Background: Coronary artery bypass surgery is associated with sever alteration of Lung parameters after 1st post-operative day. The purpose of this study to determine The effect of CPAP on, arterial blood gasses, walking time and long term effect on Ejection fraction and quality of life. Objective: To determine the effect of continues positive airway pressure on arterial blood gases, walking time, long term effect on ejection fraction and quality of life in post coronary artery bypass grafting patients. Methods: Randomized control study was conducted in North West General Hospital Peshawar, from July 2019 to December 2019. Patients underwent coronary artery bypass grafting were included in cardiac rehabilitation. 60 patients were randomly divided into two groups with equal half’s. Experimental group received exercises with continues positive airway pressure (CPAP) and control group received only exercise. PAP was applied 20 minutes prior to exercise and ABG’s test and Vitals were recorded after 5minutes of exercise. Walking time was observed by 6MWT on last day of hospital discharge. Ejection fraction was observed by Echo and quality of life by SF12 questionnaire after four weeks. Results: mean age in control group was (55.27±8.80) and in experimental group was (4.70±1.535). Mean and standard deviation of post Echo in experimental group was 48.30±1.493 and control group was 46.17±1.191. Both groups showed significant difference P value less than 0.05 in arterial blood gases PH, HCO3, and PCO2. PO2 showed significant difference only in experimental group. Both groups showed statistically significant difference for 6 MWT. Mean of quality of life in experimental group was 37.4±5.062 and in control was 36.54±4.46. Conclusion: it is concluded that the use of CPAP in post CABG patients have effective outcome in arterial blood gases, walking time, ejection fraction and in quality of life. Keywords: Continuous Positive Airway Pressure, Coronary artery bypass graft surgery, Inpatients rehabilitations.
Background: Cerebral palsy is treated by various techniques but still more advancement is needed to find out the effects of sensory stimulation training on gross motor abilities in patients with hemiplegic cerebral palsy. Objectives: To determine the effect of sensory stimulation training on gross motor abilities in hemiplegic cerebral palsy. Methods: A single-blind randomized control trial was conducted at Al Rehman Hospital Phase II, Gulraiz Rawalpindi, spanning over 06 months from Feb 2019 to Jun 2019. The sampling technique was non-probability purposive sampling, Total sample size was 40, calculated through open epi, and randomly allocated into two groups equally by lottery method. Diagnosed hemiplegic cerebral palsy patients between 4 to 14 years of age, of both genders, did not receive special education and were not treated with sensory stimulation therapy, were included while any medical or surgical treatment before or during the study period was excluded. The Control group received Bobath Neurodevelopmental treatment, while the experimental group received sensory stimulation training by using Rody, swivel Cars, Foam Pogo Stick, Wobble Deck, Platform swing, trampoline, and Spooner board training five days a week for 6 weeks. Data was analyzed by SPSS 21, a Normality test was applied and results showed that data was normally distributed as the p-value of Shapiro-Wilk was <0.05. Results: Out of 40 hemiplegic cerebral palsy patients, 20 were in the experimental while 20 were in the control group among them 23(57.5%) were females and 17(42.5%) were males. GMFCS before the training in the experimental group was 3.65 + 0. 67, while in the control group was 3.55 + 0.60 with the P-value of 0.62. After the exercise program, the experimental group was 3.60 + 0.75, and the control group was 3.60 + 0.50 with the P-value of 1.00. Within-group analysis showed before and after training P-value was <0.01 in both experimental and control groups. Conclusion: It is concluded that sensory stimulation training improves gross motor abilities in hemiplegic cerebral palsy.
Objective: The objective of this study is to compare effect of balloon blowing exercise & incentive spirometer on Chest expansion, Improvement in lung volumes and capacities, Level of dyspnoea, and on Improvement in progression of walk in post-thoracotomy stable patients. Study Design: Randomized Controlled Trial Place and Duration of Study: Study was conducted in thoracic surgical ICU of Gulab Devi Hospital, Lahore for the period of 6 months from September 2018 - February 2019. Patients and Methods: The sample size was calculated through Open Epi, and it was 48. 24 subjects were assigned to control group A and 24 to experimental group B through non-purposive random sampling technique. Data was collected at base line, 3rd and 5th day after exercise therapy on above stated outcome measures, by using Tape Measure, Digital Spirometer, RPE Scale and Pedometer respectively, from non-critical post-thoracotomy patients. Control Group-A performed routine respiratory physiotherapy + incentive spirometry and Experimental Group- B performed routine respiratory physiotherapy + balloon blowing exercise. Results: BBE + routine respiratory physiotherapy was found equally effective on mentioned outcome measure as Incentive Spirometry + routine respiratory physiotherapy in stated patients. (P >0.05) Conclusion: Based upon statistical analysis, it can be concluded that incentive spirometer can be replaced with balloon-blowing exercise with conventional/routine respiratory physiotherapy in thoracotomy patients who have lung surgeries, to overcome post-op pulmonary complications or to achieve the same outcomes as that of incentive spirometer. Keywords: BBE, Incentive Spirometer, Routine Respiratory Physiotherapy, Post-Thoracotomy Patients
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