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IMPACT OF PRE- AND EARLY POST-OPERATIVE ISOMETRIC HANDGRIP TRAINING ON FUNCTIONAL CAPACITY AND AUTONOMIC FUNCTION AFTER STERNOTOMY

RecruitingNAAges 40 Years - 55 YearsMaleCairo University
NCT07906873 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study aims to evaluate the effect of isometric hand grip (IHG) training on functional capacity and autonomic function before and after sternotomy. Open heart surgery causes significant physiological stress, functional decline, and autonomic dysfunction. Patients undergoing sternotomy will be assessed for 6-minute walk test (6MWT), heart rate recovery (HRR), hemodynamic stability, rate pressure product (RPP), hand grip strength, and anxiety level. The intervention group will perform IHG training at 30% of maximal voluntary contraction, 2 minutes contraction per hand followed by 1 minute rest, for 20 minutes daily (2-3 days before surgery and 24 hours once the patient is stabilized after sternotomy), in addition to standard care sessions (breathing and mobilization exercises). This low-cost, safe intervention aims to improve early cardiac rehabilitation, reduce complications, and enha

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📋 Eligibility rules (as published)
Inclusion Criteria: Male patients aged 40-55 years * \- Ejection fraction (EF) \>40% as documented by pre-operative echocardiography * \- Patients undergoing elective open-heart surgery via median sternotomy (e.g., CABG, single or double valve replacement) * \- Cognitive ability to follow exercise instructions * \- Sternal stability with no evidence of post-operative sternal complications * \- Hemodynamically stable for at least 24-48 hours postoperatively * \- Stable cardiac rhythm (sinus rhythm or well-controlled atrial fibrillation with resting heart rate \<100 bpm) Exclusion Criteria: * Sternal infection or wound complications * \- Medically unstable postoperative condition preventing safe participation in exercise training * \- Musculoskeletal or cognitive impairments limiting ability to participate in exercise training * \- Previous cardiac surgery * \- Anemia * \- Uncontrolled hypertension * \- Cardiac arrhythmia or angina
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What it tests

  • Isometric Handgrip Training using analogue hand dynamometer
  • Standard care including breathing and motor exercises
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Where

1 site
National heart institute
Giza, Egypt
🤝 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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