Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2013
  • Volume: 7
  • Issue: 3

Comparison of effects of Sitting-up Using Rope Ladder versus Manual Supported Sitting-up on Haemodynamic Variables in Patients after Coronary Artery Bypass Grafting

1Physiotherapist, Dr.R.M.L Hospital, New Delhi

2Assistant Professor, Faculty of Rehabilitation Science, Jamia Hamdard, New Delhi

3Professor, Department of CTVS, G.B.Pant Hospital, New Delhi

*Corresponding author: Deepti Garnawat, MPT (Cardio-Pulmonary), Physiotherapist, Dr. R.M.L Hospital, New Delhi. Email: deeptigarnawat@yahoo.co.in

Online published on 29 July, 2013.

Abstract

To evaluate haemodynamic effects of using rope ladder for sitting-up by patients after Coronary Artery Bypass Graft(CABG) surgery.

Rope ladders are provided to patients to sit-up after cardiac surgery. Sitting-up using rope ladder requires a combination of isotonic and isometric efforts. Combined isotonic and isometric activities cause some cardiovascular/hemodynamic alterations.

Study was conducted on 2nd post-operative day. Measurement of Heart Rate (HR), Systolic Blood Pressure(SBP), Diastolic Blood Pressure(DBP), Rate Pressure Product(RPP) and Post-operative pain were obtained for all subjects in supine, immediately on sitting-up, after 5 minutes and 10 minutes of sitting with either using rope ladder or manual support.

Sitting-up using rope ladder immediately resulted in an increase in DBP, HR and Post operative pain scores and decrease in SBP and RPP. The significance level was set at p< 0.05.

Sitting-up using rope ladder results in slightly greater alterations in hemodynamic variables.

Keywords

Isometric, Isotonic, Haemodynamics, Coronary Artery Bypass Grafting