30, November 2025

“EVALUATING THE EFFICACY OF ACAPELLA AND AEROBIKA IN ENHANCING PULMONARY FUNCTION IN POST -CABG” A RANDOMIZED CONTROL TRIAL

VOLUME-11; ISSUE-11; NOV-2025

Author(s): 1. Dr. Sachin Maghade, 2. Dr. Rudalee Husale 3. Ruchi Mahajan, 4. Vaishnavi Mujmule , 5. Divya Pawar , 6. Vaishnavi Bhalekar, 7. Vaibhavi Bhalekar, 8. Vaishnavi Gavate

Authors Affiliations:

  1. Associate Professor, Department of Cardio-Respiratory Physiotherapy, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai Maharashtra, and India.
  2. Assistant Professor, Department of Community Physiotherapy, MGM School of Physiotherapy Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai Maharashtra, and India.
  3. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.ORCID ID:0009-0006-6638-634x
  4. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.ORCID ID: 0009-0008-1270-8811
  5. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.
  6. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.
  7. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.
  8. Intern, MGM School of Physiotherapy, Chhatrapati Sambhajinagar, a constituent unit of MGMIHS, Navi Mumbai, Maharashtra,  India.

DOIs:10.2015/IJIRMF/202511025     |     Paper ID: IJIRMF202511025


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Introduction: Coronary artery bypass grafting (CABG) is a common surgical intervention for coronary artery disease (CAD), yet postoperative pulmonary complications such as atelectasis, pneumonia, and reduced lung function remain prevalent due to pain, anesthesia effects, and prolonged bed rest. Respiratory physiotherapy interventions, particularly Oscillatory Positive Expiratory Pressure (OPEP) devices like Acapella and Aerobika, have shown promise in improving pulmonary function, secretion clearance, and overall recovery. However, direct comparative evidence of their efficacy in post-CABG patients is limited.

Materials and Methodology: A randomized controlled trial was conducted on 60 post-CABG patients (aged 30–60 years), divided into three groups: Group A (Acapella with conventional chest physiotherapy), Group B (Aerobika with conventional chest physiotherapy), and Group C (conventional chest physiotherapy only). Outcome measures included pulse rate, respiratory rate, spirometry, breath holding test, PO₂, PCO₂, pH, and SpO₂, analyzed using the Mann–Whitney and Kruskal–Wallis tests (p< 0.05).

Results: Both Acapella and Aerobika groups showed significant improvements in pulmonary parameters (PO₂, PCO₂, pH, SpO₂, and pulse rate) with p< 0.0001, indicating enhanced oxygenation and ventilation compared to the control group. Between-group analysis revealed that Aerobika demonstrated greater improvement in PO₂, pH, and breath holding test levels, suggesting superior efficacy in restoring pulmonary function post-CABG.

Conclusion: Aerobika devices are effective in improving pulmonary function and gas exchange in post-CABG patients, as showing marginally better outcomes. Incorporating OPEP therapy alongside conventional physiotherapy can significantly reduce postoperative pulmonary complications and enhance recovery.

Coronary Artery Bypass Grafting(CABG),Acapella, Aerobika, Oscillatory Positive Expirative Pressure(OPEP),Forced Vital Capacity(FVC).

Dr. Sachin Maghade,  Dr. Rudalee Husale,  Ruchi Mahajan,  Vaishnavi Mujmule , Divya Pawar,  Vaishnavi Bhalekar,  Vaibhavi Bhalekar, Vaishnavi Gavate (2025); “EVALUATING THE EFFICACY OF ACAPELLA AND AEROBIKA IN ENHANCING PULMONARY FUNCTION IN POST -CABG” A RANDOMIZED CONTROL TRIAL, International Journal for Innovative Research in Multidisciplinary Field, ISSN(O): 2455-0620, Vol-11, Issue-11, Pp.154-159.          Available on –   https://www.ijirmf.com/

  1. Deb, Saswata, et al. “Coronary artery bypass graft surgery vs percutaneous interventions in coronary revascularization: a systematic review.” Jama 310.19 (2013): 2086-2095.
  2. Almur, Omar, et al. “Controversies in Antithrombotic Therapy for Patients With Coronary Artery Disease and Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: A Literature Review.” Clinical Medicine Insights: Cardiology 19 (2025): 11795468251361209.
  3. Shahjehan, Rai Dilawar, Sanjeev Sharma, and Beenish S. Bhutta. “Coronary artery disease.” StatPearls [Internet]. StatPearls Publishing, 2024.
  4. Siribaddana, Sisira. “Cardiac dysfunction in the CABG patient.” Current opinion in pharmacology 12.2 (2012): 166-171.
  5. Montrief, Tim, Alex Koyfman, and Brit Long. “Coronary artery bypass graft surgery complications: A review for emergency clinicians.” The American journal of emergency medicine 36.12 (2018): 2289-2297.
  6. Jannati, Mansour, and Armin Attar. “Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature.” Therapeutics and clinical risk management (2019): 773-781.
  7. Palanivel, Om Prakash, et al. “An Evidence-Based Approach to Non-Invasive Ventilation in Cardiac Rehabilitation after Coronary Artery Bypass Grafting (CABG).” Physical Therapy-Towards Evidence-Based Practice. IntechOpen, 2023.
  8. Shilpa, N., and H. C. Veena. “Peak flow meter and digital spirometer: A comparative study of peak expiratory flow rate values.” National Journal of Physiology, Pharmacy and Pharmacology 10.6 (2020): 508-508.
  9. Mrindha, Md Al-Amin, Md Ruhul Amin, and ARM Luthful Kabir. “Peak expiratory flow rate (PEFR)-A simple ventilatory lung function test.” Journal of Shaheed Suhrawardy Medical College 3.2 (2011): 44-47.
  10. Ranu, Harpreet, Michael Wilde, and Brendan Madden. “Pulmonary function tests.” The Ulster medical journal 80.2 (2011): 84.
  11. El-Sobkey, Salwa B., and Magdi Gomaa. “Assessment of pulmonary function tests in cardiac patients.” Journal of the Saudi heart Association 23.2 (2011): 81-86.
  12. Hassan, Wael, and Mohamed Elkhatieb. “Adjusting Ventilator Settings Based on ABG Results.” StatPearls [Internet]. StatPearls Publishing, 2024.
  13. Tayade, ViShakha, and ViShnu Vardhan. “Effect of Aerobika Device versus Acapella Device on Sputum Volume and Lung Func-tions in Chronic Obstructive Lung Disease Patients-A Research Protocol.” Journal of Clinical and Diagnostic Research 17.5 (2023).
  14. Jage, Bhagyashree, and Anuprita Thakur. “Effectiveness of Acapella along with institutional based chest physiotherapy techniques on pulmonary functions and airway clearance in post-operative CABG patients.” Hong Kong Physiotherapy Journal 42.02 (2022): 81-89.
  15. Alam, Masood, et al. “Comparing the effect of incentive spirometry with acapella on blood gases in physiotherapy after coronary artery bypass graft.” Cureus 12.2 (2020).
  16. Guzman, Marco, et al. “Efficacy of voice therapy with acapella choice® device in subjects with vocal fatigue delivered via telepractice.” Journal of Voice 39.1 (2025): 281-e11.
  17. Sheware, T. Banty. “Positive Expiratory Pressure Therapy Device, the Acapella in Post-ECMO Rehabilitation.” Journal of Cardiac Critical Care TSS 7.1 (2023): 21-24.
  18. Khoudigian-Sinani, Shoghag, et al. “Cost-effectiveness of the Aerobika* oscillating positive expiratory pressure device in the management of COPD exacerbations.” International journal of chronic obstructive pulmonary disease (2017): 3065-3073.
  19. Sahardin, Siti Nurhanis, et al. “Impact of Aerobika® oscillating positive expiratory pressure in improving small airway resistance, lung function, symptoms and exercise capacity in chronic obstructive pulmonary disease.” Frontiers in medicine 10 (2023): 1202380.
  20. Trudell Medical International. (n.d.). Quantity: 1 110501.
  21. Carvajal, Nathali, et al. “Effectiveness of oscillatory instrumental bronchial clearance techniques in the treatment of Chronic Obstructive Pulmonary Disease, a systematic review.” Retos 60 (2024): 681-694.
  22. Angerpointner, Thomas A., Alan E. Farnsworth, and Bryn T. Williams. “Effects of PEEP on cardiovascular dynamics after open-heart surgery: a new postoperative monitoring technique.” The Annals of Thoracic Surgery 23.6 (1977): 555-559.
  23. Wetterslev, J., et al. “Optimizing peroperative compliance with PEEP during upper abdominal surgery: effects on perioperative oxygenation and complications in patients without preoperative cardiopulmonary dysfunction.” European journal of anaesthesiology 18.6 (2001): 358-365.
  24. Katke, Sneha V., M. Anthikat, and S. Maghade. “Immediate effects of chest wall stretching on the pulmonary function of the 21k marathon runners.” International Journal of Physical Education, Sports, and Health 7 (2020): 1.
  25. Gomes, Stefee, et al. “Immediate effect of diaphragmatic strengthening in breath holding test on obese class I students.” Int J Yoga Physiother Phys Educ 6.4 (2021): 25-28.
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