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A randomized controlled study on the effects of the T-REX Twente (Thoracic Surgical Rehabilitation Experts Twente) sternal precautions on quality of life and physical activity levels in cardiac surgery patients, compared to standard care in patients following a median sternotomy: the study protocol.

PubMed / Trials · 2026-06-27 · By Wielens N, Roerdink K, Lynch W, et al. · Trials

This study protocol describes a randomized controlled trial evaluating the T-REX Twente sternal precautions program against standard postoperative care for patients who have undergone median sternotomy following cardiac surgery. The trial aims to determine whether the T-REX approach produces differences in quality of life and physical activity levels during recovery. Findings could inform rehabilitation protocols physical therapists use with post-cardiac surgery populations.

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