Kinesiotape as a modality for prevention of kyphosis development after coronary artery bypass surgery : Case study / Walaa Mostafa Abdelhaleem Rizk ; Supervised Haytham M. Elhafez , Soheir S. Rezkallah , Tarik H. Eltaweel

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: Kinesiotaping (KT) is a type of taping treatment method involving the application of elastic therapeutic tapes to the skin. The benefits of taping were said to be due to sensorimotor and proprioceptive feedback mechanisms.Taping offers immediate sensorimotor input, and patients often report symptom relief, increased relaxation, or increased joint stability. The elasticity of KT allows for movement by conforming to the body.The most common cardiovascular disorder is coronary artery disease (CAD), which is correlated to a decline in quality of life.For the treatment of CAD, revascularization procedures such as Coronary Artery Bypass Graft.The patient was not resumed with protocol. After a month, he developed dyspnea while walking, chest discomfort, and neck pain. An examination revealed moderate kyphotic posture, trigger points in the trapezius and sternocleidomastoid muscles, and spasm of neck muscles on palpation, as well as a decrease of neck range of motion. Case presentation: we present a male patient 55 years old diabetic and hypertensive with coronaries obstruction, his BMI was 22 kg\m2. Methods: we conducted a case study of targeted patient kinesiotape effect on primary outcome Cobb angle of kyphosis post coronary artery bypass surgery and investigated with sagittal radiographic evaluation whether the magnitude of change differed from baseline and follow up radiographs for Cobb angle measurements. The patient was delivered physical therapy protocol daily and for 1 week post operation and re-evaluated after 1 month. The protocol included: breathing exercises, incentive spirometry, expansion exercises, neck and trunk mobility exercises and walking combined with kinesiotape application on back muscle. Results: The Cobb{u2019}s angle base line measurement was 42o degree and follow up was 40o degree. There was significant difference between Cobb angle measurements after intervention. Conclusion: Kinesiotape has an important role in prevention of kyphosis posture development as a secondary complication after coronary artery bypass surgery

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