An interventional study of physiotherapy exercises in Mediastinitis, Coronary Artery Disease and Cardiovascular Infections, sponsored by Emilia Nozawa, PT PhD. Completed. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-08-04.
Sponsored by Emilia Nozawa, PT PhD · Not applicable, Interventional, and Treatment
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.
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.
21 studies on the registry are indexed under Mediastinitis; 3 are open to participants now.
This study's enrollment of 30 is below the median of 83 across 12 interventional studies indexed under Mediastinitis.
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Exclusion Criteria:
Two strategies of abdominal exercises with and without movement of the upper limbs applied in patients with sternal instability as randomization.
Other: physiotherapy exercises
Consisted of trunk stabilization exercises.The exercises were undertaken for 15 minutes every day for tree weeks. Patients were the contract their abdominal muscles with an emphasis on the transverse abdominal. Patients were to contract their abdominal muscles in a supine,sitting and stand up position.
Improvement of pulmonary function
Measure of maximal muscles respiratory pressures and spirometry tests
Time frame: 3 weeks
Measure of pain on the Visual Analog Scale
Pain Visual Analog Scale
Time frame: 3 weeks
Discomfort - using Discomfort Scale
Activities using Discomfort Scale
Time frame: 3 weeks
No study locations are listed for this record.
This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.
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