| CTRI Number |
CTRI/2025/03/082144 [Registered on: 11/03/2025] Trial Registered Prospectively |
| Last Modified On: |
02/03/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
How Rib Raising Affects Breathing and Quality of Life in Heart Surgery Patients A Before and After Study |
|
Scientific Title of Study
|
Effect of Rib Raising Technique on Lung Expansion and Quality of Life Among CABG Patients - A Pre-Post Experimental Study |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Aleena Kennet |
| Designation |
post graduate student |
| Affiliation |
NITTE Institute of Physiotherapy |
| Address |
Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
08197857919 |
| Fax |
|
| Email |
aleenakennet@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Mrs Abeeshna Ashok |
| Designation |
Assisstant professor |
| Affiliation |
NITTE institute of physiotherapy |
| Address |
Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
9895724380 |
| Fax |
|
| Email |
abeeshnaashok@nitte.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Mrs Abeeshna Ashok |
| Designation |
Assisstant professor |
| Affiliation |
NITTE institute of physiotherapy |
| Address |
Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
9895724380 |
| Fax |
|
| Email |
abeeshnaashok@nitte.edu.in |
|
|
Source of Monetary or Material Support
|
| Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka 575018, India |
|
|
Primary Sponsor
|
| Name |
Nitte Deemed to be University |
| Address |
Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India |
| Type of Sponsor |
Research institution |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Aleena Kennet |
Justice K S Hegde Charitable Hospital |
Department of Physiotherapy, Room no 20, second base division, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India
Dakshina Kannada
KARNATAKA |
08197857919
aleenakennet@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee of NITTE Institute of Physiotherapy |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: I257||Atherosclerosis of coronary arterybypass graft(s) and coronary artery of transplanted heart with angina pectoris, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
nil |
nil |
| Intervention |
Rib raising technique |
the therapist places hands under the patients thorax contacting the rib angles with pads of the fingers beginning with rib 1. Applies gentle traction in an anterior or lateral direction with flexed fingers. When the muscles soften the therapist repositions hands on the next lower area of thorax. Repeated on the contralateral side as well. Patients will receive single session of rib raising from postoperative day 3 to 7 for 15 minutes |
|
|
Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
Patients who are scheduled for CABG surgery.
Patients with age between 30 to 70 years.
Patients with no active infections at the time of recruitment that is no fever, sepsis, or wound infection.
Patients with impaired but manageable baseline respiratory function.
Patients with chest expansion measurement less than 1.12 inches at axillary region and less than 1.41 inches at the level of xiphisternum.
Patients with WHOQOLBREF score less than 60.
|
|
| ExclusionCriteria |
| Details |
Patients with pre-existing comorbidities COPD, heart failure, MI, CKD.
Patients with unstable vitals
Patients who are not willing to participate.
Prolonged period on mechanical ventilator
patients who cannot understand language |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
chest expansion using inch tape
WHOQOL BREF questionnaire |
Baseline assessments will be taken twice. before surgery earliest by one day and on postoperative day 7 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| nil |
nil |
|
|
Target Sample Size
|
Total Sample Size="50"
Sample Size from India="50"
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
16/04/2025 |
| Date of Study Completion (India) |
22/12/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
22/12/2025 |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Completed |
| Recruitment Status of Trial (India) |
Completed |
|
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 study investigates the effectiveness of the rib raising technique on lung expansion and quality of life in patients undergoing Coronary Artery Bypass Grafting (CABG). Post-CABG, patients often experience restricted lung expansion due to pain and immobility, which can impact recovery and overall well-being. Rib raising, a manual osteopathic technique, is believed to enhance rib cage mobility, lymphatic drainage, and respiratory function, potentially aiding in post-surgical recovery. This pre-post experimental study evaluates changes in chest expansion (measured using an inch tape) and quality of life (assessed through the WHOQOL-BREF questionnaire) before and after administering the technique from POD-3 to POD-7. The findings aim to provide evidence for integrating rib raising into post-CABG physiotherapy protocols to improve patient outcomes. |