<Original Article>Respiratory muscle stretch gymnastics in patients with post coronary artery bypass grafting pain : Impact on respiratory muscle function, activity, mood and exercise capacity

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概要

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• 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 tanΔVrc/Δ Vab, 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.

• 東京医科歯科大学の論文

著者

• Aida Nobuko

  Doctoral Course In Nursing Science Graduate School Of Allied Health Science Tokyo Medical And Dental

• Shibuya Masako

  School of Health Sciences, Fujita Health University

• Yoshino Katsuki

  Department of Medicine, Chest Institute, Tokyo Women's Medical University

• Komoda Masaji

  Technology Division, CHEST M.I. Inc.

• Inoue Tomoko

  Critical and Invasive-palliated Care Nursing, Graduate School of Allied Health Science, Tokyo Medica

• Komoda Masaji

  Technology Division Chest M.i. Inc.

• Shibuya Masako

  School Of Health Sciences Fujita Health University

• Yoshino Katsuki

  Department Of Medicine Chest Institute Tokyo Women's Medical University

• Inoue Tomoko

  Critical And Invasive-palliated Care Nursing Graduate School Of Allied Health Science Tokyo Medical

• Aida Nobuko/shibuya

  Doctoral Course In Nursing Science Graduate School Of Allied Health Science Tokyo Medical And Dental

関連論文

• Respiratory muscle stretch gymnastics in patients with post coronary artery bypass grafting pain : Impact on respiratory muscle function, activity, mood and exercise capacity

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