Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study.
Nam Hyun Cha, Sohyune Sok
PMID 27821926WHAT IT FOUND
After coronary intervention, a sequence of supine, 30-degree elevated side-lying, and 30-degree elevated lying position changes reduced back pain and discomfort without bleeding.
Key findings
01A position-change sequence of supine, 30-degree elevated side-lying, and 30-degree elevated lying positions lowered lumbar pain more than staying supine.
02The discomfort score in the position-change group fell to 17.54, while the control group rose to 24.67.
03No bleeding or hematoma was observed in either group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was done at a single hospital in metropolitan South Korea, so it may not fit other settings. Patients who had bleeding or hematoma were excluded, so the safety result does not apply to people who already have bleeding complications. The position-change treatment included several stages, so the benefit cannot be assigned to a single position. Pain and discomfort were self-reported, and the study did not measure blood pressure or pulse rate.
The easy way to misread this
Do not conclude that changing position is proven safe for all patients after coronary intervention. The trial only included patients with no bleeding or hematoma, and no bleeding events occurred in this small group.