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Added Effect of Pranayama and Respiratory Muscle Training for Pain, Anxiety and Strength in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial

P Sushna, Dhanesh Kumar KU, Gopala Krishna

Background: Coronary Artery Disease (CAD) is common in adults. CABG is the most common surgical management for CAD in India. Pain and anxiety are commonly experience by patients undergoing cardiac surgery. These symptoms would result in prolonged recovery after surgery. Cardiac rehabilitation helps in faster recovery. Yoga is recognized as a most beneficial complementary and alternative therapy.

Objective: Effect of pranayama on pain and anxiety and respiratory muscle training in patient’s undergoing CABG.

Methods: All patients were screened based on inclusion and exclusion criteria prior to their assessment. Total of 42 subjects was randomized into group A (experimental, n=21), group B (Control, n=21). Experimental group was given pranayama and inspiratory muscle training on preoperative days and was continued from POD 4 TO POD 7 along with cardiac rehabilitation protocol. Group B followed cardiac rehabilitation protocol. Visual analog scale and Beck anxiety inventory score was assessed before the intervention and on POD 7.

Results: Experimental group showed effectiveness in VAS and BAI comparing to control group postoperatively.

Conclusion: From the study conducted we come to the conclusion that the outcomes measures pain, anxiety and strength differed during pre and post interventions in both the groups. Hence the selected interventions for the experimental group are effective in improving pain and anxiety.

Trial registration: Registration number of CTRI/2019/09/021281