Early Mobilization is the Key towards Early Functional Independence in a Patient Undergone Aortic Valve Replacement: A Case Study
Gunjan Ingale
Department of Cardio Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.
Vaishnavi Dilip Yadav
*
Department of Cardio Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.
Moli Jai Jain
Department of Cardio Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.
Vishnu Vardhan
Department of Cardio Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Heart disease due to valvular anomaly has increased prevalence along with increasing age. Rheumatic heart disease is a condition in which the heart valves have been permanently damaged post rheumatic fever. We report a patient with Aortic valve replacement using TTK CH 25 prosthetic valve who underwent post-operative physiotherapy which comprises 2 weeks of phase I cardiac rehabilitation, a home exercise program after discharge, and follow-up after 2 weeks. During follow up patient has a high level of independence, improvement in quality of life, lung function, and symptoms. This case report aims to highlight the significance of prompt diagnosis; treatment and most importantly rehabilitation incorporating early mobilization to get the patient back to his functional state. A scheduled exercise program benefits the patient and also minimizes complications after surgery.
Keywords: Aortic valve replacement, rheumatic heart disease, rheumatic aortic stenosis, phase 1 cardiac rehabilitation, early mobilization, functional independence