NCT07230561

Early Mobilization After CABG Surgery

The Efficacy of Structured Early Mobilization Training in Patients After Coronary Artery Bypass Surgery: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (actual)
• Sponsor: Ta-Chung Chao · Academic / Other
• Sex: All
• Age: 40 Years – 85 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to learn if a structured early exercise program can help patients recover better in people who have just had coronary artery bypass surgery. The main questions it aims to answer are: * Does this early exercise improve fitness and walking ability? * Does it reduce the risk of muscle weakness (sarcopenia) after surgery? * Does it improve patients' quality of life? * Does it reduce feelings of anxiety and depression? Researchers will compare the group receiving the structured early exercise program (plus standard hospital care) to the group receiving standard hospital care only to see if the early exercise program leads to better and faster recovery. Participants in the exercise group will: * Start supervised exercise sessions within 24 hours after their surgery. * Perform these sessions twice a day for 30 minutes each, for 5 days. * The exercises include warm-ups, breathing exercises, walking or stationary cycling, and light resistance training.

Conditions

• Coronary Artery Disease
• Coronary Artery Bypass

Interventions

Type	Name	Description
BEHAVIORAL	Structured Early Mobilization Training	The training protocol was developed by integrating Phase 1 cardiac rehabilitation guidelines with an expert consensus approach from a multidisciplinary team. The intervention began within 24 hours postoperatively, was conducted for 5 days, twice daily, 30 min/session. Sessions included a 5-min warm-up (active/passive ROM), a 20-min main training (FITT principle: Intensity at resting heart rate + 20 bpm, max 120 bpm; Type: inspiratory muscle training, ROM, stationary cycling or bedside ambulation, resistance training), and a 5-min cool-down.
OTHER	Standard Hospital Nursing Care	The standard hospital nursing care included physiological monitoring, medication counseling, psychological support, disease-specific health education, instruction on the use of an incentive spirometer, and education on the importance and methods of rehabilitation.

Timeline

• Start date: 2024-07-01
• Primary completion: 2024-12-31
• Completion: 2025-01-31
• First posted: 2025-11-17
• Last updated: 2025-11-19

Locations

1 site across 1 country: Taiwan