Optimising shoulder and trunk movement and the ability to conduct daily activities after open heart surgery: A pilot study comparing 2 Physiotherapy treatments.

Completed

• Conditions: Post open heart surgery; Surgery - Other surgery; Cardiovascular - Other surgery; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12606000430538
• Lead Sponsor: Tamica Sturgess

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2006-10-04
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

1. Subjects who are awaiting, and subsequently undergo, inpatient or elective open heart surgery via a median sternotomy at Monash Medical Centre, Clayton campus.2. Subjects who provide informed consent to participate in the pilot project.

Exclusion Criteria

1. The subject is unable to complete the preoperative surveys and outcome measure tests, including instances where: the subject is transferred to MMC with insufficient time to preoperatively be assessed, they are too medically unstable to complete the preoperative tests, or if the subject is unable to give informed, written consent.2. The subject has a premorbid cognitive impairment, preventing the completion of a thoracic mobilisation exercise regimen (eg. Severe dementia).3. The subject has a premorbid severe physical impairment - where they cannot attain bilateral shoulder flexion above 90º and thus preventing the completion of thoracic mobilisation exercises (eg. Severe shoulder OA).- severe ongoing spinal and/or shoulder problems requiring treatment, which may confound results (eg rotator cuff injury).- conditions where obtaining a true sagittal image for ROM testing is difficult (eg severe scoliosis).4. The subject is unable to read English and understand spoken English.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Thoracic and shoulder range of movement (ROM).[Collected at pre operative, day of / prior to discharge from acute hospital sector, four weeks post discharge, and three months post operative.];Health status with the SF-36 version 2.[Collected at pre operative, day of / prior to discharge from acute hospital sector, four weeks post discharge, and three months post operative.];Functional mobility using the Timed Up and Go.[Collected at pre operative, day of / prior to discharge from acute hospital sector, four weeks post discharge, and three months post operative.];Pain using a body chart and VAS (Visual Analogue Scale).[Collected at pre operative, day of / prior to discharge from acute hospital sector, four weeks post discharge, and three months post operative.]

Secondary Outcome Measures

Name	Time	Method
Functional Difficulties post open heart surgery using a newly developed survey.[Pre operative, day of / prior to discharge from acute hospital sector, Four weeks post discharge, Three months post operatively.];Perception of the role of the physiotherapy home program contributing to physical recover. Participants will be asked How much do you feel your physiotherapy home program contributed to your physical recovery and rated on a 10cm visual analogue scale.[Following completion of the three month review]