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Table 4 Sternal Instability Scale

From: Effects of Supervised Early Resistance Training versus standard care on cognitive recovery following cardiac surgery via median sternotomy (the SEcReT study): protocol for a randomised controlled pilot study

Grade of motion

Modified Sternal Instability Scale

0

Clinically stable sternum (no detectable motion)—normal

1

Minimally separated sternum (slight increase in motion upon special testing*)

2

Partially separated sternum—regional (moderate increase in motion upon special testing*)

3

Completely separated sternum—entire length (marked increase in motion upon special testing*)

  1. *Special testing may include shoulder flexion, trunk rotation, lateral flexion, coughing and opposing movements of the upper limbs, either unilaterally or bilaterally