Phase-I cardiac rehabilitation practices among physiotherapists in INDIA - A survey

Authors

  • Shruti chari MPT, Department of Physiotherapy, Kasturba medical college (A constituent institute of Manipal University), Bejai, Mangalore-575004
  • Gopala Krishna Alaparthi MPT, Assistant Professor, Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
  • Shyam Krishnan K MPT, Asst- professor. Senior scale, Department of Physiotherapy, Kasturba medical college (A constituent institute of Manipal University), Bejai, Mangalore-575004
  • Ashish prabhakar MPT, Asst- professor, Department of Physiotherapy, Kasturba medical college (A constituent institute of Manipal University), Bejai, Mangalore-575004
  • Kalyana Chakravarthy Bairapareddy Assistant Professor, Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates

DOI:

https://doi.org/10.3329/bjms.v19i2.44998

Keywords:

Cardiac Surgery, Cardiac Rehabilitation

Abstract

Objective: To find out the current practice patterns of Physiotherapists in Phase I Cardiac Rehabilitation of patients following Cardiac Surgery (CABG/Valve Surgery).

Materials and Methods: The cross sectional survey included 600 cardio-pulmonary physiotherapists working in Cardiac Care Unit, who filled questionnaires sent to them through e-mail.

Results: 252 completed questionnaires were received back, the response rate being of 42 %, with a major portion of responses coming from Maharashtra, Karnataka and Andhra Pradesh. More than 80 % of physiotherapists assess and treat the patient Pre- Operatively. More than 90% of physiotherapists performed Cardiac Rehabilitation Post-Operatively. Cardiac Rehabilitation Treatment Techniques predominantly focused on Breathing Exercises (96.7%), Incentive Spirometry (91.1%), Coughing and Huffing (83.3%), Thoracic Expansion Exercises (82.13%), Positioning (71.16%), Percussion and Vibration (63.6%), Modified Postural Drainage (41.2%), active exercises of the upper limb (89.13%), and lower limb exercises (89.3%). Dangling the lower limb (69%) was started on Post –Operative day 2. Room and corridor mobilisation (73.8%) began on third Post-Operative day. 29.4% Stair case climbing was started on fourth post-operative day. 73.8% of patients practiced 6-minute walk test prior to discharge. Most commonly used sternal precautions were Supported Coughing (96.0%) and Lifting Restrictions (82.5%).

Conclusion: Phase I cardiac rehabilitation adopted by physiotherapists for cardiac surgery patients involves treatment which mainly focused on cough and huff techniques, breathing exercises and thoracic expansion exercises. On Post-Operative day 2, dangling the lower limb and room ambulation started on third post-Operative day 3. The training for climbing stairs started on fourthpost-operative day. The most commonly used sternal precautions were supported coughing and lifting restrictions whereas 6-minute walk test was use to assess exercise tolerance,prior to discharge.

Bangladesh Journal of Medical Science Vol.19(2) 2020 p.214-222

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Published

2020-01-16

How to Cite

chari, S., Alaparthi, G. K., K, S. K., prabhakar, A., & Bairapareddy, K. C. (2020). Phase-I cardiac rehabilitation practices among physiotherapists in INDIA - A survey. Bangladesh Journal of Medical Science, 19(2), 214–222. https://doi.org/10.3329/bjms.v19i2.44998

Issue

Vol. 19 No. 2 (2020)

Section

Original Articles

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