Medical Science
Volume 24, Issue 104, July - August, 2020
A case report on impact of physiotherapy rehabilitation on post coronary artery bypass graft
Dhanashri Ghordadekar1, Waqar M. Naqvi2♦, Arti Sahu1
1final year student, Ravi Nair Physiotherapy College, DattaMeghe Institute of Medical Sciences, Wardha, Maharashtra, India
2Professor and Head of Department, Community Health Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India
♦Corresponding author
Professor and Head of Department, Community Health Physiotherapy, Ravi Nair Physiotherapy College, Wardha,
Maharashtra, India;
Email: waqar.naqvi@dmimsu.edu.in
ABSTRACT
Introduction: Peripheral vascular disease (PVD) occludes medium and small size arteries other than heart and brain. It may lead to
recurrent fatigue, cramping, intermittent pain sensation, and intermittent claudication. In India, Coronary Artery Disease (CAD) has a
prevalence of is 11% for non-diabetic and 21.5% for diabetic population. Case Description: A 50 years old male patient with coronary
artery bypass graft was referred for physical therapy from post operative day 1 to day 10. Ten sessions of physiotherapy were
performed using various exercise programs such as patient education, proper advice, deep diaphragmatic breathing exercises, upper
extremity and lower extremity mobility exercises and airway clearance techniques. Discussion: The patient reported a decrease in
breathlessness and an increase in functional activity following the physical therapy. There was a decrease in rate of perceived
exertion score while performing functional activity. We also observed an increase in walking distance in the 6MWT. Monitoring vitals
during the exercise is important to look for any abnormal signs and symptoms. Conclusion: Patient was reported to have an increase
in functional capacity of patient, which led to significant improvement in his quality of life and functional outcome. The positive
outcome from this study warrants further studies including large number of patients.
Keywords: physiotherapy, coronary artery bypass graft, physical examination, incentive spirometry, breathlessness
Medical Science, 2020, 24(104), 1962-1967
