Advanced search


Search results        Search results      Copy URL to E-Mail


Osteopathic, logopedic and psychological assessment to improve outcome in patients undergoing cardiac surgery: A randomized clinical trial (TITANIC trial)

Journal: European Journal of Preventive Cardiology Date: 2025/05, 32(S1):Pages: i156. doi: Subito , type of study: randomized controlled trial


Keywords:

cardiac surgery [6]
dysphagia [9]
OMT [3750]
osteopathic manipulative treatment [3770]
post-operative care [72]
randomized controlled trial [889]
rehabilitation [68]
sternotomy [8]
swallowing [11]

Abstract:

Background: Postoperative pain and swallowing disorders are complex, multifactorial phenomenon that frequently occur after cardiac surgery. Preoperative anxiety and the interaction between sex and other sociocultural factors may predict greater sensitivity to postoperative pain. Cardiac rehabilitation (CR) may address all these functional domains, improving patients' prognosis. Purpose: The study aimed to assess the effectiveness of a comprehensive cardiac rehabilitation (CR) approach combining osteopathic interventions (OMT), swallowing screening, individualized treatments, and psychological support, compared to conventional practices in managing pain and swallowing disorders in sternotomy patients. Methods: This monocentric, randomized, single-blind, parallel-arm study included patients >18 years who underwent elective cardiac surgery within the past month, had chest pain (NRS >2), and no pre-discharge swallowing disorders. Exclusion criteria were inability to consent or known psychological/psychiatric disorders. The experimental group (n=20) received standard rehabilitation, osteopathic treatment (OMT), systematic swallowing screening, and psychological counseling. The control group (n=20) received standard rehabilitation and psychological counseling. Outcome measures included the Bordoni Diaphragmatic Test (BDT), Brief Pain Assessment Questionnaire (BQVD), HADS, EuroQoL-VAS, Brief-Illness Perception Questionnaire (B-IPQ), Italian Dysphagia Handicap Index (I-DHI), Mealtime Assessment Scale (MAS), SF-12 and Walking Test (WT). Results: The study involved 44 patients (26 men, 18 women, mean age 53.75-72 years) and achieved complete retention, with no dropouts. Both groups demonstrated a significant reduction in C-reactive protein (CRP) levels (p<0.0001), indicating an overall improvement in systemic inflammation. Psychological and behavioural outcomes, including anxiety, illness perception, adherence, and quality of life, showed no significant changes in response to the intervention (all p>0.05). Even though systematic swallowing screening detected more swallowing disorders at admission in the experimental group, there were no statistically significant differences at discharge. Systematic osteopathic treatment did not significantly change the pain course during the inpatient cardiac rehabilitation. Finally, the length of hospital stay was comparable between the two groups, with no significant differences detected (p=0.390). Conclusions: CR is a multidisciplinary approach aimed at improving patients' stabilization and patient's empowerment. In the setting of cardiac surgery, adding systematic osteopathic treatment (OMT) and systematic swallowing screening to the standard practice did not significantly change the patient's outcome.


Search results      Copy URL to E-Mail

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_tqsehrpdgyjuvzmaxfbw



Supported by

OSTLIB recommends