Sternal Precautions: Outdated or Evidence-Based? : Therapy Insights

Clinical Reference

Sternal Precautions: Outdated or Evidence-Based?

Therapy Insights Member Exclusive

Print Resource — US Letter — 4 pages

Population:

Adult

Discipline:

Diagnosis:

Orthopaedics

References:

Parker, R., Adams, J. L., Ogola, G., McBrayer, D., Hubbard, J. M., McCullough, T. L., … & Cleveland, T. (2008). Current activity guidelines for CABG patients are too restrictive: comparison of the forces exerted on the median sternotomy during a cough vs. lifting activities combined with valsalva maneuver. The Thoracic and cardiovascular surgeon, 56(04), 190-194.
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., … & Turner, M. B. (2014). Heart disease and stroke statistics—2014 update: a report from the American Heart Association. circulation, 129(3), e28-e292.
Katijjahbe, M. A., Granger, C. L., Denehy, L., Royse, A., Royse, C., Bates, R., … & El-Ansary, D. (2018). Standard restrictive sternal precautions and modified sternal precautions had similar effects in people after cardiac surgery via median sternotomy (‘SMART’Trial): a randomised trial. Journal of physiotherapy, 64(2), 97-106.
Cahalin, L. P., LaPier, T. K., & Shaw, D. K. (2011). Sternal precautions: is it time for change? Precautions versus restrictions-a review of literature and recommendations for revision. Cardiopulmonary physical therapy journal, 22(1), 5-15.
Adams, J., Lotshaw, A., Exum, E., Campbell, M., Spranger, C. B., Beveridge, J., … & Schussler, J. M. (2016, January). An alternative approach to prescribing sternal precautions after median sternotomy,“Keep Your Move in the Tube”. In Baylor University Medical Center Proceedings (Vol. 29, No. 1, pp. 97-100). Taylor & Francis.

This resource provides a comprehensive overview of sternal precautions, exploring both traditional and innovative approaches to managing upper body movement after median sternotomy. It offers practical guidance for optimizing recovery while balancing safety and functionality, with insights into the latest research and real-world applications.

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