{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:43:14Z","timestamp":1787319794897,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100022230","name":"Deanship of Scientific Research, Princess Nourah Bint Abdulrahman University","doi-asserted-by":"publisher","award":["PNURSP2025R99"],"award-info":[{"award-number":["PNURSP2025R99"]}],"id":[{"id":"10.13039\/501100022230","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Cardiothoracic surgery departments from the Cairo University Hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Adults (\u226555 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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\u2009\u00b1\u20094.73 vs 34.03\u2009\u00b1\u20094.94, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) functional capacity (11.93\u2009\u00b1\u20091.70 vs 15.97\u2009\u00b1\u20092.01, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), quality of life (71.87\u2009\u00b1\u20093.21 vs 66.17\u2009\u00b1\u20092.94, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and hospital length stay (11.47\u2009\u00b1\u20091.22 vs 14.93\u2009\u00b1\u20091.36, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). Additionally, both groups showed significant improvements in balance, functional capacity and quality of life. No adverse events were registered in any of the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Institutional Research Committee:<\/jats:title>\n                    <jats:p>No: P.T.REC\/012\/004372<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration:<\/jats:title>\n                    <jats:p>clinicaltrails.gov NCT06490458).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251407320","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T16:30:36Z","timestamp":1767112236000},"page":"757-768","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of early balance training on recovering following coronary artery bypass grafting. A randomized trial"],"prefix":"10.1177","volume":"40","author":[{"given":"Hady","family":"Atef","sequence":"first","affiliation":[{"name":"Keele University"},{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Marques-Sule","sequence":"additional","affiliation":[{"name":"University of Valencia"},{"name":"University of Valencia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6061-5080","authenticated-orcid":false,"given":"Noemi","family":"Moreno-Segura","sequence":"additional","affiliation":[{"name":"University of Valencia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliaa","family":"Maged","sequence":"additional","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shereen H.","family":"ELSayed","sequence":"additional","affiliation":[{"name":"Princess Nourah bint Abdulrahman University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Pengelly","sequence":"additional","affiliation":[{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam Fathy","family":"Ali","sequence":"additional","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba Abd El","family":"Ghaffar","sequence":"additional","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Recent advances in coronary artery bypass grafting techniques and outcomes: a narrative review","author":"Thakare VS","unstructured":"Thakare VS, Sontakke NG, Wasnik P, et al. 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