Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Intervention1: Modified Sternal Precautions for patients undergoing cardiac surgery via median sternotomy: 1. Use pain and discomfort to guide the safe use of the arms
2. Avoid pushing or pulling with one arm
3. Use both arms close to the body during lifting
4. Use of arms is possible, but keep them close to the body
5. Avoid stretching one or both arms backwards at the same time
6. Use a cushion or perform sternal preservation technique (crossing the arms in a ‘self-hugging’ posture) when coughing
7.When transferring, roll onto the side, ease the legs over the edge of the bed and carefully use the arms to sit up from a lying position
For a period of 3 weeks
Control Intervention1: Standard St
2. Avoid one-arm (unilateral) activity
3. Limit the elevation of the arms to 90 degrees
4. Avoid lifting objects heavier than 2 kg
5. Avoid placing the arms behind the back
For 3 weeks
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age – 18 years to 60 years 2) Gender – both 3) Conscious and oriented 4) All adults who have undergone cardiac surgery involving a median sternotomy. 5) Able to provide informed consent.
Exclusion criteria
Exclusion criteria: 1) Unable to understand verbal instructions in English 2) Age less than 18 years 3) Burns or any other skin diseases 4) Patients on invasive ventilator support
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 36 Item Short Form Survey (SF-36)Timepoint: The questionnaire will be administered at the end of 3 weeks over a telephonic interview | — |
Secondary
| Measure | Time frame |
|---|---|
| Short Form McGill Pain Questionnaire 2 (SF-MPQ-2)Timepoint: The questionnaire will be administered at the end of 3 weeks over a telephonic interview | — |
Countries
India
Contacts
Public ContactShraddha A Bhargav
Narayana Hrudayalaya Institute of Physiotherapy
Outcome results
None listed