The Effect of Transcutaneous Electrical Nerve Stimulation on Forced Vital Capacity and Pain in Patients with Median Sternotomy
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 6
Abstract
Background: Median sternotomy is the thoracic incision through the midline of the sternum, which is used to gain access to the heart and mediastinal structures. A significant reduction in lung volumes were reported in patients after Median Sternotomy performed during cardiac surgery. Pain is considered as one of the most relevant factor influencing the reduction of lung volume. Subsequently, abnormalities in the chest wall mechanics may also occur that may influence the reduced lung function. TENS is a low frequency modality used to relieve pain and is been reported to be effective in reducing post-operative pain and improving lung function. Specific Objective - To determine the effect of Transcutaneous Electrical Nerve Stimulation on Forced Vital Capacity and Pain in patients with Median sternotomy. Methods: Design – Pre test – Post test with Comparison group (Quasi experimental design). Study Setting - Dept of Cardio Thoracic and Vascular Surgery, Narayana Medical College And Hospital Participants - A total of 30 patients who underwent Median sternotomy for open heart surgeries. Intervention - Group A-15 participants received TENS and conventional physiotherapy (duration of 20 minutes of TENS and 30 minutes of conventional physiotherapy/session for 2 sessions/ day) and Group B-15 Participants received conventional physiotherapy (30 minutes of conventional physiotherapy/ session for 2 sessions/day) for 5 days. Outcome Measures - FVC using Hand Held Spirometer, Numerical pain rating scale and X-ray grading for Atelectasis. Results - The patients in TENS with conventional physiotherapy group, showing the mean difference in FVC, Pain and Atelectasis were 0.85, 5.40 and 1.66 respectively. The patients with conventional physiotherapy alone, showing the mean difference of FVC, Pain and Atelectasis were 0.43, 3.53 and 1.13 respectively The FVC of patients in TENS with conventional physiotherapy and Conventional physiotherapy alone showed a mean difference of 0.42. Pain in TENS with conventional physiotherapy and conventional physiotherapy alone showed a mean difference of 1.87 and Atelectasis in TENS with conventional physiotherapy and conventional physiotherapy showed a mean difference of 0.53 using Independent’t’ test. Conclusion - This study reveals that there was significant difference of improvement in FVC and Pain following TENS with conventional physiotherapy when compared to Conventional physiotherapy alone in patients undergoing Median sternotomy.
Authors and Affiliations
V. Kiran
Keywords
Related Articles
- EP ID EP213709
- DOI -
- Views 58
- Downloads 0
Utility of Squash Cytology in the intraoperative diagnosis of Central Nervous System lesions
Introduction: Various Methods are used for intraoperative diagnosis of central nervous system leision.Squash cytology is one such method which is simple, rapid and accurate. This Study aims to evaluate the utility and ac...
Histopathological Evaluation of Myometrial Lesions of Corpus Uterus-A Tertiary Care Hospital Based Study
The aim of the study was to evaluate the distribution of various types of myometrial lesion (both neoplastic and non-neoplastic) in the hysterectomy and myomectomy specimens received in our institution. The pattern of oc...
Significance of Inter-Ictal Period in Detection of Epilepsy by EEG
Objectives: To evaluate the sensitivity of EEG in diagnosing Epilepsy in different inter-ictal periods. Materials and Methods: The study was done from June 2014 to May 2015.One hundred and thirteen clinically diagnosed c...
To study the efficacy of Obturator Nerve blocks using nerve stimulator in Transurethral Resection of Bladder Tumor (TURBT) under spinal anaesthesia
This was a prospective randomized study, conducted to evaluate the efficacy of Obturator Nerve blocks using nerve stimulator in Transurethral Resection of Bladder Tumor (TURBT) under spinal anaesthesia. Aim and Objective...
Nasal Polyps- Causes and Associated Symptoms- A Clinical Study
Background: Nasal polyps (NP) are mucosal lesions of the nasal or paranasal sinuses that can result from a response to inflammatory or infectious stimuli. The present study was conducted to determine the causes and occur...