Is ultrasound a reliable and precise measure of sternal micromotion in acute patients after cardiac surgery?
Sulakshana Balachandran, Maeve Sorohan, Linda Denehy, Annemarie Lee, Alistair Royse, Colin Royse, Katijjahbe Mohd Ali, Doa El-Ansary
INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION | MARK ALLEN GROUP | Published : 2017
Background/Aims: There is limited evidence to support the routine prescription of sternal precautions following cardiac surgery, and the effects of dynamic tasks on sternal healing remain unclear. The aims of this study were to determine the reliability of ultrasound as a measure of sternal micromotion and to report the minimal detectable change in the acute cardiac surgery population. Methods: Twenty participants, 3–7 days following cardiac surgery, were recruited. Ultrasound imaging of the sternum was undertaken at rest and during five dynamic tasks, including deep inspiration, cough, upper limb elevation (unilateral and bilateral), and sit to stand. Tasks were repeated three times, and th..View full abstract