Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06647212
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
None
First Post:
2024-09-29
Brief Title:
Harmonica Exercises for Patients Undergoing Cardiac Rehabilitation
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Effect of Harmonica Exercises on Cardiorespiratory Exercise Capacity Parameters Quality of Life and Symptoms of Depression in Patients Undergoing Cardiac Rehabilitation
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
HARMONYCR
Brief Summary:
The study aims to assess the effects of exercises using the harmonica on the exercise capacity the level of depressive symptoms and disease related quality of life in patients suffering from heart disease attending cardiac rehabilitation program
The main questions it aims to answer are
Does harmonica exercise improve exercise capacity in patints with herat disease Does harmonica exercise affect depression levels and health-related quality of life in patients with heart disease
Researchers will explore the effect of harmonica exercise on exercise capacity and selected psychological aspects of patients participating in cardiac rehabilitation program
Participants will
Complete a cardiac rehabilitation program with assessment of exercise capacity at the beginning and end of the program Perform breathing exercises only or breathing exercises and harmonica exercises Keep a diary of their exercises
The main questions it aims to answer are
Does harmonica exercise improve exercise capacity in patints with herat disease Does harmonica exercise affect depression levels and health-related quality of life in patients with heart disease
Researchers will explore the effect of harmonica exercise on exercise capacity and selected psychological aspects of patients participating in cardiac rehabilitation program
Participants will
Complete a cardiac rehabilitation program with assessment of exercise capacity at the beginning and end of the program Perform breathing exercises only or breathing exercises and harmonica exercises Keep a diary of their exercises
Detailed Description:
The project concerns patients with heart diseases participating in a hybrid cardiac rehabilitation program The hybrid cardiac rehabilitation program takes place in two periods an initial hospital stay and a main period at home The initial period allows for the optimization of pharmacotherapy performing necessary laboratory tests performing assessment of exercise capacity planning and conducting training sessions education focuses on pro-healty behaviours and psychological counseling The main period is carried out at home and consists of systematic physical training carried out under the supervision of medical personnel
As part of the effects of cardiac rehabilitation it is recommended to perform endurance training appropriate to the patientamp39s clinical condition elements of resistance training and a set of general exercises including breathing relaxation stretching balance and agility exercises Breathing exercises are used to improve breathing efficiency and increase the capacity of the respiratory system The exercises can be performed in a static form when the patient inhales and exhales in a specific respiratory path and in a dynamic form when breathing exercises are combined with movements of the limbs or torso The training is performed 3-5 times a week for a minimum of 8 weeks duration is approximately 20-30 minutes Exercises on the harmonica consist of repeatedly overcoming the very small respiratory resistance created by the instrument during inhalation and exhalation which results in the generated sound Therefore - unlike most other wind instruments which have an adverse effect on the respiratory system - the harmonica was used in exercises for patients with significant respiratory diseases In the available literature there are no studies on the use of the harmonica in patients with heart diseases
One of the most serious and widespread problems of patients with cardiovascular diseases is reduced quality of life and symptoms of depression Therapy or rehabilitation using music can improve the mental state sense of self-efficacy and sense of bond with other people especially among people with symptoms of mood disorders PTSD or substance abuse There are no studies on the effect of musical interventions eg using a harmonica on the somatic and emotional state of people after cardiovascular incidents
The harmonica exercises were developed by a professional musician music educator and health sociologist Duration of a single exercise session 30 - 10 minutes During the hospital stage patients will have three lessons with musicians and will receive materials for home exercises Online communication with musicians will also be possible in case of doubts about the exercises Harmonicas used in the study standard diatonic harmonicas Principle of exercises chord playing based primarily on playing rhythms not melodies which is the equivalent of exercises for people starting to learn to play the diatonic harmonica
Patients will receive diaries describing the recommended breathing exercises for the control group and additionally exercises with the harmonica for the study group In both groups patients record the amount and time of exercises After the completion of the rehabilitation cycle 4-5 weeks an assessment of the patientamp39s exercise capacity and psychological state will be performed oriented to refer to the projectamp39s goal
Study type prospective randomized open clinical trial with a control group involving patients admitted to a rehabilitation program who express informed consent to participate in the study Selection to the study or control group will be randomized after the participant expresses consent to participate
Study group patients randomized to the study group were given a breathing exercise program using a standard diatonic mouth harmonica as the only additional element added to the rehabilitation program Control group patients following standard rehabilitation program Methods baseline clinical and laboratory data will be collected To assess physical exercise capacity fallowing will be performed cardiopulmonary exercise stress test 6-minute walk test To assess psychological status the self-reported questionnaires EQ-5D VAS Brief IPQ-R and PHQ-9 will be administered
Data collection The measurements will be taken at randomization and follow-up the end of rehabilitation cycle
As part of the effects of cardiac rehabilitation it is recommended to perform endurance training appropriate to the patientamp39s clinical condition elements of resistance training and a set of general exercises including breathing relaxation stretching balance and agility exercises Breathing exercises are used to improve breathing efficiency and increase the capacity of the respiratory system The exercises can be performed in a static form when the patient inhales and exhales in a specific respiratory path and in a dynamic form when breathing exercises are combined with movements of the limbs or torso The training is performed 3-5 times a week for a minimum of 8 weeks duration is approximately 20-30 minutes Exercises on the harmonica consist of repeatedly overcoming the very small respiratory resistance created by the instrument during inhalation and exhalation which results in the generated sound Therefore - unlike most other wind instruments which have an adverse effect on the respiratory system - the harmonica was used in exercises for patients with significant respiratory diseases In the available literature there are no studies on the use of the harmonica in patients with heart diseases
One of the most serious and widespread problems of patients with cardiovascular diseases is reduced quality of life and symptoms of depression Therapy or rehabilitation using music can improve the mental state sense of self-efficacy and sense of bond with other people especially among people with symptoms of mood disorders PTSD or substance abuse There are no studies on the effect of musical interventions eg using a harmonica on the somatic and emotional state of people after cardiovascular incidents
The harmonica exercises were developed by a professional musician music educator and health sociologist Duration of a single exercise session 30 - 10 minutes During the hospital stage patients will have three lessons with musicians and will receive materials for home exercises Online communication with musicians will also be possible in case of doubts about the exercises Harmonicas used in the study standard diatonic harmonicas Principle of exercises chord playing based primarily on playing rhythms not melodies which is the equivalent of exercises for people starting to learn to play the diatonic harmonica
Patients will receive diaries describing the recommended breathing exercises for the control group and additionally exercises with the harmonica for the study group In both groups patients record the amount and time of exercises After the completion of the rehabilitation cycle 4-5 weeks an assessment of the patientamp39s exercise capacity and psychological state will be performed oriented to refer to the projectamp39s goal
Study type prospective randomized open clinical trial with a control group involving patients admitted to a rehabilitation program who express informed consent to participate in the study Selection to the study or control group will be randomized after the participant expresses consent to participate
Study group patients randomized to the study group were given a breathing exercise program using a standard diatonic mouth harmonica as the only additional element added to the rehabilitation program Control group patients following standard rehabilitation program Methods baseline clinical and laboratory data will be collected To assess physical exercise capacity fallowing will be performed cardiopulmonary exercise stress test 6-minute walk test To assess psychological status the self-reported questionnaires EQ-5D VAS Brief IPQ-R and PHQ-9 will be administered
Data collection The measurements will be taken at randomization and follow-up the end of rehabilitation cycle
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None