Effects of myofascial release techniques in patients after coronary revascularization.

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The goal of the study is to assess and compare changes in pulmonary function, pain level, functional capacity, breathing disorders, fatigue in patients after CABG or OPCAB. Study participants will be patients after CABG or OPCAB recruited from the Department of Cardiac Surgery, Multidisciplinary Urban Hospital in Poznan. 80 patients will be randomised into 2 groups - A and B. Group A (control) will participate in standard cardiac physiotherapy model. In Group B, from 3 to 6 day after surgery, additionally myofascial release techniques will be performed. Standard cardiac physiotherapy model includes: exercises with a physiotherapist 3-5 times per day, each time for 15-30 minutes (depending on the degree of circulatory and respiratory capacity of the patient - the greater the failure, the more often and shorter time of the exercises) and exercises performed by the patient alone (respiratory, coordination and walking exercises). During first 3 days after surgery there will be a constant monitoring of blood pressure (permanent venous measurement and cuff measurement every 15-30 minutes), heart rate (HR: minimum increase - 20; maximum increase - 40) and saturation (SaO2: 85% - lower limit, need for intubation, SaO2: 89-94% - exercises 5 times with a physiotherapist, SaO2: 95-100% - exercises 3 times with a physiotherapist). Before and after 4 and 6 days after surgery patients will undergo the following examinations: pulmonary function (FVC and FEV1), pain level, breathing disorders, functional capacity - with VAS, fatigue after exercises - with Borg scale. Statistical analysis will be performed with the use of Statistica 10 software. Study has been approved by the research Bioethics Comittee.

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