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Additional Effects of Flutter With Conventional Chest Physiotherapy on Peak Expiratory Flow Rate and Chest Expansion in Post CABG Patients With COPD

RecruitingNAAges 40 Years - 70 YearsAllFoundation University Islamabad
NCT07875049 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Flutter therapy is an oscillating positive expiratory pressure (OPEP) technique that combines positive expiratory pressure with airway oscillations to facilitate mobilization and clearance of respiratory secretions. Conventional chest physiotherapy includes deep breathing exercises, incentive spirometry, airway-clearance techniques, splinted coughing and early mobilization to promote lung expansion and secretion clearance. A total of 94 patients aged 40-70 years with mild-to-moderate COPD undergoing elective coronary artery bypass grafting (CABG) will be enrolled in this randomized controlled trial and will be randomly allocated into two groups, with 47 participants in each group. The intervention group will receive conventional chest physiotherapy combined with Flutter therapy, while the control group will receive conventional chest physiotherapy alone. Both groups will receive supervis

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adults aged 40-70 years undergoing elective CABG * Pre-existing COPD (mild- moderate), clinically diagnosed COPD * Early post-operative (24-72 hrs.), extubated and hemodynamically stable * No mechanical ventilation beyond 24 hrs., stable vitals (HR: 60-100bpm, SBP :110-130mmhg), no vasopressors. * Follow commands, provide consent and perform assessments. Exclusion Criteria: * Patients undergoing emergency CABG or revision/repeat CABG procedure * Patients with severe COPD or intersitial lung disease * Contraindications positive expiratoey pressure (PEP) therapy (e.g, untreated pneumothorax, hemoptysis or recent esophageal surgery). * Hemodynamically unstable patients post-operatively. * Patients with neurological, musculoskeletal or cognitive impairments. * Patients with active infections, malignancy. * Patients with severe or uncontrolled comorbidities(e.g; renal failure). * Patients in BiPAP.
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What it tests

  • Conventional Chest Physiotherapy
  • Flutter device with conventional chest physiotherapy
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Where

1 site
Foundation University Islamabad
Rawalpindi, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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