Document Detail


Respiratory muscle stretch gymnastics in patients with post coronary artery bypass grafting pain: impact on respiratory muscle function, activity, mood and exercise capacity.
MedLine Citation:
PMID:  12641387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new rehabilitation (New-RH) program including respiratory muscle stretch gymnastics (RMSG) was developed to alleviate post-coronary artery bypass grafting pain (PCP). Effects on respiratory muscle function, pain, activities of daily living (ADL), mood and exercise capacity were investigated. Subjects were 16 consecutive patients undergoing median full sternotomy coronary artery bypass grafting (CABG), and were randomly divided into equal New-RH (S-group) and conventional therapy (C-group) groups. Rib cage dominant breathing was observed postoperatively in both groups. With preoperative tan deltaVrc/deltaVab, increases at 1-week postoperatively and decreases at discharge for S-group tended to exceed those of C-group (p > .05). Decreased maximum inspiratory and expiratory pressure status for functional residual capacity and percent forced expiratory volume in one second at discharge again only tended to be smaller for S-group (p > .05). S-group displayed significantly reduced pain around both scapulas at discharge (p = .049), and increased mean overall ADL and profile of mood states (POMS)/Vigor scores (p = .031 and p = .018, respectively). POMS/Tension-Anxiety scores at discharge for S-group were significantly smaller than those preoperatively (p = .025), and S-group displayed significantly increased distance walked over 6-minutes at discharge than C-group (p = .029). New-RH improves patient participation in exercise therapy and increases exercise capacity by reducing PCP, relieving anxiety and tension, and improving ADL.
Authors:
Nobuko Aida; Masako Shibuya; Katsuki Yoshino; Masaji Komoda; Tomoko Inoue
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of medical and dental sciences     Volume:  49     ISSN:  1342-8810     ISO Abbreviation:  J. Med. Dent. Sci.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-03-18     Completed Date:  2003-05-15     Revised Date:  2010-04-12    
Medline Journal Info:
Nlm Unique ID:  9717112     Medline TA:  J Med Dent Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  157-70     Citation Subset:  D; IM    
Affiliation:
Graduate School of Allied Health Science, Tokyo Medical and Dental University, Japan.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Affect
Aged
Coronary Artery Bypass / adverse effects,  psychology,  rehabilitation*
Exercise Therapy*
Exercise Tolerance
Female
Gymnastics
Humans
Male
Middle Aged
Pain, Postoperative / etiology,  therapy*
Quality of Life
Respiration
Respiratory Function Tests
Respiratory Muscles / physiology*
Thoracotomy / rehabilitation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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