Effects of osteopathic treatment on pulmonary function and chronic thoracic pain after coronary artery bypass graft surgery (OstinCaRe): study protocol for a randomised controlled trial

Abstract

BackgroundCoronary artery bypass graft surgery (CABG) is an effective and widespread coronary revascularisation technique, nevertheless there are a number of long-term postoperative complications from which patients can suffer. One year after CABG surgery pulmonary function is decreased by 12% and 30% of the patients suffer from chronic thoracic pain. To date and to our knowledge there are no effective treatments for these conditions. The aim of the present clinical trial is to explore the effectiveness of osteopathic treatment on these conditions.MethodsThe study is designed as a randomised controlled trial with two parallel groups. Group A will receive a standard cardiac rehabilitation programme during 12 weeks and group B will receive the same standard cardiac rehabilitation programme supplemented with four osteopathic treatments (OT). OT will be performed at week 4, 5, 8 and 12 after surgery. Three hundred and eight patients (Group A: n = 154, Group B: n = 154) will be enrolled from the cardiothoracic surgery department of the Jessa Hospital Hasselt. Blinding will be assured for the staff of the cardiac rehabilitation centre and outcome assessors. Primary outcome measure will be the mean difference in change from baseline in slow vital capacity (SVC) at 12 weeks after surgery between groups. Secondary outcome measures will be the change from baseline in quality of life, pain, thoracic stiffness and maximal aerobic capacity at 12 weeks after surgery. A follow-up is planned 52 weeks after surgery for SVC, quality of life, pain and thoracic stiffness. Intention to treat analysis will be executed.DiscussionThe OstinCare study has been designed to explore the potential long-term added value of osteopathic treatment in the management of decreased pulmonary function, chronic thoracic pain and diminished thoracic mobility after CABG surgery.Trial registrationThe protocol has been retrospectively registered on ClinicalTrials.gov (NCT01714791).

Usefulness of sternal closure with bioresorbable plate in respiratory function after coronary artery bypass grafting

“…Especially in the pulmonary function, there were a few reports to treat the latter conditions. Roncada reported that osteopathic treatments might be effective treatment for decreased pulmonary function, chronic thoracic pain and diminished thoracic mobility after CABG surgery [20]. And then, inspiratory muscle training insertion in the preoperative period to cardiac surgery indicated an improvement in forced vital capacity and maximum voluntary ventilation [21].…”

Komplementer terápiás gyógymódok megítélése a perioperatív ellátásban dolgozó egészségügyi szakdolgozók között

“…A homeopátiás szereket több tanulmány vizsgálta, elsősorban ortopédiai műtétek utá ni fájdalomcsillapítás szempontjából, ám nem találták a készítményeket effektív analgetikumnak, bár a posztope ratív duzzanatot csökkenthetik [42,43]. A manuálterá piát hasznosnak találták CABGműtét utáni fájdalomcsil lapításban és a műtét utáni légúti szövődmények megelőzésében [44,45]. A masszázs alkalmazható a szorongás csökkentésében, segíti a posztoperatív fájda lomcsillapítást és alkalmazható az intenzív terápia során is [46][47][48][49].…”