Keep Your Move in the Tube® Method and Self-Confidence After Coronary Artery Bypass Graft Surgery

Post-sternotomy movement strategies in adults: a scoping review

AIMS

Post-sternotomy movement strategies for adults should be an evidence-informed approach and support a safe, independent return to daily activity. Recent new movement strategies have emerged. The aim of this scoping review was to identify and summarize the available evidence for post-sternotomy movement strategies in adults.

METHODS AND RESULTS

The electronic databases searched included MEDLINE, Embase, Sport Discus, CINAHL, Academic Search Complete, the Cochrane Library, Scopus, and PEDro. The search did not have a date limit. After 2405 duplicates were removed, 2978 records were screened, and 12 were included; an additional 2 studies were identified through reference searching for a total of 14 included studies. A data extraction table was used, and the findings are summarized in a tabular and narrative form. Three post-sternotomy movement strategies were identified in the literature: sternal precautions (SP), modified SP, and Keep Your Move in the Tube (KYMITT™). The authors suggested that the practice of SP was based on expert opinion and not founded in evidence. However, the evidence from the identified articles suggested that new movement strategies are safe and allow patients to choose an increased level of activity that promotes improved functional status and confidence.

CONCLUSION

More prospective cohort studies and multi-centred randomized control trials are needed; however, the current evidence suggests that modified SP and KYMITT™ are as safe as SP and can promote a patient-centred approach.

REGISTRATION

University of Calgary's Digital Repository PRISM http://hdl.handle.net/1880/115439.

Return of a flight attendant to full duty following myocardial infarction and subsequent coronary artery bypass grafting through a high-intensity occupation-specific cardiovascular rehabilitation program

Flight attendants play a vital role in the safety and security of air passengers during emergencies. A 61-year-old flight attendant who endured myocardial infarction and coronary artery bypass graft surgery wanted to return to full duty. To meet airline requirements, he chose to participate in our occupation-specific, high-intensity performance training program. This patient returned to full duty as a flight attendant upon completion of this specialized cardiac rehabilitation program.