Impact of early balance training on recovering following coronary artery bypass grafting. A randomized trial.

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Title: Impact of early balance training on recovering following coronary artery bypass grafting. A randomized trial.
Authors: Atef, Hady (AUTHOR), Marques-Sule, Elena (AUTHOR), Moreno-Segura, Noemi (AUTHOR), Maged, Aliaa (AUTHOR), ELSayed, Shereen H. (AUTHOR), Pengelly, Jacqueline (AUTHOR), Ali, Hossam Fathy (AUTHOR), Ghaffar, Heba Abd El (AUTHOR)
Source: Clinical Rehabilitation. Jun2026, Vol. 40 Issue 6, p757-768. 12p.
Subjects: Effect sizes (Statistics), Therapeutics, Early medical intervention, Data analysis, T-test (Statistics), Research funding, Functional assessment, Blind experiment, Questionnaires, Randomized controlled trials, Exercise intensity, Health surveys, Multivariate analysis, Descriptive statistics, Coronary artery bypass, Convalescence, Quality of life, Statistics, Length of stay in hospitals, Adverse health care events, Confidence intervals, Cardiac rehabilitation, Postural balance, Rehabilitation
Abstract: Objective: To investigate the effect of early balance training combined with traditional Phase I cardiac rehabilitation (based on circulatory, respiratory and progressive aerobic exercises) compared to Phase I cardiac rehabilitation alone, on balance, functional capacity, quality of life, length of hospital stay and adverse events in patients post coronary artery bypass graft surgery. Design: Randomized controlled trial. Setting: Cardiothoracic surgery departments from the Cairo University Hospitals. Participants: Adults (≥55 years) undergoing coronary artery bypass graft were randomly allocated to either an early balance training plus Phase I cardiac rehabilitation group or a Phase I cardiac rehabilitation alone group. Both groups commenced within 48 hours postoperatively and performed 30 minutes of moderate-intensity Phase I cardiac rehabilitation, thrice daily for 7 days. The cardiac rehabilitation Balance group performed an additional 5 minutes of balance training each session. Main measures: Balance (Berg Balance Scale), functional capacity (5-Repetition-Sit-to-Stand test), quality of life (Short Form-36 Health Survey Questionnaire), length of hospital stay (number of days hospitalized) and adverse events were evaluated. Results: Sixty coronary artery bypass graft patients completed the study. When compared to cardiac rehabilitation Alone group, the cardiac rehabilitation balance group significantly improved balance (39.77 ± 4.73 vs 34.03 ± 4.94, respectively, P <.001) functional capacity (11.93 ± 1.70 vs 15.97 ± 2.01, respectively, P <.001), quality of life (71.87 ± 3.21 vs 66.17 ± 2.94, respectively, P <.001) and hospital length stay (11.47 ± 1.22 vs 14.93 ± 1.36, respectively, P <.01). Additionally, both groups showed significant improvements in balance, functional capacity and quality of life. No adverse events were registered in any of the groups. Conclusions: Phase I cardiac rehabilitation plus early balance training improves balance, functional capacity, quality of life, and decreases length of hospital stay beyond that of Phase I cardiac rehabilitation alone, without an increase in adverse events. Institutional Research Committee: No: P.T.REC/012/004372 Registration: clinicaltrails.gov NCT06490458). [ABSTRACT FROM AUTHOR]
Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Impact of early balance training on recovering following coronary artery bypass grafting. A randomized trial.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Clinical+Rehabilitation%22&quot;&gt;Clinical Rehabilitation&lt;/searchLink&gt;. Jun2026, Vol. 40 Issue 6, p757-768. 12p.
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– Name: Abstract
  Label: Abstract
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  Data: Objective: To investigate the effect of early balance training combined with traditional Phase I cardiac rehabilitation (based on circulatory, respiratory and progressive aerobic exercises) compared to Phase I cardiac rehabilitation alone, on balance, functional capacity, quality of life, length of hospital stay and adverse events in patients post coronary artery bypass graft surgery. Design: Randomized controlled trial. Setting: Cardiothoracic surgery departments from the Cairo University Hospitals. Participants: Adults (≥55 years) undergoing coronary artery bypass graft were randomly allocated to either an early balance training plus Phase I cardiac rehabilitation group or a Phase I cardiac rehabilitation alone group. Both groups commenced within 48 hours postoperatively and performed 30 minutes of moderate-intensity Phase I cardiac rehabilitation, thrice daily for 7 days. The cardiac rehabilitation Balance group performed an additional 5 minutes of balance training each session. Main measures: Balance (Berg Balance Scale), functional capacity (5-Repetition-Sit-to-Stand test), quality of life (Short Form-36 Health Survey Questionnaire), length of hospital stay (number of days hospitalized) and adverse events were evaluated. Results: Sixty coronary artery bypass graft patients completed the study. When compared to cardiac rehabilitation Alone group, the cardiac rehabilitation balance group significantly improved balance (39.77 &#177; 4.73 vs 34.03 &#177; 4.94, respectively, P &lt;.001) functional capacity (11.93 &#177; 1.70 vs 15.97 &#177; 2.01, respectively, P &lt;.001), quality of life (71.87 &#177; 3.21 vs 66.17 &#177; 2.94, respectively, P &lt;.001) and hospital length stay (11.47 &#177; 1.22 vs 14.93 &#177; 1.36, respectively, P &lt;.01). Additionally, both groups showed significant improvements in balance, functional capacity and quality of life. No adverse events were registered in any of the groups. Conclusions: Phase I cardiac rehabilitation plus early balance training improves balance, functional capacity, quality of life, and decreases length of hospital stay beyond that of Phase I cardiac rehabilitation alone, without an increase in adverse events. Institutional Research Committee: No: P.T.REC/012/004372 Registration: clinicaltrails.gov NCT06490458). [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1177/02692155251407320
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      – Code: eng
        Text: English
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        StartPage: 757
    Subjects:
      – SubjectFull: Effect sizes (Statistics)
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Functional assessment
        Type: general
      – SubjectFull: Blind experiment
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Exercise intensity
        Type: general
      – SubjectFull: Health surveys
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Coronary artery bypass
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Length of stay in hospitals
        Type: general
      – SubjectFull: Adverse health care events
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Cardiac rehabilitation
        Type: general
      – SubjectFull: Postural balance
        Type: general
      – SubjectFull: Rehabilitation
        Type: general
    Titles:
      – TitleFull: Impact of early balance training on recovering following coronary artery bypass grafting. A randomized trial.
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            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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