[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642433":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":52,"collaborators":26,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":60,"acronym":26,"eligibilityCriteria":61,"healthyVolunteers":58,"sex":62,"minAge":63,"maxAge":26,"enrollmentInfo":64,"targetDuration":26,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":75,"overallStatus":40,"whyStopped":26,"lastUpdateSubmitDate":82,"lastUpdatePostDateStruct":83,"startDateStruct":86,"completionDateStruct":88,"leadSponsor":90,"locationsCount":91},{"fullName":5,"class":6},"Kaohsiung Veterans General Hospital.","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"(Control Group) Arm Title: Control Group - Routine Physical Therapy","ACTIVE_COMPARATOR","Routine Physical Therapy",[13],"Behavioral: Routine Physical therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Experimental: (Intervention Group) Arm Title: Myofascial Release + Routine Physical Therapy","EXPERIMENTAL","Experimental: (Intervention Group) Arm Title: Intervention Group - Myofascial Release+Routine Physical Therapy",[19],"Behavioral: myofascial release+Routine Physical Therapy",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","myofascial release+Routine Physical Therapy","Participants in the intervention group will receive seven daily sessions of myofascial release (MFR), approximately 15 minutes each, in addition to routine physical therapy. Routine therapy includes out-of-bed activities, incentive spirometry training (Triflow), and functional exercises.\n\nThe MFR procedure consists of three steps:\n\nTherapist places both hands on the thoracic outlet, with index and middle fingers above the clavicle.\n\nOne hand is placed on the anterior chest and the other parallel on the participant's back.\n\nBoth hands are placed on the anterolateral thoracoabdominal region. During each step, participants are instructed to take 10 slow, deep breaths, directing airflow toward the therapist's hands.",[15],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Routine Physical therapy","Participants in the control group will receive routine physical therapy only, including out-of-bed activities, incentive spirometry training (Triflow), and functional exercises. No additional myofascial release therapy will be provided.",[9],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Siou Pin Huang, PT (Physical Therapist)","CONTACT","+886 988 366 335","qaz9650921@gmail.com",[38],{"facility":39,"status":40,"city":41,"state":26,"zip":26,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Kaohsiung Veterans General Hospital","RECRUITING","Kaohsiung City","Taiwan","TW",{"type":45,"coordinates":46},"Point",[47,48],120.31333,22.61626,{"lat":48,"lon":47},[51],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},{"type":53,"investigatorFullName":54,"investigatorTitle":55,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Siou-Pin Huang","Physical Therapist, Department of Physical Therapy, Kaohsiung Veterans General Hospital","100642433","effects-of-myofascial-release-on-cardiac-patients-after-median-sternotomy-100642433",false,"NCT07649330","Effects of Myofascial Release on Cardiac Patients After Median Sternotomy","Inclusion Criteria:\n\n* Age ≥ 18 years\n* Able to communicate verbally and follow instructions\n* Diagnosed by a physician with coronary artery disease, valvular disease, or aortic disease\n* Undergoing median sternotomy\n* Able to provide informed consent\n\nExclusion Criteria:\n\n* Presence of a cardiac pacemaker\n* Presence of a ventricular assist device (VAD)\n* Existing central nervous system disorders (e.g., hemorrhagic or ischemic stroke, spinal cord injury, traumatic brain injury)\n* Cognitive impairment or inability to understand\u002Ffollow instructions\n* Diagnosed with chronic obstructive pulmonary disease (COPD)\n* History of previous thoracic surgery\n* ICU stay longer than 14 days","ALL","18 Years",{"count":65,"type":66},50,"ESTIMATED","INTERVENTIONAL",[69],"NA","After deciding to join this study and signing the informed consent form, participants will undergo the following interventions:\n\nAll participants will receive a preoperative assessment (Tp) before surgery. Within five days after transferring from the ICU to the general ward, participants will receive a baseline assessment (T0). After completing seven sessions of myofascial release (MFR), a post-intervention assessment (T1) will be conducted.\n\nAssessments include maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), pulmonary function tests, mid- and lower-thoracic mobility, surface electromyography (sEMG) to measure diaphragmatic and sternocleidomastoid muscle activity, and pain scores. Pulmonary function tests include forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1\u002FFVC ratio, and maximum voluntary ventilation (MVV).\n\nParticipants will be randomly assigned to an intervention group or a control group. The intervention group will receive myofascial release therapy in addition to routine physical therapy in the general ward. Routine therapy includes daily physical therapy sessions such as out-of-bed activities, incentive spirometry training (Triflow), and functional exercises. The MFR intervention consists of three steps:\n\nThe therapist places both hands on the thoracic outlet, with the index and middle fingers above the clavicle.\n\nOne hand is placed on the anterior chest and the other hand parallel on the participant's back.\n\nBoth hands are placed on the anterolateral region of the thoracoabdominal diaphragm.\n\nDuring each step, participants are instructed to take 10 slow, deep breaths and direct airflow toward the therapist's hands. Each session lasts approximately 15 minutes, once daily, for seven sessions.\n\nThe control group will receive only routine physical therapy (out-of-bed activities, incentive spirometry, and functional exercises) without additional myofascial release therapy.",[72,73,74],"Aortic Aneurysm and Dissection","Coronary Artery Disease (CAD)","Valve Heart Disease",[76,77,78,79,80,81],"Median Sternotomy","Cardiac Surgery","Coronary Artery Disease","Aortic Aneurysm","Aortic Dissection","Valvular Heart Disease","2026-06-09",{"date":84,"type":85},"2026-06-16","ACTUAL",{"date":87,"type":85},"2026-03-25",{"date":89,"type":66},"2027-09",{"name":54,"class":6},1]