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Infra-abdominal muscles activation brings benefits to the pulmonary function of patients with ternal instability after cardiac surgery
Nozawa, Emilia; Gonçalves, Cristiane Domingues; Almeida, Patricia Oliva de; Hajjar, Ludhmila Abrahão; Galas, Filomena Regina Gomes; Feltrim, Maria Ignêz Zanetti.
Afiliación
  • Nozawa, Emilia; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
  • Gonçalves, Cristiane Domingues; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
  • Almeida, Patricia Oliva de; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
  • Hajjar, Ludhmila Abrahão; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
  • Galas, Filomena Regina Gomes; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
  • Feltrim, Maria Ignêz Zanetti; Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. São Paulo. BR
Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;35(1): 41-49, Jan.-Feb. 2020. tab, graf
Article en En | LILACS | ID: biblio-1092471
Biblioteca responsable: BR1.1
ABSTRACT
Abstract

Objective:

To compare physical therapy strategies involving abdominal muscle stabilization, with and without upper limb movement, in patients with sternal instability after heart surgery and during in-hospital care.

Methods:

This prospective, longitudinal, randomized, and comparative clinical study included 20 patients, which were divided into two groups ARM, the arm group (n=10), and LEG, the leg group (n=10). The study involved the evaluation of scores of visual analog scales for sternal instability, pain, discomfort, functional impairment, lung function, and maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) before and after the interventions. Two protocols consisting of abdominal exercises in both groups with upper limb movements (ARM) and just abdominal activation with leg movements (LEG) were used for three weeks.

Results:

There were statistically significant (P≤0.01) improvements in pain, discomfort, and functional impairment scores, and in MIP (P=0.04) and MEP (P≤0.01) after intervention in both groups and just LEG showed improvement in forced vital capacity (P=0.043) and forced expiratory volume in one second (P=0.011).

Conclusion:

Both strategies promoted improvement in pain, discomfort, and functional impairment scores and in the values of inspiratory and expiratory pressures. Perhaps they were influenced by the time and resolution of the infection process, although exercises with upper limb movements seem to be safe in this population. The activation of the infra-abdominal muscles through leg movements seems to bring more benefits to lung function.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Esternón / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Clinical_trials / Guideline / Observational_studies Límite: Adult / Aged / Female / Humans / Male Idioma: En Revista: Rev. bras. cir. cardiovasc Asunto de la revista: CARDIOLOGIA / CIRURGIA GERAL Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Esternón / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Clinical_trials / Guideline / Observational_studies Límite: Adult / Aged / Female / Humans / Male Idioma: En Revista: Rev. bras. cir. cardiovasc Asunto de la revista: CARDIOLOGIA / CIRURGIA GERAL Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil