†These authors contributed equally.
Background: Coronary artery bypass graft (CABG) is intended to restore
myocardial perfusion and alleviate morbidity among patients suffering from coronary
artery disease. Due to procedural complexity, and anesthetic medications, post-operative
complications are more prevalent, requiring the integration of rehabilitation strategies.
This review aimed to determine the effect of single and multiple exercise therapy on rehabilitation
after CABG surgery. Methods: We conducted a systematic search of databases
(EBSCOhost, Scopus, PubMed, and Web of Science) from 01 January 2000 to 15
September 2022. The protocol of this systematic review is registered to PROSPERO.
Results: We found nine randomized control trials composed of 599 CABG
patients. In-patient cardiac rehabilitation (CR), a combination of inspiratory
muscle training, mobilization, active upper and lower limb exercise, and aerobic
exercise as multiple exercise therapy, found significant improvement in 6-minute
walking distance (6MWD) than single exercise therapy (breathing exercise) at
discharge and follow-up (moderate quality evidence). Contrary, multiple exercises
group compared to single exercise groups did not improve the peak volume of
oxygen (VO