A Study to Evaluate the Hemodynamic Effects of Swiss Ball Exercises in Post Operative Coronary Artery Bypass Graft Patients

Goldy Jain, Dr. Chirag Purbia

Abstract: Background Swiss ball exercises for post - operative CABG patients, which are not, performed on large number of population the cardiovascular effect of exercises that involves coordination, stabilization, thoracic expansion and lung expansion and arm mobility exercises therefore, the study focused on evaluation of the hemodynamic effect of Swiss ball exercises on the cardiovascular system in post CABG Patients. Objective Of The Study The patients with coronary artery bypass graft patients can be early mobilize by Swiss ball exercises. The aim of the study is to investigate the hemodynamic effects of the treatment. We aim at assessing cardiovascular system. Design Convenient random sampling. Subjects Data was collected from Geetanjali Medical College and Hospital; Cardio Thoracic Vascular Surgery Intense Care Unit. Methodology This study includes 124 subjects both male and female of age 45 to 75 years who were eligible as per the inclusion criteria were divided into two groups - Group A (Swiss ball exercise individuals62 subjects) and Group B (conventional exercises individuals 62 subjects). Pre - participation subjective data along with consent forms were given to subjects to fulfill criteria for selection. Group A subject performed Swiss ball exercises and Group B subject perform conventional exercises from post - operative day 3 thrice a day. Heart Rate and Blood Pressure (Systolic and Diastolic BP) were recorded pre and post intervention each alternative day. Heart Rate was measured by manual palpatory method and Blood Pressure by Sphygmomanometer and secondary outcomes are respiratory rate and saturation oxygen. Results Results showed that there was a significant difference in HR; SBP; DBP during pre - exercise session and HR, SBP and DBP were significantly higher during post exercise session of group A and group B. Although, Group A (Swiss ball individuals) experienced more cardiovascular demand as increased but the intervention has cardiovascular effects on GROUP B (conventional individual) HR value 80.955 beat per mint (on day 4th p0.001, day 6th p0.001), SBP value 1385mmHg (on day 4th p0.001, day 6th p0.001), DBP value 755 mmHg (on day 4th p0.20, on day 6th p0.25). Conclusion Swiss ball exercises have effective cardiovascular effects on post - operative CABG patients. This intervention may include routine care in CABG patients.

Keywords: CABG, Swiss ball, heart rate, blood pressure, cardiac physiotherapy