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CTRI Number  CTRI/2025/04/084178 [Registered on: 04/04/2025] Trial Registered Prospectively
Last Modified On: 03/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Impact of Buteyko Breathing on Health and Fitness After Heart Valve Surgery 
Scientific Title of Study   Effect of Buteyko breathing and functional exercise capacity in valvular surgeries. A Randomized controlled trial 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Garima Sharma 
Designation  MPT Student  
Affiliation  Department of Physiotherapy, Gurugram University  
Address  Department of Physiotherapy, Gurugram University Sector 87, Gurugram, Haryana, 122505

Gurgaon
HARYANA
122505
India 
Phone  8168674032  
Fax    
Email  ginnisharma68@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonia 
Designation  Assistant Professor 
Affiliation  Department of Physiotherapy, Gurugram University  
Address  Department of Physiotherapy, Gurugram University sector 87, Gurugram, Haryana, 122505

Gurgaon
HARYANA
122505
India 
Phone  9416414362  
Fax    
Email  sonia@gurugramuniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  Garima Sharma 
Designation  MPT Student 
Affiliation  Department of Physiotherapy, Gurugram University  
Address  Department of Physiotherapy, Gurugram University sector 87, Gurugram, Haryana, 122505

Gurgaon
HARYANA
122505
India 
Phone  8168674032  
Fax    
Email  ginnisharma68@gmail.com  
 
Source of Monetary or Material Support  
Department of Physiotherapy, Gurugram University, Sector 87, Kankrola Village, Gurugram, Haryana, India, 122505 
 
Primary Sponsor  
Name  Department of Physiotherapy 
Address  Gurugram University, Sector 87, Gurugram, 122505 
Type of Sponsor  Other [University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Garima Sharma  Civil Hospital, Ambala Cantt, Haryana  Department of Physiotherapy, Civil Hospital, Ambala Cantt
Ambala
HARYANA 
91 8168674032

ginnisharma68@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Department of Physiotherapy, Gurugram University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Post Valvular Surgery 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Buteyo Breathing Exercise with Thoracic Chest Expansion  Buteyo Breathing Exercise with Thoracic Chest Expansion performed by post valvular surgery patients for 1 week daily for 30 minutes daily 
Comparator Agent  Diaphragmatic Breathing exercise with Thoracic chest expansion   Diaphragmatic Breathing exercise with Thoracic chest expansion performed by post valvular surgery patients for 1 week for 30 minutes daily. 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Subjects with Valve Replacement surgeries with post operative day 0
2. Both male and female
3. Subjects who can stand for at least 2 minutes without support.
4. Subjects of age 45 to 70 years
5. Degenerative valve replacement surgeries
 
 
ExclusionCriteria 
Details  1. Subjects with any other Neurological or musculoskeletal impairment that would interfere
in the participation in the study.
2. Subjects staying on ventilator for more than 3 days from the day of surgery 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Heart Rate, Respiratory Rate, Blood Pressure, Spo2, Dyspnea  Baseline and After 1 week 
 
Secondary Outcome  
Outcome  TimePoints 
Arterial Blood Gas  Baseline and After 1 week 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
Days="14" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The Buteyko Breathing Technique (BBT), which is named after its inventor Konstantin Pavlovich Buteyko, is one of the breathing technique that aims to regulate breathing. By alternating between periods of controlled breathing reduction and breath holding. One such key techniques proven to aid in the management of post cardiac surgery pulmonary complication.
The most significant contributor to post-operative complications is prolonged bed rest. Postoperative bed rest can contribute to multiple organ system dysfunction. Immobilization impairs oxygen transport ability, increases the risk of developing lower extremity deep vein thrombosis and even pulmonary thrombo embolism, and causes decrease in muscle mass and muscle strength. Despite these negative effects, bedding is prescribed after surgery. As for patients who had cardiac surgery, activity limitation has been presented to diminish cardiac overload. Early mobilization after surgery has many benefits, including increasing ventilation, muscle strength, and functional ability. 
Postoperative pulmonary complications are a common cause of morbidity and mortality in patients undergoing cardiac surgery, leading to an increase in length of hospital stay and healthcare costs. Breathing therapy exercises are a well-accepted intervention, introduced as treatment for cardiac surgery patients. The aim of these exercises, in the early postoperative period, is to reduce the risk of PPC, functional capacity impairment, and length of hospital stay due to altered pulmonary function. 
 
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