Cardiology
Conditions
Interventions
Graduated upper arm exercise using abdominal muscle contraction plus traditional cardiac rehabilitat
Traditional inpatient cardiac rehabilitation program
Sponsors
Faculty of Physical Therapy Cairo University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1- Patients who were included in the study had acute sternal dehiscence assessed clinically by sternal instability testing 2- Sternal separation assessment was confirmed through ultrasound performed by a specialist cardiologist. 3- All of the patients had risk factors that affected sternal incision healing.
Exclusion criteria
Exclusion criteria: 1- Patients were excluded if they had unstable cardiovascular status such as a systolic blood pressure less than 100 mmHg or more than 180 mmHg, a mean arterial blood pressure less than 60 mmHg or more than 110 mmHg 2- arrhythmias 3- marked shoulder condition that could preclude them from participating in the exercise program.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sternal separation Sternal separation was measured with an ultrasound unit for each patient before and after the study, by a specialist who was blinded to patient allocation groups. Patients were measured in both a supine lying and long sitting position, with the head of the treatment couch at a 30-degree inclination. The region of the greatest instability along the sternum was identified using sternal instability testing and the skin was marked to give a reference point for all measurements. The transverse direction between the two sections of the sternum was measured in millimetres. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Pain was measured before and after the study using a visual analogue scale. The pain was rated by the patient while he or she performed the following tasks: rotating the trunk, swinging the arms when walking, moving from a sitting to standing position, moving from a supine to sitting position, suddenly losing footing, coughing, and reaching above shoulder height (8). On the posterior aspect of the ruler, patients scored their pain during task performance by moving the mobile bar attached to the ruler up or down such that the red line determined their pain level. On the anterior aspect of the ruler, pain was scored in mm using the red line of the mobile bar, to match the point selected by the patient on the posterior aspect. This method was employed to avoid pain over- or underestimation. ;ADL performance The ADL score was determined by adding the achieved points. The patients were asked about their ability to perform the activities described above. If he or she could do the activity, this was scored as one point, and if he or she could not do the activity, it was scored as zero. | — |
Countries
Egypt
Contacts
Public ContactHeba;Moustafa Ali;Elnaggar
Lecturer at Physical Therapy Department for Cardiovascular Respiratory Disorders and Geriatrics Faculty of Physical Therapy Beni Suef University;Lecturer at Physical Therapy Department for Internal Medicine Heliopolis University and National Heart Institute
Outcome results
None listed