Modern mobilizációs technika a kardiológiában

Abstract

Summary:

The forced posture and reduced thoracic mobility of patients with median sternotomy cardiac surgery have a negative impact on the success of their rehabilitation. The problems of muscle shortening and imbalances and pain cannot be sufficiently addressed by active physical therapy alone. Soft tissue techniques must also be used to address functional deficits. The introduction of modern fascia-focused soft tissue techniques should be considered in the early post-operative rehabilitation of this patient group. Therefore, during the control group practical study, 22 patients who underwent median sternotomy were evaluated and treated at the St. Francis Hospital, Cardiology Rehabilitation Department, Central Hospital and University Teaching Hospital of Borsod-Abaúj-Zemplén County, Hungary, during August-November 2023 by integrating Myofascial Mobilization Therapy. A complete physiotherapy evaluation of your patients was performed at the beginning and at the end of the study. In addition to the anamnesis, the patients' posture, head posture, shoulder joint and shoulder girdle movements, active muscle strength, chest excursion, voluntary apnea test and pain level were measured using VAS scale. By evaluating these initial and final scores and examining the changes compared to the control group, we investigated the efficacy and applicability of the Myofascial Mobilization Therapy. The fascia knife therapy is safe and well adaptable in the studied patient population. Promoted the normalisation of posture, significantly increased range of shoulder and shoulder girdle movements, reduced scar pain, increased chest compressions and muscle strength compared to the control group. Besides these, no negative effects were detected.