ClinicalTrials.gg
RecruitingNCT07649330Updated Jun 16, 2026

Effects of Myofascial Release on Cardiac Patients After Median Sternotomy

An interventional study of myofascial release+Routine Physical Therapy and Routine Physical therapy in Aortic Aneurysm and Dissection, Coronary Artery Disease (CAD) and Valve Heart Disease, sponsored by Siou-Pin Huang. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-16.

Primary conditionCoronary Artery DiseaseRegistry: Aortic DissectionReclassifiedWhy we changed it
Registry
Aortic Dissection — the first condition term the registry derived for this study.
ClinicalTrials.gg
Coronary Artery Disease
Why
  1. The registry often attaches Aortic Dissection to studies about something else, and this study's title and listed conditions do not name it.
  2. The study's listed conditions name Coronary Artery Disease.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Siou-Pin Huang · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

After deciding to join this study and signing the informed consent form, participants will undergo the following interventions:

All 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.

Assessments 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/FVC ratio, and maximum voluntary ventilation (MVV).

Participants 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:

The therapist places both hands on the thoracic outlet, with the index and middle fingers above the clavicle.

One hand is placed on the anterior chest and the other hand parallel on the participant's back.

Both hands are placed on the anterolateral region of the thoracoabdominal diaphragm.

During 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.

The control group will receive only routine physical therapy (out-of-bed activities, incentive spirometry, and functional exercises) without additional myofascial release therapy.

02

Conditions studied

  • Aortic Aneurysm and Dissection
  • Coronary Artery Disease (CAD)
  • Valve Heart Disease

Keywords

  • Median Sternotomy
  • Cardiac Surgery
  • Coronary Artery Disease
  • Aortic Aneurysm
  • Aortic Dissection
  • Valvular Heart Disease
03

In context

Coronary Artery Disease Reclassified

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

This study's planned enrollment of 50 is below the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

This is the only study on the registry with Siou-Pin Huang as lead sponsor.

Compared within Coronary Artery Disease, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Aortic Dissection. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years
  • Able to communicate verbally and follow instructions
  • Diagnosed by a physician with coronary artery disease, valvular disease, or aortic disease
  • Undergoing median sternotomy
  • Able to provide

Exclusion criteria

Exclusion Criteria:

  • Presence of a cardiac pacemaker
  • Presence of a ventricular assist device (VAD)
  • Existing central nervous system disorders (e.g., hemorrhagic or ischemic stroke, spinal cord injury, traumatic brain injury)
  • Cognitive impairment or inability to understand/follow instructions
  • Diagnosed with (COPD)
  • History of previous thoracic surgery
  • ICU stay longer than 14 days
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    (Control Group) Arm Title: Control Group - Routine Physical Therapy

    Routine Physical Therapy

    Behavioral: Routine Physical therapy

  • Experimental
    Experimental: (Intervention Group) Arm Title: Myofascial Release + Routine Physical Therapy

    Experimental: (Intervention Group) Arm Title: Intervention Group - Myofascial Release+Routine Physical Therapy

    Behavioral: myofascial release+Routine Physical Therapy

Interventions

  • Behavioralmyofascial 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. The MFR procedure consists of three steps: Therapist places both hands on the thoracic outlet, with index and middle fingers above the clavicle. One hand is placed on the anterior chest and the other parallel on the participant's back. Both 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.

  • BehavioralRoutine 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.

06

What researchers measure

Primary outcomes

  1. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP)

    1. Maximum Inspiratory Pressure (MIP): Unit : cmH₂O 2. Maximum Expiratory Pressure (MEP): Unit : cmH₂O

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

Secondary outcomes

  1. 1. Forced Vital Capacity (FVC)

    1\. Forced Vital Capacity (FVC) Unit of Measure: liters (L)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  2. Forced Expiratory Volume in 1 second (FEV1)

    Forced Expiratory Volume in 1 Second (FEV1) Unit of Measure: liters (L)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  3. FEV1/FVC ratio

    FEV1/FVC Ratio Unit of Measure: percentage (%)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  4. Maximal Voluntary Ventilation (MVV)

    Maximal Voluntary Ventilation (MVV) Unit of Measure: liters/minute (L/min)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  5. Middle and Lower chest wall mobility

    Chest Wall Mobility Unit of Measure: centimeters (cm)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  6. Diaphragm and sternocleidomastoid surface electromyography (sEMG)

    Diaphragm Surface Electromyography Activity Sternocleidomastoid Surface Electromyography Activity Unit of Measure: microvolts (µV)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

  7. Pain intensity

    Pain intensity measured using the Numeric Rating Scale (NRS). (0-10)

    Time frame: 1. Baseline 2. Day 0-5 post-ICU transfer 3. Week 1

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for May 2027, 14 months after the start.

Of 753 non-industry interventional studies with no phase under Coronary Artery Disease, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 53. This study's planned 14 months is below that.

Counting every sponsor, half of 930 studies reached it within 30 months; a quarter within 15 and three quarters within 50.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 11, 2026
First posted
Jun 16, 2026
StartActual
Mar 25, 2026
Primary completionEst.
May 2027
CompletionEst.
Sep 2027
Last update
Jun 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07649330
Lead sponsor
Siou-Pin Huang
Responsible party
Siou-Pin Huang (Physical Therapist, Department of Physical Therapy, Kaohsiung Veterans General Hospital, Kaohsiung Veterans General Hospital.) — Sponsor-investigator
First posted
Jun 16, 2026
Start date
Mar 25, 2026
Primary completion
May 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Jun 16, 2026

Study contacts

Siou Pin Huang, PT (Physical Therapist)
Contact
qaz9650921@gmail.com
+886 988 366 335

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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