
To Compare the Effects of the Buteyko Breathing Technique with Incentive Spirometry versus Progressive Muscle Relaxation Technique with Incentive Spirometry on Anxiety and Depression in Hospitalized Post-CABG Patients | IJCT Volume 13 – Issue 1 | IJCT-V13I1P3

International Journal of Computer Techniques
ISSN 2394-2231
Volume 13, Issue 1 | Published: January – February 2026
Table of Contents
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Rani kumari, Dr. Yuthika Rao, Dr. Madhusudan Tiwari
Abstract
Background – Coronary artery bypass grafting (CABG) is a common surgical procedure that restores myocardial blood flow by bypassing arterial blockages with grafts. Despite its clinical efficacy, patients often experience postoperative anxiety and depression, which can delay recovery. Exercise-based cardiac rehabilitation, including breathing techniques, has demonstrated significant benefits in managing psychological symptoms among hospitalized post-CABG patients.
Methods – A total of 40 post-CABG patients were randomly assigned to two groups (n=20 each). Group A received Buteyko Breathing Techniques with Incentive Spirometry, while Group B received Progressive Muscle Relaxation with Incentive Spirometry for six days. Pain levels were assessed using the Visual Analogue Scale (VAS), and psychological parameters were evaluated using the Hospital Anxiety and Depression Scale (HADS). Pre- and post-treatment scores were analyzed using paired and independent t-tests.
Results – Group A showed a significant reduction in VAS scores (9.00 ± 0.89 to 1.55 ± 1.02), HADS-Anxiety (15.20 ± 3.23 to 1.75 ± 1.73), and HADS-Depression (15.50 ± 3.47 to 1.95 ± 1.56), with p < 0.001 across all variables. While both groups demonstrated improvements, Group A achieved significantly greater reductions across all parameters (p< 0.001).
Conclusion - The study concludes that Buteyko Breathing with Incentive Spirometry is more effective than Progressive Muscle Relaxation in reducing pain, anxiety, and depression in hospitalized post-CABG patients. Incorporating targeted breathing interventions may enhance early cardiac rehabilitation outcomes.
Keywords
Buteyko Breathing Techniques(BBT) , Incentive Spirometry(IS), Progressive Muscle Relaxation(PMR), CABG, HADS, VAS.
Conclusion
This study demonstrated that Buteyko Breathing Techniques combined with Incentive Spirometry resulted in significantly greater reductions in pain, anxiety, and depression among post-CABG patients compared to Progressive Muscle Relaxation. These improvements were rapid and clinically meaningful, indicating enhanced psychological recovery and respiratory function. Incorporating Buteyko breathing into routine post-CABG rehabilitation may optimize recovery outcomes, reduce complications, and improve patient quality of life.
References
1.Barbato, E., Toth, G. G., & De Bruyne, B. (2016). Coronary-Artery Bypass Grafting. New England Journal of Medicine, 375(10), e22.
2. Lau, S. Y. D. (2009). A quality study of coronary artery bypass graft (CABG) surgery in Asians in California, 2003–2005 (Doctoral dissertation, University of California, San Francisco).
3. Naveed, A., Azam, H., Murtaza, H. G., Ahmad, R. A., & Baig, M. A. R. (2017). Incidence and risk factors of pulmonary complications after cardiopulmonary bypass. Pakistan journal of medical sciences, 33(4), 993.
4. Jain, M., Vardhan, V., & Yadav, V. (2021). Efficacy of Buteyko breathing technique on anxiety, depression and self-efficacy in coronary artery bypass graft surgery patients: A randomized clinical trial.
5. Dehdari, T., Heidarnia, A., Ramezankhani, A., Sadeghian, S., & Ghofranipour, F. (2009). Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian Journal of Medical Research, 129(5), 603-608.
6. Garbossa, A., Maldaner, E., Mortari, D. M., Biasi, J., & Leguisamo, C. P. (2009). Effects of physiotherapeutic instructions on anxiety of CABG patients. Brazilian Journal of Cardiovascular Surgery, 24, 359-366.
7. Asilioglu, K., & Celik, S. S. (2004). The effect of preoperative education on anxiety of open cardiac surgery patients. Patient education and counseling, 53(1), 65-70.
8. Skuban, R. (2024). The Buteyko Method: How to Improve Your Breathing for Better Health and Performance in All Areas of Life. Skuban Academy.
9. Seyller, H., Gottlieb, M., & Colla, J. (2021). The role of incentive spirometry for patients with COVID-19. The American Journal of Emergency Medicine, 47, 292.
10. Eltorai, A. E., Szabo, A. L., Antoci Jr, V., Ventetuolo, C. E., Elias, J. A., Daniels, A. H., & Hess, D. R. (2018). Clinical effectiveness of incentive spirometry for the prevention of postoperative pulmonary complications. Respiratory care, 63(3), 347-352.
11. Krupinska, K., & Kulmatycki, L. (2014). Effectiveness of progressive muscle relaxation (Pmr) in alleviating psychophysical disorders-a systematic review (1982-2012). GJRA-Global Journal for Research Analysis, 3(10), 113-115.
12. Jacobson, E. (1938). Progressive relaxation Univ. Chicago Press.
13. Roy, P. (2013). To compare the effectiveness of buteyko breathing technique and deep breathing technique in patients with upper abdominal surgeries (Master’s thesis, Rajiv Gandhi University of Health Sciences (India)).
14. Ganesh, B., Chodankar, A., & Parvatkar, B. (2017). Comparative study of Laura Mitchell’s Physiological Relaxation Technique versus Jacobson’s Progressive Relaxation Technique on severity of pain and quality of life in primary dysmenorrhea: randomized clinical trial. J Med Sci Clin Res, 5(7), 25379-87.
15. Sweity, E. M., Alkaissi, A. A., Othman, W., & Salahat, A. (2021). Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial. Journal of cardiothoracic surgery, 16(1), 241.
16. Barth, J., & Martin, C. R. (2005). Factor structure of the Hospital Anxiety and Depression Scale (HADS) in German coronary heart disease patients. Health and quality of life outcomes, 3(1), 15.
17. Naranjo-Hernández, D., Reina-Tosina, J., & Roa, L. M. (2020). Sensor technologies to manage the physiological traits of chronic pain: a review. Sensors, 20(2), 365.
18. Gopakumar, G., & Mathew, P. Effectiveness of Buteyko Breathing Technique on Test Anxiety among College Students: A Randomized Controlled Trial.
19. Franklin, E., & Anjum, F. (2023). Incentive spirometer and inspiratory muscle training. In StatPearls [Internet]. StatPearls Publishing.
20. Mujahid, H., Zia, W., Ali, A., Ahmed, M., Saqib, M. S., Shahid, A. M., & Arshad, M. U. (2022). Comparison of Jacobson’s Progressive relaxation technique and Laura Mitchell’s relaxation technique on quality of life and sleep in COPD Patients.: quality of life and sleep in COPD patients. Pakistan BioMedical Journal, 99-103.
21.Tyson, A. F., Kendig, C. E., Mabedi, C., Cairns, B. A., & Charles, A. G. (2015). The effect of incentive spirometry on postoperative pulmonary function following laparotomy: a randomized clinical trial. JAMA surgery, 150(3), 229-236.
22. Jain, M., Vardhan, V., & Yadav, V. (2021). Efficacy of Buteyko breathing technique on anxiety, depression and self-efficacy in coronary artery bypass graft surgery patients: A randomized clinical trial.
23. Dehdari, T., Heidarnia, A., Ramezankhani, A., Sadeghian, S., & Ghofranipour, F. (2009). Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian Journal of Medical Research, 129(5), 603-608.
24. Sicouri, S., Shah, V. N., Orlov, C. P., Buckley, M., Dedeilia, K., & Plestis, K. A. (2021). Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery. Journal of cardiac surgery, 36(3), 886–893. https://doi.org/10.1111/jocs.15320
How to Cite This Paper
Rani kumari, Dr. Yuthika Rao, Dr. Madhusudan Tiwari (2025). To Compare the Effects of the Buteyko Breathing Technique with Incentive Spirometry versus Progressive Muscle Relaxation Technique with Incentive
Spirometry on Anxiety and Depression in Hospitalized Post-CABG Patients. International Journal of Computer Techniques, 12(6). ISSN: 2394-2231.








