Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 9 , Pages 1775-1781 , September 2008

Control of Separation in Sternal Instability by Supportive Devices: A Comparison of an Adjustable Fastening Brace, Compression Garment, and Sports Tape

  • Doa El-Ansary, PhD

      Affiliations

    • School of Physiotherapy, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, VIC, Australia
    • School of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia
    • Corresponding Author InformationReprint requests to Doa El-Ansary, PhD, GPO Box 2377, Melbourne, 3001, Australia
    • ,
  • Gordon Waddington, PhD

      Affiliations

    • Department of Physiotherapy, School of Health Sciences, University of Canberra, Canberra, ACT, Australia
    • ,
  • Roger Adams, PhD

      Affiliations

    • School of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia

References 

  1. El-Ansary D, Waddington G, Adams R. Measurement of non-physiological movement in sternal instability by ultrasound. Ann Thorac Surg. 2007;83:1513–1516
  2. Kalso E, Mennander S, Tasmuth T, Nilsson E. Chronic post-sternotomy pain. Acta Anaesthesiol Scand. 2001;45:935–939
  3. El-Ansary D, Adams R, Ghandi A. Musculoskeletal and neurological complications following coronary artery bypass graft surgery: a comparison between saphenous vein and internal mammary artery grafting. Aust J Physiother. 2000;46:19–25
  4. Perttunen KT, Kalso E. Chronic pain after thoracic surgery: a follow-up study. Acta Anaesthesiol Scand. 1999;43:563–567
  5. El Gamel A, Yonan NA, Hassan R, et al. Treatment of mediastinitis: early modified Robicsek closure and pectoralis major advancement flaps. Ann Thorac Surg. 1998;65:41–46discussion 46-7
  6. Robicsek F, Fokin A, Cook J, Bhatia D. Sternal instability after midline sternotomy. Thorac Cardiovasc Surg. 2000;48:1–8
  7. Kouchoukos NT, Wareing TH, Murphy SF, Pelate C, Marshall WG. Risks of bilateral internal mammary artery bypass grafting. Ann Thorac Surg. 1990;49:210–217discussion 217-9
  8. Weintraub WS, Jones EL, Craver J, Guyton R, Cohen C. Determinants of prolonged length of hospital stay after coronary artery bypass surgery. Circulation. 1989;80:276–284
  9. Loop FD, Lytle BW, Cosgrove DM, et al. J. Maxwell Chamberlain memorial paper (Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care). Ann Thorac Surg. 1990;49:179–186discussion 186-7
  10. Ozaki W, Buchman SR, Iannettoni MD, Frankenburg EP. Biomechanical study of sternal closure using rigid fixation techniques in human cadavers. Ann Thorac Surg. 1998;65:1660–1665
  11. Robicsek F, Hamilton DA. Presternal muscle padding following midline sternotomy. J Card Surg. 1989;4:299–301
  12. Ringelman PR, Vander Kolk CA, Cameron D, Baumgartner WA, Manson PN. Long-term results of flap reconstruction in median sternotomy wound infections. Plast Reconstr Surg. 1994;93:1208–1214discussion 1215-6
  13. McGregor WE, Trumble DR, Magovern JA. Mechanical analysis of midline sternotomy wound closure. J Thorac Cardiovasc Surg. 1999;117:1144–1150
  14. Robicsek F. Postoperative sterno-mediastinitis. Am Surg. 2000;66:184–192
  15. de Jesus RA, Acland RD. Anatomic study of the collateral blood supply of the sternum. Ann Thorac Surg. 1995;59:163–168
  16. Moore KL. Clinically oriented anatomy. 6th ed.. Philadelphia: Lippincott; 2006;
  17. Abid Q, Rao Podila S, Kendall S. Corrigendum to “Sternal dehiscence after cardiac surgery and ACE type 1 inhibition”. Eur J Cardiothorac Surg. 2001;20:203–204
  18. Bitkover CY, Gardlund B. Mediastinitis after cardiovascular operations: a case-control study of risk factors. Ann Thorac Surg. 1998;65:36–40
  19. Yuen JC, Zhou AT, Serafin D, Georgiade GS. Long-term sequelae following median sternotomy wound infection and flap reconstruction. Ann Plast Surg. 1995;35:585–589
  20. Meyerson J, Thelin S, Gordh T, Karlsten R. The incidence of chronic post-sternotomy pain after cardiac surgery—a prospective study. Acta Anaesthesiol Scand. 2001;45:940–944
  21. Macrae W. Chronic pain after sternotomy. Acta Anaesthesiol Scand. 2001;45:927–928
  22. Cohen AJ, Moore P, Jones C, et al. Effect of internal mammary harvest on postoperative pain and pulmonary function. Ann Thorac Surg. 1993;56:1107–1109
  23. Mailis A, Umana M, Feindel CM. Anterior intercostal nerve damage after coronary artery bypass graft surgery with use of internal thoracic artery graft. Ann Thorac Surg. 2000;69:1455–1458
  24. El-Ansary D, Adams R, Waddington G. Relationship between pain and upper limb movements in patients with sternal instability following cardiac surgery. Physiother Theory Pract. 2007;23:273–280
  25. Meisler P. The sternum support harness for the treatment of sternotomy pain and the prevention of sternal instability. Cardiopulmonary Phys Ther J. 2003;Dec
  26. Snijders C, Bakker M, Vleeming A. Oblique abdominal muscle activity in standing and in sitting on hard and soft seats. Clin Biomech (Bristol, Avon). 1995;10:73–78
  27. Cala SJ, Kenyon CM, Lee A, Watkin K, Macklem PT, Rochester DF. Respiratory ultrasonography of human parasternal intercostal muscle in vivo. Ultrasound Med Biol. 1998;24:313–326
  28. Macklem P, Macklem D, De Troyer A. A model of inspiratory muscle mechanics. J Appl Physiol. 1983;55:547–557
  29. El-Ansary D, Adams R, Waddington G. Trunk stabilisation exercises reduce sternal separation in chronic sternal instability after cardiac surgery: a randomised cross-over trial. Aust J Physiother. 2007;53:255–260
  30. El-Ansary D, Adams R, Toms L, Elkins M. Sternal instability following coronary artery bypass grafting. Physiother Theory Pract. 2000;16:27–33
  31. Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the transverse abdominus muscles, sacroiliac joint mechanics, and low back pain. Spine. 2002;27:399–405

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00399-7

doi: 10.1016/j.apmr.2008.01.025

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 9 , Pages 1775-1781 , September 2008

Article Tools

* Image Usage & Resolution