![]() It is a circular object with an uneven base, on which the user attempts to balance. In physiotherapy, a wobble board is use for balance, athletic postural, coordination and falls prevention training. Balance is achieved by the complex integration and coordination of sensory-motor control system including the sensory input, integration of that sensory input and by motor output to the head, eye, trunk and limb muscles. Balance is the ability of an individual to successfully maintain the position of their body or restore the center of mass over time. So, effective therapeutic measure for improving balance function and preventing falls are important in the rehabilitation of stroke patients. Falls may cause several serious problems for stroke patients. Stroke patients are at high risk of falling because their balance control is impaired. Stroke is defined as a sudden neurological deficit caused by focal vascular lesion in the brain. Keywords: BBPEP, Acapella, PEFR, FiO2, SpO2, Open Heart Surgery Conclusion: The BBPEP and Acapella is equally effective in improving oxygenation and PEFR in the patient who undergo open-heart surgery. Result: There was no significant difference between both groups. Data did not pass the normality test, so a non-parametric test was used for data analysis. Statistical analysis: normality was checked by using Kolomogrov-Smirnov Test. Data were collected and analysis was done. FiO2, SpO2 and PEFR were taken pre- and post-treatment in every session. Both the group received intervention from P.O.D. Samples were randomly divided into two groups, i.e. Methodology: The study done on 54 samples. To compare the effect of BBPEP Device and Acapella on PEFR among patients with open-heart surgery. To compare the effect of BBPEP Device and Acapella on FiO2 and SpO2 among patients with openheart surgery. Aim: To compare the effect of BBPEP Device and Acapella on Oxygenation and PEFR among patients with open-heart surgery. is relatively cheaper and readily accessible. On the other hand, the therapist-made bubble-PEP device which is made from inexpensive and easily accessible materials consisting of a container (e.g. also used to prevent pulmonary complications in postoperative open-heart surgery patient. With all these techniques, there are mechanical devices available to improve oxygenation they known as positive pressure devices such as Acapella, Flutter, Bubble-PEP, RC-Cornet. Early mobilization includes an active range of motion, thoracic mobility, bedside sitting, chair sitting, hall ambulation (chair sitting). According to the A.H.A., Cardiac Rehabilitation is a comprehensive exercise, education and behavioural modification program design to improve the physical and emotional condition of patients with heart disease. To treat these critical conditions of coronary artery disease patients should undergo cardiac surgery which is known as Coronary Artery Bypass Grafting Surgery (CABG). ![]() The more common leading cause of cardiovascular diseases are Coronary Artery Disease (CAD) and Stroke, also WHO says in 2017, CAD is the leading cause of death and which is 15.6%. The International Institute of Population Sciences stated that from 1990 to 2016, the contribution rate of mortality of cardiovascular diseases is increased by 34.3% in India. According to the World Health Organization (WHO), 41 million people die due to noncommunicable diseases which is equal to 71% of all death globally in which cardiovascular diseases are the most common cause for death. ![]() Background: Worldwide people of all ages are affected by the Noncommunicable Diseases (N.C.D.) and it is a leading cause of death globally.
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