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

Shruti Chari, Gopala Krishna Alaparthi, K. Shyam Krishnan, Ashish Prabhakar, Kalyana Chakravarthy Bairapareddy

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)214-222
Number of pages9
JournalBangladesh Journal of Medical Science
Volume19
Issue number2
DOIs
Publication statusPublished - 01-01-2020

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Physical Therapists
Breathing Exercises
Exercise
Lower Extremity
Thoracic Surgery
Postural Drainage
Thorax
Percussion
Exercise Tolerance
Spirometry
Postal Service
Vibration
Cough
Upper Extremity
Walking
Motivation
Cross-Sectional Studies
Cardiac Rehabilitation
Surveys and Questionnaires
Lung

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Chari, S., Alaparthi, G. K., Shyam Krishnan, 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
Chari, Shruti ; Alaparthi, Gopala Krishna ; Shyam Krishnan, K. ; Prabhakar, Ashish ; Bairapareddy, Kalyana Chakravarthy. / Phase-I cardiac rehabilitation practices among physiotherapists in INDIA-A survey. In: Bangladesh Journal of Medical Science. 2020 ; Vol. 19, No. 2. pp. 214-222.
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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.",
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Chari, S, Alaparthi, GK, Shyam Krishnan, K, Prabhakar, A & Bairapareddy, KC 2020, 'Phase-I cardiac rehabilitation practices among physiotherapists in INDIA-A survey', Bangladesh Journal of Medical Science, vol. 19, no. 2, pp. 214-222. https://doi.org/10.3329/bjms.v19i2.44998

Phase-I cardiac rehabilitation practices among physiotherapists in INDIA-A survey. / Chari, Shruti; Alaparthi, Gopala Krishna; Shyam Krishnan, K.; Prabhakar, Ashish; Bairapareddy, Kalyana Chakravarthy.

In: Bangladesh Journal of Medical Science, Vol. 19, No. 2, 01.01.2020, p. 214-222.

Research output: Contribution to journalArticle

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AU - Bairapareddy, Kalyana Chakravarthy

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N2 - 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.

AB - 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.

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