Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery
Background: The aim of this study was to evaluate the effect of arm position during coronary artery bypass surgery on neuropathic symptoms and nerve conduction velocity (NCV) of the upper extremity nerves in patients with diabetes. Methods: In this clinical trial, 20 patients with diabetes, who wer...
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| Format: | Article |
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Isfahan University of Medical Sciences
2016-05-01
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| Series: | مجله دانشکده پزشکی اصفهان |
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| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/5134 |
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| author | Mohammad Hosseinifar Zeinolabedin Mojahed Mohsen Mirmohammad-Sadeghi Hamid Azadeh |
| author_facet | Mohammad Hosseinifar Zeinolabedin Mojahed Mohsen Mirmohammad-Sadeghi Hamid Azadeh |
| author_sort | Mohammad Hosseinifar |
| collection | DOAJ |
| description | Background: The aim of this study was to evaluate the effect of arm position during coronary artery bypass surgery on neuropathic symptoms and nerve conduction velocity (NCV) of the upper extremity nerves in patients with diabetes.
Methods: In this clinical trial, 20 patients with diabetes, who were candidates for open-heart surgery, were divided randomly into control and experimental group. During the operation, patient’s arm was positioned at 90 degree abduction and at the sides of the body in the experimental and control group, respectively. Electrodiagnostic tests including assessing amplitude and conduction velocity of sensory and motor nerves of radial, median and ulnar of left hand was performed. Physical examination was also done for checking the numbness and Paresthesia in both hands.
Findings: The Comparison of the changes for mean of amplitude and NCV of radial, median and ulnar nerves showed significant change in the control group after operation (P < 0.050). The Comparison of the changes for mean of amplitude and NCV of radial, median and ulnar nerves showed significant change except in radial motor NCV and sensory amplitude of ulnar nerve in the test group after operation (P < 0.050). The comparison of mean values after operation between groups showed no significant changes except in sensory amplitude of ulnar nerve.
Conclusion: Arm abduction at 90 degrees reduces the axonal injury of the ulnar sensory fibers during coronary artery bypass graft surgery. |
| first_indexed | 2024-03-12T19:36:02Z |
| format | Article |
| id | doaj.art-fb3ede997a39411c854db9b7e9ed1c4d |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T19:36:02Z |
| publishDate | 2016-05-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-fb3ede997a39411c854db9b7e9ed1c4d2023-08-02T04:12:08ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2016-05-01343731901962168Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft SurgeryMohammad Hosseinifar0Zeinolabedin Mojahed1Mohsen Mirmohammad-Sadeghi2Hamid Azadeh3Assistant Professor, Department of Physiotherapy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, IranMSc student, Department of Physiotherapy, School of Rehabilitation Sciences AND Student Research Committee, Isfahan University of Medical sciences, Isfahan, IranAssociate Professor, Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Physiotherapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, IranBackground: The aim of this study was to evaluate the effect of arm position during coronary artery bypass surgery on neuropathic symptoms and nerve conduction velocity (NCV) of the upper extremity nerves in patients with diabetes. Methods: In this clinical trial, 20 patients with diabetes, who were candidates for open-heart surgery, were divided randomly into control and experimental group. During the operation, patient’s arm was positioned at 90 degree abduction and at the sides of the body in the experimental and control group, respectively. Electrodiagnostic tests including assessing amplitude and conduction velocity of sensory and motor nerves of radial, median and ulnar of left hand was performed. Physical examination was also done for checking the numbness and Paresthesia in both hands. Findings: The Comparison of the changes for mean of amplitude and NCV of radial, median and ulnar nerves showed significant change in the control group after operation (P < 0.050). The Comparison of the changes for mean of amplitude and NCV of radial, median and ulnar nerves showed significant change except in radial motor NCV and sensory amplitude of ulnar nerve in the test group after operation (P < 0.050). The comparison of mean values after operation between groups showed no significant changes except in sensory amplitude of ulnar nerve. Conclusion: Arm abduction at 90 degrees reduces the axonal injury of the ulnar sensory fibers during coronary artery bypass graft surgery.http://jims.mui.ac.ir/index.php/jims/article/view/5134DiabetesNerve conduction velocity (NCV)Coronary artery bypass |
| spellingShingle | Mohammad Hosseinifar Zeinolabedin Mojahed Mohsen Mirmohammad-Sadeghi Hamid Azadeh Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery مجله دانشکده پزشکی اصفهان Diabetes Nerve conduction velocity (NCV) Coronary artery bypass |
| title | Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery |
| title_full | Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery |
| title_fullStr | Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery |
| title_full_unstemmed | Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery |
| title_short | Effects of Zero- and 90-Degree Abduction of Glenohumeral Joint on the Upper Extremity Nerve Conduction Velocity (NCV) in Patients with Diabetes Undergoing Coronary Artery Bypass Graft Surgery |
| title_sort | effects of zero and 90 degree abduction of glenohumeral joint on the upper extremity nerve conduction velocity ncv in patients with diabetes undergoing coronary artery bypass graft surgery |
| topic | Diabetes Nerve conduction velocity (NCV) Coronary artery bypass |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/5134 |
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