgery: Randomized Controlled Trial

Led by University of Baghdad · Updated on 2026-05-18

99

Participants Needed

3

Research Sites

13 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Open heart surgery can lead to breathing problems, reduced lung expansion, shortness of breath, and impaired heart and lung function after the operation. This research compares two breathing exercise methods—segmental breathing exercises and the active cycle breathing technique (ACBT)—to see how they affect breathing difficulty and heart-lung measures in adults after open heart surgery. The goal is to find the most helpful breathing exercise to support recovery and reduce lung complications after surgery. Participants will be randomly placed into three groups: one group will do segmental breathing exercises focused on specific lung areas, another group will perform ACBT, which includes breathing control and airway clearance techniques, and the third group will receive standard postoperative care without special breathing exercises. Exercises will be done after the breathing tube is removed, with sessions one hour and six hours after the intervention during the early recovery period. Throughout hospital stay, researchers will monitor oxygen levels, breathing rate, heart rate, and blood pressure before and after exercises. They will also assess how severe the shortness of breath is and watch for lung complications like atelectasis and pneumonia. The study aims to guide better breathing exercise choices for patients recovering from cardiac surgery and improve rehabilitation practices.

CONDITIONS

Brief Title

Effect of Different Breathing Techniques on Dyspnea and Cardiopulmonary Parameters Among Patients After Open Heart Surgery

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 75 years
  • Scheduled for elective open-heart surgery
  • Able to understand instructions and perform segmental and active cycle breathing techniques
  • Stable preoperative heart and lung condition
Not Eligible

You will not qualify if you...

  • Emergency cardiac surgeries
  • Severe lung diseases such as COPD, asthma, restrictive lung disease, atelectasis, or tuberculosis
  • Neurological disorders that affect breathing effort
  • Rib fractures, recent chest trauma, or conditions preventing coughing
  • Unable to give informed consent due to cognitive or language barriers

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Hospitalization period post-surgery

Participants undergo elective open-heart surgery and receive immediate postoperative care including extubation and stabilization.

1 hospital stay with continuous monitoring

Outpatient Treatment

Duration - Early postoperative period during hospitalization

Participants perform assigned breathing exercises (segmental breathing exercises or active cycle breathing technique) or receive standard postoperative care to improve respiratory function and reduce pulmonary complications after open heart surgery.

2 sessions within 6 hours post-intervention

Monitoring

Duration - Throughout hospitalization until discharge

Cardiopulmonary parameters including oxygen saturation, respiratory rate, heart rate, and blood pressure are monitored throughout hospitalization. Dyspnea and postoperative pulmonary complications are assessed.

Continuous monitoring during hospital stay

Trial Site Locations

Total: 3 locations

1

Ibn Al-Bitar Specialized Hospital for Cardiac Surgery

Baghdad, Baghdad Governorate, Iraq, 10001

Actively Recruiting

2

Iraqi Center for Heart Diseases

Baghdad, Baghdad Governorate, Iraq, 10001

Actively Recruiting

3

Al-Hassan Al-Mujtaba Hospital

Karbala, Kerbala Governorate, Iraq, 56001

Actively Recruiting

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Research Team

M

Muslim Aqeel Essa, Master Student

R

Rusul Khalid Kadhim, Master Student

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

Comparison the Effect of Active Cyclic Breathing Technique and Routine Chest Physiotherapy on Pain and Respiratory Parameters After Coronary Artery Graft Surgery: A Randomized Clinical Trial.

Ahmad Salehi Derakhtanjani, Ali Ansari Jaberi, Shahin Haydari...

https://pubmed.ncbi.nlm.nih.gov/31903332