Targeted physiotherapy in a patient after implantation of implantable cardioverter-defibrillator with chronic pain in the ipsilateral shoulder and arm – a case report
Authors:
Nečasová L. 1; Juhaňáková M. 1; Nováková T. 2; Rozmahelová A. 1; Krýže L. 1; Boček J. 1; Segeťová M. 1; Kautzner J. 1
Authors place of work:
Klinika kardiologie, Institut klinické a experimentální medicíny, Praha
1; Katedra fyzioterapie, Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha
2
Published in the journal:
Rehabil. fyz. Lék., 30, 2023, No. 3, pp. 156-163.
Category:
Case Report
doi:
https://doi.org/10.48095/ccrhfl2023156
Summary
Implantation of Cardiac Implantable Electronic Devices (CIED) is considered a minor surgical procedure. In spite of this, a portion of patients with a varying delay from the implantation itself describe pain in the region of the implanted device and the shoulder girdle which negatively affects their daily activities. This negatively affects their quality of life and it can become an indication for device removal. In a case study, we present a case of a patient implanted with a two-chamber implantable cardioverter-defibrillator (ICD) for secondary prevention of sudden cardiac death, who, after several months, developed pain in the area surrounding the ICD pocket, with the pain irradiating to the ipsilateral arm. Tests and examinations excluded infection, mechanical or vascular causes. The following physiotherapy led to a significant reduction in perceived pain, and reduction in difficulties connected with the pain. Pain in the area of the implanted CIED and ipsilateral shoulder and arm is a known complication. After excluding other causes, it is possible to use targeted physiotherapy to significantly or completely relieve pain in the area of device implant, as well as in more remote segments of the arm.
Keywords:
Pain – Physiotherapy – implantable cardioverter-defibrillator – implantation – shoulder
Zdroje
1. Glikson M, Nielsen JC, Kronborg MB et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J 2021; 42(35): 3427–3520. doi: 10.1093/eurheartj/ehab364.
2. Priori SG, Blomström-Lundqvist C, Mazzanti A et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC) endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Europace 2015; 17(11): 1601–1687. doi: 10.1093/europace/euv319.
3. Táborský M, Kautzner J, Fedorco M et al. Doporučené postupy ESC pro kardiostimulaci a srdeční resynchronizační terapii: aktualizace 2021. Překlad dokumentu připravený Českou kardiologickou společností. Cor et Vasa 2022; 64 (Suppl 2): 7–86.
4. Burri H, Starck C, Auricchio A et al. EHRA expert consensus statement and practical guide on optimal implantation technique for conventional pacemakers and implantable cardioverter-defibrillators: endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS). Europace 2021; 23(7): 983–1008. doi: 10.1093/europace/euaa367.
5. Táborský M, Kautzner J, Fedorco M et al. Konsenzuální dokument expertů Evropské asociace srdečního rytmu (EHRA) a praktický průvodce po optimální technice implantace kardiostimulátorů a implantabilních kardioverterů-defibrilátorů. Překlad dokumentu připravený Českou kardiologickou společností. Cor et Vasa 2021; 63(3): 396–416. doi: 10.33678/cor.2021.083.
6. Lewis K, Dai M, Patton KK et al. Lead extraction for reduction of chronic pain related to cardiovascular implantable electronic device. Europace 2019; 21(5): 781–786. doi: 10.1093/europace/euy320.
7. Celikyurt U, Agacdiken A, Bozyel S et al. Assessment of shoulder pain and shoulder disability in patients with implantable cardioverter-defibrillator. J Interv Card Electrophysiol 2013; 36(1): 91–94. doi: 10.1007/s10840-012-9753-7.
8. Daniels JD, Sun S, Zafereo J et al. Preventing shoulder pain after cardiac rhythm management device implantation: a randomized, controlled study. Pacing Clin Electrophysiol 2011; 34(6): 672–678. doi: 10.1111/j.1540-8159.2010.03026.x.
9. Nair GM, Birnie DH, Sumner GL et al. Post-operative pain following cardiac implantable electronic device implantation: insights from the BRUISE CONTROL trials. Europace 2021; 23(5): 748–756. doi: 10.1093/europace/euaa349.
10. Kusumoto FM, Schoenfeld MH, Wilkoff BL et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm 2017; 14(12): e503–e551. doi: 10.1016/j.hrthm.2017.09.001.
11. Kobesova A, Davidek P, Morris CE et al. Functional postural-stabilization tests according to Dynamic Neuromuscular Stabilization approach: proposal of novel examination protocol. J Bodyw Mov Ther 2020; 24(3): 84–95. doi: 10.1016/j.jbmt.2020.01.009.
12. Kobesova A, Safarova M, Kolar P. Dynamic neuromuscular stabilization: exercise in developmental positions to achieve spinal stability and functional joint centration. In: Hutson M, Ward A (eds). 2nd ed. Oxford textbook of musculoskeletal medicine: Oxford University Press 2015: 678–689.
13. Kolář P. Vertebrogenní obtíže a stabilizační funkce svalů – diagnostika. Rehabil Fyz Lék 2006; 13(4): 155–170.
14. Blomström-Lundqvist C, Traykov V, Erba PA et al. European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Europace 2020; 22(4): 515–549. doi: 10.1093/europace/euz246.
15. Jones MR, Prabhakar A, Viswanath O et al. Thoracic outlet syndrome: a comprehensive review of pathophysiology, diagnosis, and treatment. Pain Ther 2019; 8(1): 5–18. doi: 10.1007/s40122-019-0124-2.
16. Povlsen S, Povlsen B. Diagnosing thoracic outlet syndrome: current approaches and future directions. Diagnostics (Basel) 2018; 8(1): 21. doi: 10.3390/diagnostics8010021.
17. Velibey Y, Alper AT, Sahin S et al. Late lead perforation presenting as acute shoulder pain. Am J Emerg Med 2016; 34(11): 2255e1–2255e3. doi: 10.1016/j.ajem.2016.05.028.
18. Kolář P. Rehabilitace v klinické praxi. Praha: Galén 2009: 177.
19. Lewit K. Manipulační léčba v rámci léčebné rehabilitace. Praha: Česká lékařská společnost J. E. Purkyně 1990.
20. Paoletti S. Fascie. Anatomie, poruchy a ošetření. Olomouc: Poznání 2009.
21. Travel JG, Simons DG, Simons LS. Myofascial pain and dysfunction: the trigger point manual. 3rd ed. Philadelphia: Wolters Kluwer Health 2019: 52.
22. Day JA, Stecco C, Stecco A. Application of Fascial Manipulation technique in chronic shoulder pain – anatomical basis and clinical implications. J Bodyw Mov Ther 2009; 13(2): 128–135. doi: 10.1016/j.jbmt.2008.04.044.
23. Stecco A, Macchi V, Masiero S et al. Pectoral and femoral fasciae: common aspects and regional specializations. Surg Radiol Anat 2009; 31(1): 35–42. doi: 10.1007/s00276-008-0395-5.
24. Digby GC, Daubney ME, Baggs J et al. Physiotherapy and cardiac rhythm devices: a review of the current scope of practice. Europace 2009; 11(7): 850–859. doi: 10.1093/europace/eup102.
25. Pedretti RFE, Iliou M-C, Israel CW et al. Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA). Europace 2021; 23(9): 1336–1337. doi: 10.1093/europace/euaa427.
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
2023 Číslo 3
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- Deep stimulation of the globus pallidus improved clinical symptoms in a patient with refractory parkinsonism and genetic mutation
Najčítanejšie v tomto čísle
- Functional examination and therapy in primary coccygeal syndrome
- The effect of minimalist footwear on the biomechanics of human gait
- Evaluation of upper extremity function after spinal cord injury using GRASSP
- Targeted physiotherapy in a patient after implantation of implantable cardioverter-defibrillator with chronic pain in the ipsilateral shoulder and arm – a case report