الفهرس Only 14 pages are availabe for public view
Abstract
Background: Open heart surgery (OHS) presents a great risk for complications according to the type of procedure being performed. This is a widespread significant health problem with a huge burden on the individual and economy. Finding a noninvasive effective treatment that’s non exhaustive for the therapist and non-painful for the patient is highly needed. Aim of Study: This study aim to investigate the efficacy of compressive ischemic pressure releases on pectoral{u2019}s myofascial Trigger Points (MTrPs) on chest pain, ppt and Cardiac Output (CO) following OHS. Methods: Forty patients with OHS performed sternal- approach maneuver participated in this study. They were recruited from Kasr Al-Ainy, between 25: 50 years old were assigned into two equal groups, the control group (A) received diaphragmatic deep breathing exercise and coughing. The experimental group (B) received compression ischemic pressure release of pectoral{u2019}s muscles MTrPs, diaphragmatic deep breathing exercise and coughing. Pain and cardiac output measurements were used to evaluate patients before and after treatment. Results: there was a significant improvement in the Pain pressure thresholds (p<0.0001) after treatment in both groups and a significant improvement in Stroke Volume (SV), LVOT VTI and CO (p<0.0001), using mixed MANOVA between the two groups. Conclusion: compressive ischemic pressure release of trigger points in pectoral muscles post open heart surgery was effective in reducing pain and improving cardiac output in open heart patients