Osteopathic treatment leads to significantly greater reductions in chronic thoracic pain after CABG surgery: A randomised controlled trial |
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| Affiliation: | 1. Jessa Hospital, Heart Centre Hasselt, Hasselt, Belgium;2. Commission for Osteopathic Research, Practice and Promotion, Mechelen, Belgium;1. Laboratory of Virology, Institute of Biological Sciences, Federal University of Pará, Guamá, 66.075-110, Pará state, Brazil;2. Institute of Health Sciences, Federal University of Pará, Umarizal, 66.050-060, Pará state, Brazil;3. Division of Tropical Medicine, Federal University of Pará, Umarizal, 66.050-060, Belém, Pará state, Brazil;1. Escola de Educação Física e Desportos, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil;2. Instituto Federal de Educação, Ciência e Tecnologia Do Rio de Janeiro, Campus Realengo, Rio de Janeiro, RJ, Brazil;3. Programa de Pós-Graduação em Ciências da Reabilitação e Desempenho Físico Funcional, Faculdade de Fisioterapia, Universidade Federal de Juiz de Fora, MG, Brazil;1. Department of Physiotherapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Vakilabad Blvd, Bahonar Blvd, Pardis campus, Mashhad, Iran;2. Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Koodakyar Ave, Daneshjoo Blvd, Evin, Tehran, Iran;3. Department of Rheumatology, Rheumatology Research Center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran;1. Neonatal Division, Department of Pediatrics, Federal University of São Paulo, São Paulo, SP, Brazil;2. Department of Human Movement Sciences, Laboratory of Human Motricity, Federal University of São Paulo, Santos, SP, Brazil;3. Physical Therapy Master Program, University of the City of Sao Paulo (UNICID), São Paulo, Brazil;4. Allergy, Clinical Immunology and Rheumatology Division, Department of Pediatrics, Federal University of São Paulo, São Paulo, SP, Brazil;1. Osteopathy, Unitec Institute of Technology, Auckland, New Zealand;2. Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand;3. Sport, Unitec Institute of Technology, Auckland, New Zealand;4. School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand |
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| Abstract: | BackgroundThere are a number of long-term postoperative complications after coronary artery bypass graft (CABG) surgery. Pulmonary function is decreased by 12% and 30%–50% of the patients have chronic thoracic pain.MethodsThis randomised controlled trial with two parallel groups aimed to explore the effectiveness of osteopathic treatments (OTs) on these conditions. The standard care (SC) group and the and OT group received a 12-week standard cardiac rehabilitation programme, which was supplemented with four OTs for the OT group only. The outcome assessors were blinded to the patients’ allocation.ResultsEighty-two patients with median sternotomy after CABG surgery were randomly allocated in a 1:1 ratio (SC: n = 42, OT: n = 42). Slow vital capacity and pain intensity were measured at baseline and at 12 weeks and 52 weeks after surgery. Pain intensity was significantly lower in the OT group 12 weeks after surgery (3.6–0.80 vs. 2.6 to 1.2, p = 0.030). One year after surgery, there still was a significantly lower pain intensity in the OT group (3.6–0.56, vs. 2.6 to 1.2, p = 0.014). No significant changes between groups were found in pulmonary function. There were no adverse events reported.ConclusionsFrom this study, it can be concluded that the addition of OT to exercise-based cardiac rehabilitation may lead to significantly greater reductions in thoracic pain after CABG surgery.Trial registrationThis study was registered on ClinicalTrials.gov (NCT01714791). |
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| Keywords: | Osteopathic treatment Coronary artery bypass graft surgery Slow vital capacity Pulmonary function Chronic thoracic pain |
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