Thoracoabdominal rebalancing for better breathing after coronary bypass
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
This study will try the thoracoabdominal rebalancing (TAR) method versus standard physiotherapy to see if it improves diaphragmatic movement and lung function in adults over 35 after coronary artery bypass surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 26 (estimated) |
| Ages | 35 Years and up |
| Sex | All |
| Sponsor | Instituto de Cardiologia do Rio Grande do Sul Academic / other |
| Locations | 1 site (Porto Alegre, Rio Grande do Sul) |
| Trial ID | NCT06814951 on ClinicalTrials.gov |
What this trial studies
This randomized, single-blind trial enrolls adults older than 35 who are hemodynamically stable within 24 hours after coronary artery bypass grafting and who have a prescription for postoperative physiotherapy. Participants are randomized to receive either the thoracoabdominal rebalancing (TAR) method or conventional physiotherapy. Outcomes include diaphragmatic ultrasound and pulmonary spirometry, plus vital signs, respiratory distress scales, and postoperative pulmonary complications. The trial excludes patients intubated or on mechanical ventilation for more than 12 hours or requiring non-invasive ventilation, and is conducted at the Cardiology Institute of Rio Grande do Sul in Porto Alegre.
Who should consider this trial
Good fit: Ideal candidates are hemodynamically stable adults over 35 who underwent CABG within the past 24 hours and have a prescribed postoperative physiotherapy plan.
Not a fit: Patients who were intubated or on mechanical ventilation for more than 12 hours, or who require non-invasive ventilation before or during the study period, are unlikely to benefit from this protocol.
Why it matters
Potential benefit: If successful, TAR could improve diaphragmatic movement and lung function after CABG, reducing short-term respiratory complications and speeding recovery.
How similar studies have performed: Diaphragmatic ultrasound and targeted physiotherapy have shown benefits in other surgical populations, but specific evidence for the TAR method after CABG is limited and relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Individuals over 35 years of age who undergo coronary artery bypass graft surgery with prescribed physiotherapy treatment will be included in the study. Exclusion Criteria: * Patients who are intubated and/or have remained on mechanical ventilation for more than twelve hours, or who require non-invasive mechanical ventilation (NIV) before or during the collection period will be excluded.
Where this trial is running
Porto Alegre, Rio Grande do Sul
- Intituto de Cardiologia do Rio Grande do Sul — Porto Alegre, Rio Grande do Sul, Brazil (Recruiting)
Study contacts
- Principal investigator: Instituto de Cardiologia do Rio Grande do Sul — Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Brasil
- Study coordinator: Karolini R Branco
- Email: karolinireis@hotmail.com
- Phone: +55(051)995075412
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.