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RELATIONSHIP OF SHOULDER PAIN IN POST-CABG PATIENTS WITH AND WITHOUT CARDIAC REHABILITATION

Nimra Tariq, Mehreen Jabbar, Alam Ali, Rabia Akram, Binish Manzoor, Alishfa Zahoor, Anum Manzoor

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ABSTRACT

Background: Any distress or ache sensed in the shoulder joint—a multifaceted framework comprised of bones, muscles, ligaments, and tendons—is considered shoulder pain. It can be intense (sudden beginning) or persistent (long-lasting), and it can extend in seriousness from reasonable to extreme

Objective: To assess the relationship of shoulder pain in post-CABG patients with and without cardiac rehabilitation

Methods: The study employed a cross-sectional design conducted at Services Hospital over six months, involving 126 post-CABG patients selected via non-probability convenient sampling. Data collection adhered to strict inclusion and exclusion criteria, utilizing the Shoulder Pain and Disability Index (SPADI) and Visual Analogue Scale (VAS) to assess shoulder pain and disability. The inclusion criteria encompassed males and females aged 45-75 years, one week to six months post-CABG, capable of understanding the questionnaire, while exclusion criteria ruled out those with shoulder dislocations, neurological conditions, heart transplants, or valve surgeries. Statistical analysis was performed using SPSS version 20 to derive meaningful insights from the collected data.

Results: The results of study suggested that showed strong positive correlation (r=0.735) between visual analogue scale (pain) and shoulder pain and disability index (pain and disability) in post-CABG patients with cardiac rehabilitation (n=73). Correlation is statistically significant with p-value 0.000. It was found that there is strong positive correlation (r=0.743) between visual analogue scale (pain) and shoulder pain and disability index (pain and disability) in post-CABG patients without cardiac rehabilitation (n=53). Correlation is statistically significant with p-value 0.000.

Conclusion: Thus, this study is shown in particular that shoulder pain level in post-CABG patients has a close relationship with cardiac rehabilitation performance. Patients involving themselves closely with structured cardiac courses revealed that they had significantly less shoulder pain compared to those who did not take part in the rehabilitation program.

Key Words: Cardiac Rehabilitation, Coronary Artery disease, disability, discomfort, shoulder pain.