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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/18641

Title: Functional status outcomes secondary to recovery of Phrenic nerve on injured patients after open heart operations.
Authors: B. El-Sobkey, Salwa.
Keywords: Open heart operations- Phrenic nerve injury- Quality of life- Physical functional status outcomes.
Issue Date: 2008
Publisher: Cairo University
Citation: Physical Therapy and the Art of Caring Faculty of Physical Therapy 11th International Scientific Conference, 2008 March 6-7, Cairo Egypt; 2008. P. 85-96.
Abstract: BACKGROUND: Frequency of Phrenic nerve injury as a complication of open heart operations was found to be 45.3% in the cardiothoracic surgery department- Cairo University hospital, Cairo, Egypt. The aim of this prospective study, based on the completion of a functional status questionnaire before and three months after open heart operations, was to evaluate the improvement of functional status concordance to recovery of the Phrenic nerve. DESIGN: Prospective study with completion of questionnaires before operation and three months afterwards. SETTING: department of Cardiothoracic surgery at a Cairo University-based hospital in Cairo, Egypt. PATIENTS: During a 18-month period, a consecutive sample of 32 patients (16 males and 16 females with mean (SD) age 36.4 ± 13 years) was studied. Patients underwent their first open heart operation and diagnosed as Phrenic nerve injured after the operation. INTERVENTION: Study group (16 patients) received 12 irradiation sessions of low power laser for three months. MAIN OUTCOME MEASURE: A functional status questionnaire form designed by the researcher. RESULTS: Patients irradiated showed recovery of Phrenic nerve and their parameters returned to the pre-operative level or even better. This enhancement of nerve injury was translated to more improvement in physical functional status of the irradiated group than the controlled group. This improvement was of statistical significant for the following categories; lifting and pushing objects, climbing stairs, full time return to same work, and outdoor activities. (P values 0.010, 0.002, 0.025, 0.024 respectively). Other categories showed no significant difference between the two groups, including; self- care, house held activity for female patients, and walking. CONCLUSION: Application of laser for patients with Phrenic nerve injury after open heart surgery not only enhance its recovery and restore the electrophysiological capacity but also improve the physical functional status of patients, in most categories of the used questionnaire, and affect their quality of life.
URI: http://hdl.handle.net/123456789/18641
ISSN: Open heart operations- Phrenic nerve injury- Quality of life- Physical functional status outcomes.
Appears in Collections:College of Applied Medical Sciences

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