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July 1, 2023Journal of the Association of Chartered Physiotherapists in Respiratory CareOpen Access

ACPRC scoping review of post-operative physiotherapy in people undergoing cardiac surgery

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Key result

Early mobilization and liberal upper-limb use expedite cardiac recovery, while respiratory physiotherapy benefits high-risk patients.

  • n=41

Why the study?

The study was conducted to report the extent and methodological type of evidence associated with post-operative physiotherapy in patients who underwent cardiac surgery.

Does post-operative physiotherapy improve outcomes in adult patients undergoing cardiac surgery?

Population

41 articles of adult patients undergoing cardiac surgery requiring post-operative physiotherapy

Comparison

Post-operative physiotherapy interventions evaluated across included studies

Design

Scoping review

Authors

AEAllaina Eden

Discussion

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Member takes

Overview

Evidence for post-operative physiotherapy after cardiac surgery remains limited; leaves open the need for rigorous RCTs to guide practice.

Structured PICO

Does post-operative physiotherapy improve outcomes in adult patients undergoing cardiac surgery?

P
Population
41 articles evaluating post-operative physiotherapy interventions in adult patients undergoing cardiac surgery.
I
Intervention
Post-operative physiotherapy (including mobilisation, respiratory physiotherapy, and sternal wound precautions)
O
Outcome
Extent and methodological type of evidence associated with post-operative physiotherapy

Post-operative physiotherapy, particularly early mobilization and targeted respiratory therapy, appears beneficial for recovery in adult cardiac surgery patients.

Limitations

  • The sample sizes tended to be small and single centred.
  • small sample sizes
  • single centred studies

Cite This Study

Allaina Eden (2023) conducted a review in Cardiac surgery (n=41). Post-operative physiotherapy was evaluated on Extent and methodological type of evidence associated with post-operative physiotherapy. A scoping review of 41 articles found that early mobilisation and liberal upper-limb usage expedite recovery, while targeted respiratory physiotherapy benefits high-risk cardiac surgery patients.

synapsesocial.com/papers/6aaa197ecf2bca5c547e65d6https://doi.org/10.56792/zuga7227
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of Aerobic Exercise Applied Early After Coronary Artery Bypass Grafting on Pulmonary Function, Respiratory Muscle Strength, and Functional Capacity: A Randomized Controlled Trial2016 · 43 citations
  2. 2Effect of physical activity in the first five days after cardiac surgery2016 · 39 citations
  3. 3Ambulation capacity and functional outcome in patients undergoing neuromuscular electrical stimulation after cardiac valve surgery2018 · 35 citations
  4. 4Positive expiratory pressure in postoperative cardiac patients in intensive care: A randomized controlled trial2020 · 16 citations