Open Access
Subscription Access
Open Access
Subscription Access
Comparison of effects of Sitting-up using Rope Ladder versus Manual Supported Sitting-up on Haemodynamic Variables in Patients after Coronary Artery Bypass Grafting
Subscribe/Renew Journal
Background: Rope ladders are provided to patients to sit-up after cardiac surgery. Sitting-up using rope ladder requires a combination of isotonic and isometric efforts. Combined isotonic and isometric activities cause some cardiovascular/hemodynamic alterations.
Method: Study was conducted on 2nd post-operative day. Measurement of Heart Rate (HR), Systolic Blood Pressure(SBP), Diastolic Blood Pressure(DBP), Rate Pressure Product(RPP) and Post-operative pain were obtained for all subjects in supine, immediately on sitting-up, after 5 minutes and 10 minutes of sitting with either using rope ladder or manual support.
Results: Sitting-up using rope ladder immediately resulted in an increase in DBP, HR and Postoperative pain scores and decrease in SBP and RPP. The significance level was set at p< 0.05.
Conclusion: Sitting-up using rope ladder results in slightly greater alterations in hemodynamic variables.
Keywords
- Wilson J, Ferguson J. Revascularization Therapy for Coronary Artery Disease (Coronary Artery Bypass Grafting versus Percutaneous Transluminal Coronary Angioplasty). Texas Heart Institute journal,1995;22(2):145-161.
- Pryor J, Prasad S. Physiotherapy for Respiratory and Cardiac Problems. 3rd edition, Elseviers Publications;2002,pp.386-387.
- Pollock M, Schmidt D. Heart Disease and Rehabilitation. 3rd edition: Human Kinetics Publisher;1995.
- Lesley B, Brooks Jo, Rong Qi, Karen B, Susie W, Daniel B. Pain Levels Experienced With Activities after Cardiac Surgery. American Journal of Critical Care,2004;13:116-125.
- Piwoda A. Optimization of Early Rehabilitation of Patients Undergoing Cardio-surgical Interventions–First-Hand Experiences. Medical Rehabilitation,2005;9,(2):26-34.
- Balady G. Types of Exercise, Arm–Leg and Static– Dynamic. Cardiology Clinics. 1993:297-308.
- Louhevaara L, Smolander J, Aminoff T, Korhonen O, Shen N. Cardiorespiratory Responses to Fatiguing Dynamic and Isometric Handgrip Exercise. Eur J Appl Physiol. 2000;82:340-344.
- Marjorie G, Susan D, Stephanie B. Heart Rate and Blood Pressure Response to Several Method of Strength Training. Physical Therapy. 1984; 64(2):179-183.
- Bezucha G, Lenser M, Hanson P, Nagle F. Comparison of Hemodynamic Responses to Static and Dynamic Exercise. J Appl Physiol. 1982;82:1589-1593.
- Pollock M, Franklin B, Balady J et al. Resistance exercise in individual with and without cardiovascular disease. Circulation Journal. 2000;101:828-839.
- Heinemann B. Hypotension and Low Cardiac Output- Recognizing and Treating Hemodynamic Instability, Sidebotham Cardiothoracic Critical care.1st edition: Elsevier’s Publications;2007.
- Savian C, Paratz J, Davies A. Comparison of the effectiveness of manual and ventilator hyperinflation at different levels of positive endexpiratory pressure in artificially ventilated and intubated intensive care patients. Heart & Lung. Sep-Oct;2006,35(5):334-41.
- Berney S, Denehy L. A comparison of the effects of manual and ventilator hyperinflation on static lung compliance and sputum production in intubated and ventilated intensive care patients. Physiother Res Int. 2002;7(2):100-8.
- Franklin B, Balady G. ACSM’s guidelines for exercise testing and prescription. sixth edition: Lippincott Williams and Wilkins;2000.
- Lind A, McNicol G. Circulatory Responses to Sustained Hand-Grip Contractions Performed during other Exercise, both Rhythmic and Static. Journal of Physiology. 1967;192: 595-607.
- Sprangers R, Lieshout J, Karemaker J, Wesseling K, Wielling W. Circulatory Responses to Stand up :Discrimination Between the Effects of Respiration, Orthostasis and Exercise. Clinical Physiology. 1991;11:221-230.
- Jones A, Dean E. Body Position Change and its Effect on Hemodynamic and Metabolic Status. Heart & Lung. 2004;33(5):281-290.
- Prakash R, Parmley W, Dikshit K, Forrester J, Swan H. Hemodynamic Effects of Postural Changes in Patients With Acute Myocardial Infarction. Chest. 1973;64:7-9.
- Petro J, Hollander A, Bouman L. Instantaneous Cardiac Acceleration in Man Induced by a Voluntary Muscle Contraction. J Appl Physiol. 1970;29(6):794-798.
- Borst C, Hollander A, Bouman L. Cardiac acceleration Elicited by Voluntary Muscle Contraction of Minimal Duration. J Appl Physiol. 1972;32(1):70-77.
Abstract Views: 562
PDF Views: 0