Journal article

Sternal instability following coronary artery bypass grafting

D El-Ansary, R Adams, L Toms, M Elkins

Physiotherapy Theory and Practice | Published : 2000


Several cases of sternal instability have been noted in patients following coronary artery bypass graft surgery attending our cardiac rehabilitation programme. The purpose of this prospective study was to identify factors associated with sternal instability following sternotomy involving saphenous vein grafts (SVG) and unilateral or bilateral internal mammary artery (IMA) grafts. A rating scale for quantifying sternal instability was developed and used by the physiotherapists to assess all patients. Inter-therapist and intra-therapist reliabilities for the scale were calculated and these were 0.97 and 0.98 (ICC) respectively. Twenty-four patients who underwent coronary artery bypass grafting..

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