Journal of Rehabilitation Sciences & Research

The Prevalence and Characteristics of Shoulder Pain in Female Patients with Coronary Artery Bypass Graft (CABG)

Document Type : Original Articles

Authors

shiva Mousavi 1
Behnoosh Vasaghi-Gharamaleki 2
Jalil Mirza-Mohammad Khanpour 1
Tahereh Khosravian-Arab 1

1 Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran

2 Department of basic sciences of rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

https://doi.org/10.30476/jrsr.2017.41112
Abstract
Background: Currently, cardiovascular disease is the most common cause ofdeath in the world. The current study aimed to determine the prevalence andcharacteristics of shoulder pain in female patients with coronary artery bypassgraft (CABG).Methods: This cross-sectional study enrolled 136 women after (CABG) througheasy access, and questionnaires were distributed to them. The subjects wereasked to complete the questionnaire regarding the time of incidence andcharacteristics of their shoulder pain, their history of exercise, and their historyof pulmonary, cardiovascular, and other diseases. The patients’ intensity of painwas measured using the visual analog scale (VAS).Results: In this study, 45 patients had shoulder pain. In nearly half of thepatients, the pain began from the left shoulder, and one-third of the patients hadpain in both shoulders. Onset of pain was sudden in more than 50% of cases.Conclusion: One-third of patients who underwent CABG suffered from shoulderpain which appeared quickly and within less than a day. The pain was frequentlyin the left shoulder or between the shoulder areas. Since the age of patients inthis study was 50+ years, if the pain persisted, the probability of incidence offrozen shoulder is high.

Keywords

Open heart surgery
Shoulder pain
Physiotherapy
Coronary artery bypass graft
  1. References
  2. Mathers CD, Loncar D. Projections of global mortality and burden
  3. of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442.
  4. Motlagh B , O’Donnell M, Yusuf S. Prevalence of cardiovascular
  5. risk factors in the Middle East: a systematic review. Eur J
  6. Cardiovas Pre Rehabil. 2009 Jun;16(3): 268 – 80.
  7. Talaei M, Sarrafzadegan N, Sadeghi M, Oveisgharan S, Marshall
  8. T, Thomas GN, et al. Incidence of cardiovascular diseases in an
  9. Iranian population: The Isfahan cohort study. Arch Iran Med.
  10. Mar;16(3):138-44.
  11. Koohi F, Salehiniya H, Hafshejani AM. Trends in mortality from
  12. cardiovascular disease in Iran from 2006-2010. Sabzevar Univ
  13. Med Sci. 2015 Sep-Oct; 22(4):630-8.
  14. Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N,
  15. Vaseghi S, et al. The burden of disease and injury in Iran 2003.
  16. Population health metr. 2009 Jun;15:7:9.
  17. Babaee G, Keshavarz M, Hidarnia A, Shayegan M. Effect of a
  18. health education program on quality of life in patients undergoing
  19. coronary artery bypass surgery. Acta Med Iran. 2007;45 (1):69-74.
  20. American Association of Cardiovascular and Pulmonary
  21. Rehabilitation. Guidelines for Cardiac Rehabilitation and
  22. Secondary Prevention Programs. Champaign, Illinois: Human
  23. Kinetics, 2004.
  24. Eisenberg E, Pultorak Y, Pud D, Bar-El Y. Prevalence and
  25. characteristic of post coronary artery bypass graft surgery pain
  26. (PCP). Pain. 2001 May;92(1-2):11-7.
  27. Chong AY, Clarke CE, Dimitri WR, Lip GYH. Brachial plexus
  28. injury as an unusual complication of coronary artery bypass graft
  29. surgery. Postgrad Med J. 2003 Feb; 79:84-6.
  30. Soltanzadeh M, Latifi SM, Shirazi M, Fayazi S. Evaluation of
  31. TENS in the pain management after coronary artery bypass
  32. grafting in Ahwaz Golestan Hospital. Jundishapur Sci Med J.
  33. Jun;32:51-57 (Persian).
  34. Meyerson J, Thelin S, Gordh T, Karlsten R. The incidence of
  35. chronic poststernotomy pain after cardiac surgery: a prospective
  36. study. Acta Anaesthesiol Scand. 2001 Sep;45(8):940-4.
  37. Lomi C, Westerdahl E. Physical therapy treatment after cardiac
  38. surgery: a national survey of practice in Greece. J Clin Exp
  39. Cardiolog. 2013 May;15;S7.
  40. Shaw DK, Deutsch DT, Bowling RJ. Efficacy of shoulder range
  41. of motion exercise in hospitalized patients after coronary arterybypass graft surgery. Heart Lung. 1989 Jul;18(4):364-9.
  42. Keles Z, MURAT Zinnuroglu M, Beyazova M. Impairment
  43. of upper trapezius branch of the spinal accessory nerve during
  44. bypass grafting: a stretch injury? Muscle Nerve. 2010; 41(1):144-7.
  45. Durmaz B, Kirazli Y, Atamaz F: Isolated spinal accessory nerve
  46. palsy after coronary artery bypass: an unusual complication. Am
  47. J Phys Med Rehabil. 2007 Oct;86:865–7.
  48. Jones MI, Greenfield S, Jolly K; BRUM Trial Steering Committee.
  49. Patients’ experience of home and hospital based cardiac
  50. rehabilitation: a focus group study. Eur J Cardiovasc Nurs. 2009
  51. Mar;8(1):9-17.
  52. Shafiei Z, Nourian K, Babaee S, Nazari A. Comparing
  53. Effectiveness of light pressure stroking massage on pain and
  54. fatigue of patients after coronary artery bypass graft surgery-A
  55. randomized clinical trial. J Clin Nurs Midwifery. 2013; 2(3):
  56. -38.
  57. Nerbass FB, Feltrim MI, Souza SA, Ykeda DS, Lorenzi-Filho G.
  58. Effects of massage therapy on sleep quality after coronary artery
  59. bypass graft surgery. Clinics (Sao Paulo). 2010;65(11):1105-10.
  60. Bagheri-Nesami M, Zargar N, Gholipour-Baradari A, Khalilian
  61. A. The Effects of foot reflexology massage on pain and fatigue
  62. of patients after coronary artery bypass graft. J Mazand Univ
  63. Med Sci. 2012 Sep; 22(92): 52-62 (Persian).
  64. Masoumi SZ, Kazemi F, Khani S, Seifpanahi-Shabani H,
  65. Garousian M, Ghabeshi M, et al. Evaluating effect of cardiac
  66. rehabilitation care plan on quality of life of patients undergoing
  67. open heart surgery at Ekbatan hospital, Hammadan. Res j Med
  68. Sci. 2017; 11(1):32-9.
  69. Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen
  70. shoulder: a long-term prospective study. Ann Rheum Dis. 1984
  71. Jun;43(3):361-4.
  72. Uddin MJ, MSAM Ahmed, M Moniruzzaman, MH Rahman, MJ
  73. Uddin, M Siraj. Prevalence of frozen shoulder among patients
  74. undergoing cardiothoracic surgery. Ibrahim Card Med J, 2011.
  75. (1):14-6.
  76. Wolf JM, Green A. Influence of comorbidity on self-assessment
  77. instrument scores of patients with idiopathic adhesive capsulitis.
  78. J Bone Joint Surg Am. 2002 Jul;84-A(7):1167-73.
  79. Dehdari T, Hashemifard T, Heidarnia AR, Kazemnejad A. The
  80. longitudinal effect of health education on health-related quality
  81. of life in patients with coronary artery bypass surgery. Med Sci.
  82. ;15 (1):41-6 (Persian).
  83. Abbasi M, Mohammadi N, Nasrabadi AN, Fuh SB, Sadeghi T.
  84. Re-Birth After Coronary Bypass Graft Surgery: A Hermeneutic-
  85. Phenomenological Study. Glob J Health Sci. 2014 May; 6(3):
  86. –40.
  87. Shafipour V, Moosazadeh M, Jannati Y, Shoushi F. The effect of
  88. education on the anxiety of a family with a patient in critical care
  89. unit: a systematic review and meta-analysis. Electron Physician.
  90. Mar 25;9(3):3918-24.
  91. Rosenfeldt F, Braun L, Spitzer O, Bradley S, Shepherd J, Bailey
  92. M, et al. Physical conditioning and mental stress reduction-a
  93. randomized trial in patients undergoing cardiac surgery. BMC
  94. Complement Altern Med. 2011 Mar 9;11:20.
  95. Colella TJ, King KM. Peer support. An under-recognized resource
  96. in cardiac recovery. Eur J Cardiovasc Nurs. 2004 Sep;3(3):211-7.
  97. Choinière M, Watt-Watson J, Victor JC, Baskett RJ, Bussières
  98. JS, Carrier M, et al. Prevalence of and risk factors for persistent
  99. postoperative nonanginal pain after cardiac surgery: a 2-year
  100. prospective multicentre study. CMAJ. 2014 Apr 15;186(7):E213-23.
  101. Varaei1 Sh, Cheraghi MA, Seyedfatemi N, Talebi M, Bahrani
  102. N, Dehghani A, et al. Effect of peer education on anxiety in
  103. patients candidated for coronary artery bypass graft surgery: a
  104. randomized control trial. J Nur Edu. 2013 2(3):28-37 (Persian).
Journal of Rehabilitation Sciences & Research
Volume 4, Issue 1 - Serial Number 1
20
Winter 2017
Pages 10-14

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