Shaw D K, Deutsch D T, Bowling R J
Cardiac Rehabilitation Department, Aultman Hospital, Canton, Ohio.
Heart Lung. 1989 Jul;18(4):364-9.
The rationale for inpatient (phase 1) exercise therapy after coronary artery bypass graft (CABG) surgery has been generalized from studies after myocardial infarction (MI) and bed rest. However, patients after CABG surgery are unlike patients after MI with regard to surgical trauma restoration of coronary circulation, and length of hospital stay. Most phase 1 exercise routines include a variety of range of motion (ROM) exercises, many of which focus on shoulder joint mobility. The purpose of our study was to examine the effect of shoulder ROM exercise therapy on inpatients after CABG surgery, because data in this area are limited. The results indicate that ROM exercises do not significantly (p greater than 0.05) ameliorate the early ROM loss associated with surgery. We conclude that the loss of shoulder ROM observed after surgery is a function of the surgical procedure and not lack of ROM challenge.
冠状动脉旁路移植术（CABG）后住院（第一阶段）运动疗法的理论依据是从心肌梗死（MI）和卧床休息后的研究中推广而来的。然而，CABG手术后的患者在手术创伤、冠状动脉循环恢复以及住院时间方面与MI后的患者不同。大多数第一阶段的运动常规包括各种关节活动范围（ROM）练习，其中许多侧重于肩关节活动度。我们研究的目的是检查肩关节ROM运动疗法对CABG手术后住院患者的影响，因为该领域的数据有限。结果表明，ROM练习并不能显著（p大于0.05）改善与手术相关的早期ROM丧失。我们得出结论，手术后观察到的肩关节ROM丧失是手术操作的结果，而非缺乏ROM挑战。
