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CTRI Number  CTRI/2026/03/106459 [Registered on: 18/03/2026] Trial Registered Prospectively
Last Modified On: 17/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Breathing Exercises and Early Movement to Improve Lung Function in Children After Heart Surgery: A Pilot Study 
Scientific Title of Study   Effect Of Inspiratory Muscle Training and Early Mobilization to Improve Oxygenation and Pulmonary Functions in Patients with Pediatric Cardiac Surgery: A Pilot 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  Dr Sanika Girish Khawase 
Designation  Postgraduate Student  
Affiliation  MGM Institute of Physiotherapy  
Address  Department of Cardiovascular and respiratory physiotherapy, MGM Institute of Physiotherapy,Chh Sambhajinagar

Aurangabad
MAHARASHTRA
431003
India 
Phone  9503224053  
Fax    
Email  sanikaphysio28@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vaibhav Kapre  
Designation  Professor  
Affiliation  MGM Institute of Physiotherapy 
Address  Department of Cardiovascular and respiratory physiotherapy, MGM Institute of Physiotherapy,Chh Sambhajinagar

Aurangabad
MAHARASHTRA
431003
India 
Phone  9425346903  
Fax    
Email  vaibhavkapre@mgmiop.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Vaibhav Kapre  
Designation  Professor  
Affiliation  MGM Institute of Physiotherapy 
Address  Department of Cardiovascular and respiratory physiotherapy, MGM Institute of Physiotherapy,Chh Sambhajinagar


MAHARASHTRA
431003
India 
Phone  9425346903  
Fax    
Email  vaibhavkapre@mgmiop.edu.in  
 
Source of Monetary or Material Support  
nil  
 
Primary Sponsor  
Name  MGM Institute of Physiotherapy  
Address  N-6,Cidco, Chhatrapati Sambhajinagar, 431003, Maharashtra, India  
Type of Sponsor  Research institution and hospital 
 
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 
Dr Sanika Girish Khawase  MGM Institute of Physiotherapy  Department of Cardiovascular and respiratory physiotherapy, MGM Institute of Physiotherapy,Chh Sambhajinagar
Aurangabad
MAHARASHTRA 
9503224053

sanikaphysio28@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICS COMMITTEE FOR RESEARCH ON HUMAN SUBJECTS,Department of Pharmacology , MGM Medical College   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I52||Other heart disorders in diseasesclassified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inspiratory Muscle training and early mobilisation   The intervention group includes inspiratory muscle training using an inspiratory muscle trainer combined with early mobilization according to the Leuven protocol in pediatric patients following cardiac surgery. this intervention will be given for 6 days a week for a period of 1 week after the surgery.  
Comparator Agent  Usual Physiotherapy Care  The control group will receive the usual physiotherapy protocol, including basic breathing exercises and mobility training. This intervention will be given for a period of 6 days/ week for 1 week after the surgery. 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  1. Both Male and female
2. Age 4-14 years
3. Both Invasive and Non-Invasive cardiac surgery procedures 
 
ExclusionCriteria 
Details  1. Unstable patients
2. Patients with any neurological defect (eg- spina bifida,cerebral palsy)
3. Patients on mechanical ventilation support. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Oxygenation
2. Pulmonary Functions-Pimax
3. ABG Analysis-pH.PCO2 
At baseline and on the 6th day of the surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1. Heart Rate
2. respiratory Rate
3. Pain  
At baseline and on the 6th day of the surgery  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   28/03/2026 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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   Male or female participants age 4-14 years are included in the study based on specific eligibility criteria. Informed written and verbal consent will be obtained from the parents of the participants before data collection. Demographic information including name age gender relevant medical and surgical history will be documented. All outcome variables will be measured on the first day before intervention, and on 6th day of surgery participants will be randomly allocated into 2 groups using block randomization: the interventional group will receive inspiratory muscle training with early mobilisation , while the control group will receive usual physiotherapeutic care. The outcome measure will include Oxygenation, Pulmonary functions, ABG Analysis, Heart rate, respiratory rate, Pain and the final conclusion will be drawn based on the comparative effectiveness of the intervention. 
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