A Randomized, Controlled Study of Physiotherapy Exercises in Patients With Sternal Instability Due to Mediastinitis After Cardiovascular Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 主要终点
- Improvement of pulmonary function
研究概览
简要总结
Sternal instability caused by mediastinitis is one of the most feared complications for cardiac surgery team for generating large commitments and functional damages to patients. Biomechanically, the contraction of abdominal muscles such as transverse abdominal, produces forces that result in a "corset-like" action and anterior thoracic cage muscles too may assist in stabilizing the sternum. Thus, strengthening the abdominal muscles might contribute to the recovery of functional aspects. The aim was to evaluate whether contraction and strengthening the abdominal muscles could improve lung function and respiratory muscle strength in patients with sternal instability.
详细描述
Sternal instability was confirmed by physical examination and confirmed by chest tomography. The data were collected before and after the 3-week period of intervention.
Sternal instability way assessed by the unstable sternal scale, graduated from zero to 4 points.
The respiratory muscle strength was measured through Manuvacuometry and the pulmonary function by the spirometry.
Pain was recorded by using a Visual Analog Scale (0 -10); Discomfort Scale( 0-10) and Identification of Activities that cause pain and discomfort.
Patients underwent abdominal exercise protocol for three weeks once a day, lasting about 15 minutes followed by the physiotherapist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Postoperative period of cardiovascular surgery by median sternotomy with sternal instability
- •Written Inform consent
排除标准
- •Chest Tube
- •Hemodynamic instability
- •Neurological alteration
- •Active infection
结局指标
主要结局
Improvement of pulmonary function
时间窗: 3 weeks
Measure of maximal muscles respiratory pressures and spirometry tests
次要结局
- Measure of pain on the Visual Analog Scale(3 weeks)
- Discomfort - using Discomfort Scale(3 weeks)
研究者
Emilia Nozawa, PT PhD
principal investigator
University of Sao Paulo General Hospital