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Sumber : Filbay et al.

 Physiotherapy techniques are also used to manage secondary complications


such as pain and stiffness, restore mobility and function, and improve
postoperative quality of life (Herdy et al, 2008; Peric et al, 2008).
 These treatments consisted of positioning and suctioning, with
physiotherapists in only one hospital (2%) performing manual hyperinflation
and ventilator hyperinflation prior to extubation.
 Deep breathing exercises or coughing
 Mobilisation
 ROM exercise
 Incentive spirometry
 Cardiovasculer exercise
 All respondents reported that patients were sat out of bed following surgery
on day 1
 Ambulasi
 The majority of respondents (96%) assessed the ability of patients to safely
perform stairs at a median of day 4 (range 2–6),
 Upper limb and trunk range of motion (ROM) exercises were implemented
at a median of day 2 (range 0–5) by physiotherapists

sumber : Coyan et al.


 Diet and exercise are modifiable factors that impact secondary CAD risk.
 effect of exercise on functional outcomes, symptoms, and quality of life in
patients 5 – 6 years after CABG surgery
 low to moderate levels of exercise
 In the studies reviewed, exercise resulted in significant increases in
functional status and quality of life
 intense cardiac interval training was safe and effective in the CABG surgery
patient
 exercise routine after CABG surgery to achieve maximal recovery benefit
and prevent progressive atherosclerotic disease

E. Westerdahl et al.
 Chest physiotherapyis routinely used in order to prevent or reduce
pulmonary complications after surgery. to improve post-operative
pulmonary function, for example incentive spirometry, continuous positive
airway pressure and intermittent positive pressure breathing.
 The therapy consisted of mobilization and active exercises of the
upper limbs and thorax, breathing exercises and instructions in coughing
techniques.
 The patients were instructed to sit out of bed and stand up on the
postoperative day, walk in the room or a short distance in the corridor on the
second day, and walk freely in the corridor on the third post-operative day.

Susan Jenkins et al
 the patients who remained intubated on the morning following the operation
received physiotherapy while intubated. Treatment consisted principally of
vibrations to the chest wall and suctioning

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