The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review
Despite limited evidence, to support movement and weight limitations following median sternotomy, sternal restrictions are routinely prescribed. This systematic review aims to determine what the literature defines as sternal restrictions, how sternal restrictions are applied and progressed; what are...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=6;spage=830;epage=839;aulast=Shirodkar |
| _version_ | 1797954807223287808 |
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| author | Sridhar Shirodkar Amit Sharma |
| author_facet | Sridhar Shirodkar Amit Sharma |
| author_sort | Sridhar Shirodkar |
| collection | DOAJ |
| description | Despite limited evidence, to support movement and weight limitations following median sternotomy, sternal restrictions are routinely prescribed. This systematic review aims to determine what the literature defines as sternal restrictions, how sternal restrictions are applied and progressed; what are the less restraining sternal restrictions, revised sternal restrictions, and uniformity in the prescription of sternal restrictions. (N=2027) studies were identified. Databases screened were CINAHL (1957), PubMed (47), EMBASE (06), ICTRP (04), and COCHRANE (13). After including scholarly articles, screening records, removing duplicates, and including potentially relevant articles, Five (n = 5) studies were included in the qualitative synthesis. Studies included papers written in English. A precautionary approach, rather than a restraining attitude would expedite better healing and practicable recovery post-median sternotomy. This comprehensive analysis clearly supports the fact that patients need progressive rehabilitation after surgery to enhance thoracic motion, pulmonary function, symptoms, and functional status. |
| first_indexed | 2024-04-10T23:23:18Z |
| format | Article |
| id | doaj.art-9b1408b8305d472eae02dc741c504c2e |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-04-10T23:23:18Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-9b1408b8305d472eae02dc741c504c2e2023-01-12T13:28:54ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102022-01-0115683083910.4103/mjdrdypu.mjdrdypu_156_22The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic reviewSridhar ShirodkarAmit SharmaDespite limited evidence, to support movement and weight limitations following median sternotomy, sternal restrictions are routinely prescribed. This systematic review aims to determine what the literature defines as sternal restrictions, how sternal restrictions are applied and progressed; what are the less restraining sternal restrictions, revised sternal restrictions, and uniformity in the prescription of sternal restrictions. (N=2027) studies were identified. Databases screened were CINAHL (1957), PubMed (47), EMBASE (06), ICTRP (04), and COCHRANE (13). After including scholarly articles, screening records, removing duplicates, and including potentially relevant articles, Five (n = 5) studies were included in the qualitative synthesis. Studies included papers written in English. A precautionary approach, rather than a restraining attitude would expedite better healing and practicable recovery post-median sternotomy. This comprehensive analysis clearly supports the fact that patients need progressive rehabilitation after surgery to enhance thoracic motion, pulmonary function, symptoms, and functional status.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=6;spage=830;epage=839;aulast=Shirodkarexercisesheart surgerypost-surgery carepost-surgical-issuessternal approachsternal instability/dehiscencesternal wound infectionsurgery/thorax/heart |
| spellingShingle | Sridhar Shirodkar Amit Sharma The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review Medical Journal of Dr. D.Y. Patil Vidyapeeth exercises heart surgery post-surgery care post-surgical-issues sternal approach sternal instability/dehiscence sternal wound infection surgery/thorax/heart |
| title | The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review |
| title_full | The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review |
| title_fullStr | The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review |
| title_full_unstemmed | The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review |
| title_short | The impact of a less restrictive post-sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery: A systematic review |
| title_sort | impact of a less restrictive post sternotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery a systematic review |
| topic | exercises heart surgery post-surgery care post-surgical-issues sternal approach sternal instability/dehiscence sternal wound infection surgery/thorax/heart |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=6;spage=830;epage=839;aulast=Shirodkar |
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