OW LEVEL LASER VERSUS TRUNK STABILIZING EXERCISES ON STERNOTOMY HEALING AFTER CORONARY ARTERY BYPASS GRAFTING

Not Applicable

• Conditions: Circulatory System; coronary artery disese; Cardiology

• Registration Number: PACTR201803003126291
• Lead Sponsor: cairo university

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-02-21
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Pending
• Sex: Male
• Target Recruitment: 45

Inclusion Criteria

1-Forty patients male who will undergo CABG surgery through a median sternotomy and have sternal instability.
2-Their age will be ranged from 45-65 years old.
3-Patients will be included as they have acute sternal instability that will be assessed clinically by sternal instability testing (from sitting position with both index and middle fingers of the investigator at both sides of sternal incision, the patient rotate the head to the right then the left sides. There will be a palpable sternal motion and separation with audible clicking sound, indicating a patient with sternal instability). Sternal separation assessment will be confirmed through ultrasound unit that will be done by a specialist radiologist.
4-Body mass index from 25 to 29.9 kg/m2
5-Patients with hemodynamic stability.

Exclusion Criteria

Patients who will meet one of the following criteria will be excluded from the study:
1- Previous thoracic surgery.
2- Emergency or urgent coronary artery bypass surgery.
3- Respiratory insufficiency after surgery manifesting hypoxemia with partial pressure of oxygen in arterial blood <60 mmHg.
4- Renal insufficiency with serum creatinine ¿1.8 mg/dl after surgery.
5- Low cardiac output syndrome with ST segment elevation in multiple electrocardiogram leads, cardiac arrhythmias, or hypotension according to the American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) (Hillis et al., 2011).
5- Other medical conditions such as diabetes, uncontrolled hypertension and obesity.
6- Past medical history included conditions that may have influenced the provision of physiotherapy interventions such as (severe asthma, chronic airflow limitation, bronchiectasis, ankylosing spondylitis or lumbar disc prolapse).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
activity of daily living;sternal separation;pain intensity

Secondary Outcome Measures

Name	Time	Method
photography of sternotomy site