Transitional Rehabilitation in CABG Patients



Status:Recruiting
Conditions:Peripheral Vascular Disease, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:50 - 80
Updated:3/29/2019
Start Date:September 1, 2017
End Date:August 31, 2019
Contact:Michael J Toth, PhD
Email:michael.toth@uvm.edu
Phone:802-656-7989

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Novel Transitional Rehabilitation Care in Coronary Artery Bypass Graft Patients

The goal of this research study is to understand whether an at-home exercise program started
soon after CABG surgery, and continuing for 4 weeks following discharge from the hospital,
can preserve or improve physical function.

Coronary artery bypass graft (CABG) surgery is a common surgical procedures and an important
treatment option for coronary artery disease. The post-surgery period of rest and recovery is
associated with cardiorespiratory and skeletal muscle deconditioning. The goal of this
research study is to understand whether an at-home exercise program started soon after CABG
surgery, and continuing for 4 weeks following discharge from the hospital, can serve as a
bridge between surgery and the start of cardiac rehabilitation to preserve or improve
physical function. Volunteers will be randomly assigned to receive neuromuscular electrical
stimulation (NMES) of their quadriceps muscles or not to receive NMES (control group).
Volunteers will be evaluated prior to CABG, upon discharge and 4 weeks Post-CABG surgery.
Assessments will include measurements of physical function by the Short Physical Performance
Battery, 6 min walk tests and body composition analysis, as well as assessment of subjective
physical functional capacity and quality of life using the Medical Outcomes Short form 36.
Additionally, accelerometry will be used to monitor weight-bearing physical activity during
the 4 week treatment phase.

Inclusion Criteria:

- 50-80 yrs of age

- ambulatory

- scheduled for coronary artery bypass graft surgery

- able to provide informed consent

Exclusion Criteria:

- rheumatoid arthritis or other inflammatory/autoimmune disease

- cancer, excluding non-melanoma skin cancer

- exercise limiting peripheral vascular disease

- neuromuscular disease or neuromuscular dysfunction associated with cerebrovascular
event

- body mass index >38 kg/m2

- valvular heart disease not corrected surgically

- lower extremity blood clot or implantable cardioverter-defibrillator
We found this trial at
1
site
1 South Prospect Street
Burlington, Vermont 05401
802-656-8990
Phone: 802-847-4549
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Burlington, VT
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