Early cardiac rehabilitation after CABG with an upper-limb arm cycle versus standard arm exercises
Effects of Phase I Cardiac Rehabilitation With and Without Upper Limb Cycle Ergometer in Immediate Post-Operative Period of CABG
This project will test whether adding an upper-limb cycle ergometer to early rehab after CABG helps people with coronary artery disease recover better than standard arm exercises.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 44 (estimated) |
| Ages | 40 Years to 65 Years |
| Sex | All |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Trial ID | NCT07128849 on ClinicalTrials.gov |
What this trial studies
This randomized clinical trial enrolls adults after coronary artery bypass grafting and compares phase I cardiac rehabilitation that includes an upper-limb cycle ergometer to the same rehab program without the ergometer. Participants are recruited in the immediate postoperative, post-extubation period and must be hemodynamically stable and able to perform upper-limb activity. Outcomes include quality of life, dyspnea, functional measures, cardiovascular parameters, and upper-limb strength and range of motion. The trial is conducted at a Lahore hospital affiliated with the sponsoring university using convenience sampling of eligible CABG patients.
Who should consider this trial
Good fit: Ideal participants are adults aged 40–65 with planned CABG who are hemodynamically stable, extubated, and able to perform upper-limb exercises without orthopedic or neurologic contraindications.
Not a fit: Patients with significant pulmonary disease, thyroid disorders, prolonged mechanical ventilation (>24 hours), unstable blood pressure or heart rate, orthopedic or neurologic limitations, intra-aortic balloon use, or major postoperative complications are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, adding arm-ergometer sessions could speed recovery by improving upper-limb strength, mobility, breathing symptoms, and overall functional recovery after CABG.
How similar studies have performed: Prior small rehabilitation studies and reports have shown that arm ergometry can improve upper-limb strength, function, and psychosocial outcomes, but randomized data in immediate post-CABG phase I settings are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Planned CABG patients * 40-65 years * Both male and female * Hemodynamic stable patients * Post extubation Exclusion Criteria: * Patients suffering from pulmonary diseases and thyroid disorders * Mechanical ventilation more than 24 hr * Mean arterial pressure i.e, \< 60 mmHg or \> 140 mmHg and heart rate not more than 120bpm * Having an orthopedic condition that makes the use of upper and lower extremity impossible. * Who have neurological impairment influencing breathing rate and heart rate. * Who required the implantation of an intra-aortic balloon during surgery * Who experienced postoperative complications such as pulmonary embolism
Where this trial is running
Lahore, Punjab Province
- Gulab Devi Hospital — Lahore, Punjab Province, Pakistan (Recruiting)
Study contacts
- Principal investigator: Iram Nawaz, Mphill — Riphah International University
- Study coordinator: imran amjad, Phd
- Email: imran.amjad@riphah.edu.pk
- Phone: 03324390125
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.