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Effects of Tai Chi exercises on physical activity and pulmonary function in patients with coronary artery bypass grafting
Razzaq M, Obaid S, Tariq I, Iqbal MA, Kiani SK, Ramzan T
Journal of Medical Sciences (Peshawar) 2023 Nov;31(4):261-265
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To determine the effects of Tai Chi exercises on physical activity, pulmonary function, and rate of perceived exertion in post-coronary artery bypass grafting patients. MATERIALS AND METHODS: A randomized control trial was conducted in the Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi Pakistan from January 2018 to July 2018. 50 post-coronary artery bypass grafting patients were calculated by the open epi tool and randomly allocated into two groups in equal halves through non-probability purposive sampling with the toss the coin method. 40 to 60 years males and females with > 40% ejection fraction were included while vitally unstable patients were excluded. The experimental group was given Tai Chi exercises while the control group was given a bicycle. Levels of physical activity and pulmonary functions were assessed at baseline, 4thand 6th week of training. RESULTS: Out of the total sample size only 39 were analyzed 11 were dropped off due to not following proper follow-up, and there was no statistical difference in heart rate p = 0.095. Oxygen saturation shows a significant difference with p < 0.001, Physical activity was low at baseline but after exercise training, the Tai Chi group showed great improvement p < 0.01. Pulmonary functions showed statistically insignificant results p = 0.865. The rate of perceived exertion was high in 2nd week and gradually decreased with the mean of 3.20 and 3.37 while the time of exercise was improved with p < 0.01. CONCLUSIONS: Tai Chi exercises have better improvement in pulmonary function, rate of perceived exertion, time of exercise, and physical activity in post-coronary artery bypass grafting patients.

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