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. 2022 Aug 19;14(8):e28169. doi: 10.7759/cureus.28169

Table 2. Summarizes the cardiac rehabilitation provided.

TEE: Thoracic expansion exercise, IRV: Inspiratory reserve volume, FRC: Functional residual capacity, AROM: Active range of motion, ADLs: Activities of daily living, ACBT: Active cycle of breathing training.

Sr. No. Intervention goals Therapeutic Intervention Treatment Regimen
1. To prevent pulmonary, circulatory & integumentary complications post-surgery. Manual positioning-half lying/semi-fowlers position was given initially; later upright sitting was given-air beds provided Positioning was given after every two hours.
2. To improve bed mobility and prevent prolonged immobilization  Monitored in bed transitional training and bedside mobilization given with binder  First three days: bedside sitting, chair sitting, and standing.
3. To bring back to normal ADLs Self-paced walking in 30 meters hallway Begin on post-op day four, initially, five minutes, progressing up to 15-20 min, stair climbing on 13 to 14th day
4. To avoid strain over incision and drain site Chest binders Splinted coughing, Binder support during movements.
5. To promote airway clearance Acapella (green) ACBT Ten reps x one set two times a day. Three to four cycles two times a day.
6.   To improve breathing patterns and respiratory rate Deep breathing exercises: 1) Diaphragmatic breathing 2) Segmental breathing. Initially, 10 reps x one set two times a day. Later ten reps x two sets three to four times a day.
7. To improve lung volumes (IRV) and capacities (FRC)   1)TEE Initially, 10 reps x one set two times a day. Later every two hours of interval
2. Flow-oriented Incentive spirometer used.
8. To maintain joint integrity & mobility  AROM exercises of upper and lower limbs bilaterally. Initially, 10 reps x one set two times a day. Later ten reps x two sets three to four times a day.
9. To correct posture Postural correction Conscious correction of her posture by avoiding slouching by self-feedback and passive feedback from relatives whenever she was seen slouching.