Motion at the sternal edges during upper limb and trunk tasks in-vivo as measured by real-time ultrasound following cardiac surgery: a three-month prospective …

S Balachandran, L Denehy, A Lee, C Royse… - Heart, Lung and …, 2019 - Elsevier
Background Despite a paucity of evidence, patients following cardiac surgery via median
sternotomy are routinely prescribed sternal precautions that restrict upper limb and trunk …

Is ultrasound a reliable and precise measure of sternal micromotion in acute patients after cardiac surgery?

S Balachandran, M Sorohan, L Denehy… - … Journal of Therapy …, 2017 - magonlinelibrary.com
Background/Aims: There is limited evidence to support the routine prescription of sternal
precautions following cardiac surgery, and the effects of dynamic tasks on sternal healing …

The Sternal Management Accelerated Recovery Trial (SMART)–standard restrictive versus an intervention of modified sternal precautions following cardiac surgery …

MA Katijjahbe, L Denehy, CL Granger, A Royse… - Trials, 2017 - Springer
Background The routine implementation of sternal precautions to prevent sternal
complications that restrict the use of the upper limbs is currently worldwide practice following …

Precautions related to midline sternotomy in cardiac surgery: a review of mechanical stress factors leading to sternal complications

BC Brocki, CB Thorup… - European journal of …, 2010 - journals.sagepub.com
Background: After midline sternotomy patients are instructed on activity precautions to avoid
sternal wound complications. We questioned how restrictive these precautions must be …

Sternal instability during arm elevation observed as dynamic, multiplanar separation

D El-Ansary, R Adams… - International Journal of …, 2009 - magonlinelibrary.com
Aims The purpose of this study was to describe and measure the motion of the sternal edges
in a single case with sternal instability, a complication that can follow a sternotomy for …

The impact of a less restrictive poststernotomy activity protocol compared with standard sternal precautions in patients following cardiac surgery

C Holloway, N Pathare, J Huta, D Grady… - Physical …, 2020 - academic.oup.com
Objective Guidelines following median sternotomy typically include strict sternal precautions
(SP). Recently, alternative approaches propose less functional restrictions while avoiding …

Skin deformation during shoulder movements and upper extremity activities

W Ge, A Sfara, B Hians - Clinical Biomechanics, 2017 - Elsevier
Background The necessity of sternal precautions for patients following cardiac surgery with
median sternotomy has been questioned by clinicians, researchers, and even patients. The …

An evidence-based perspective on movement and activity following median sternotomy

D El-Ansary, TK LaPier, J Adams, R Gach… - Physical …, 2019 - academic.oup.com
Cardiac surgery via median sternotomy is performed in over 1 million patients per year
worldwide. Despite evidence, sternal precautions in the form of restricted arm and trunk …

A randomized trial comparing the effects of sternal band and plate fixation of the sternum with that of figure-of-8 wires on sternal edge motion and quality of recovery …

AG Royse, D El-Ansary, W Hoang, E Lui… - Interactive …, 2020 - academic.oup.com
OBJECTIVES We sought to compare the effects of conventional wire cerclage with that of the
band and plate fixation of the sternum. METHODS A parallel randomized open-label trial …

“In the tube” following sternotomy: A quasi-experimental study

L Park, C Coltman, H Agren, S Colwell… - European Journal of …, 2021 - academic.oup.com
Background Traditionally, physical movement has been limited for cardiac surgery patients,
up to 12-weeks post-operatively. Patients are asked to use “standard sternal precautions,” …