efficacy of low level laser versus trunk stabilizing exercises on sternal separation, pain, activity of daily living and phogotography of incisional site

cairo university0 个研究点目标入组 45 人开始时间: 2018年2月21日最近更新: 2023年5月29日

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•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.

•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).

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